Gait changes in persons with diabetes: Early risk marker for diabetic foot ulcer.


Journal

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons
ISSN: 1460-9584
Titre abrégé: Foot Ankle Surg
Pays: France
ID NLM: 9609647

Informations de publication

Date de publication:
Feb 2020
Historique:
received: 30 07 2018
revised: 06 12 2018
accepted: 14 01 2019
pubmed: 5 2 2019
medline: 7 8 2020
entrez: 5 2 2019
Statut: ppublish

Résumé

Background Increasing prevalence of diabetic foot ulcer (DFU) and subsequent foot amputation in persons with type 2 diabetic neuropathy is a well known fact. The present study was aimed to identify the initial risk marker for DFU. Methods Dynamic plantar pressure analysis was done for persons with type 2 diabetes mellitus (T2DM) without neuropathy (D), patients with diabetic neuropathy (DN) with normal foot profile and healthy persons with normal foot profile (C). Results The data showed a significant difference in dynamic peak plantar pressure between C and DN (P = 0.035) and no significant difference between D and DN (P = 0.997). The dynamic segmental peak plantar pressure results showed significant difference only in the medial heel region (P = 0.009) among the three groups. Conclusions Gait variations and restrictions in subtalar and first metatarsophalangeal joint are found in persons with diabetic neuropathy even before the onset of foot deformity.

Identifiants

pubmed: 30712991
pii: S1268-7731(18)30305-9
doi: 10.1016/j.fas.2019.01.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

163-168

Informations de copyright

Copyright © 2019 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

Auteurs

Saraswathy Gnanasundaram (S)

Gait Analysis Laboratory, Shoe and Product Design Centre, CSIR - Central Leather Research Institute, Adyar, Chennai, 600020, India. Electronic address: saraswathyg@clri.res.in.

Priyadharshini Ramalingam (P)

Gait Analysis Laboratory, Shoe and Product Design Centre, CSIR - Central Leather Research Institute, Adyar, Chennai, 600020, India. Electronic address: priya28dharshini@gmail.com.

Bhabendra Nath Das (BN)

Project Planning and Business Development, CSIR - Central Leather Research Institute, Adyar, Chennai, 600020, India. Electronic address: bndas@clri.res.in.

Vijay Viswanathan (V)

Prof. M. Viswanathan Diabetes Research Centre, West Mada Church Street, Royapuram, Chennai, 600013, India. Electronic address: drvijay@mvdiabetes.com.

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Classifications MeSH