Role of Plantar Pressure in Diabetic Foot Syndrome

2020 ◽  
pp. 83-86
Author(s):  
Animesh Hazari ◽  
G. Arun Maiya
Keyword(s):  
Diabetic Foot ◽  
Plantar Pressure ◽  
Diabetic Foot Syndrome

scholarly journals Orthoses in diabetic foot treatment and prevention

2013 ◽  
Vol 94 (4) ◽  
pp. 536-541
Author(s):  
I V Klyushkin ◽  
K A Koreyba
Keyword(s):  
Diabetes Mellitus ◽  
Elastic Material ◽  
Diabetic Foot ◽  
Silver Ions ◽  
Cost Effective ◽  
Diabetic Foot Syndrome ◽  
Treatment And Prevention ◽  
Positive Treatment ◽  
Orthopedic Shoes

Aim. To define the role of orthoses in the treatment and rehabilitation of patients with diabetic foot syndrome. Methods. The review of the literature addressing the use of special orthopedic shoes in the treatment and rehabilitation of patients with complicated diabetes mellitus was performed. Results. The common requirements for orthopedic shoes for patients with complicated diabetes mellitus are the following: (1) rigid sole with an artificial curvature; (2) boot-tree elevated by 8 mm due to arch supporter, adequate volume, wide sole, removable insole; (3) insole without functional memory; (4) thermally variable elastic material, advisably with silver ions, for the lining; (5) minimal number of sutures at the lining; (6) no elastic material at the front of the shoe and at the lining at the toes; (7) increased volume and enough space for the toes; (8) front slant of 15°; (9) potential ability to adjust the inner volume of the shoe; (10) hard counter - stabilizing hard back with additional softening at the lining side; (11) heel with a front slant or a solid sole without a heel; (12) smooth non-traumatic surface suitable for scrubbing including cleansing with antiseptics. The indications for orthopedic relief in patients with diabetic foot syndrome are explained. Economic superiority of organ-preserving approaches in such patients is shown. There is an opposition for conservative methods of treatment of patients with diabetic foot syndrome, nevertheless, an amputation can not be estimated as a positive treatment outcome in such patients. Almost 70-90% of ulcers in this group of patients are healed without amputation. Limb-saving treatment and the use of specially selected shoes are cheaper and more cost-effective compared to the limb loss. Conclusion. The use of orthopedic shoes in patients with diabetic foot syndrome is used both for treatment and rehabilitation. This technique can reduce the risk of ulceration and prevent organ-sparing surgeries.

Stellenwert von mikrozirkulatorischen Untersuchungsmethoden bei Patienten mit diabetischem Fuß-Syndrom

VASA ◽  
2000 ◽  
Vol 29 (3) ◽  
pp. 191-197 ◽  
Author(s):  
Lawall ◽  
Amann ◽  
Rottmann ◽  
Angelkort
Keyword(s):  
Diabetic Foot ◽  
Reactive Hyperemia ◽  
Diabetic Polyneuropathy ◽  
Capillary Density ◽  
Diagnostic Methods ◽  
Diabetic Foot Syndrome ◽  
Type I ◽  
Additional Information ◽  
Type Ii Diabetics

Background: Diabetic foot syndrome (DFS) is a frequent complication of long-standing diabetes mellitus, occurring in 10 to 30 percent of all diabetics with a vital risk for the affected limb and high mortality rates. Macroangiopathy, diabetic polyneuropathy and infections are trigger factors for DFS. Recent results imply a pathogenic role of functional and structural microcirculatory changes. The exact role of microangiopathy and the value of microcirculatory diagnostic methods in DFS have not yet been defined. Patients and methods: 78 patients with DFS (28 type I, 50 type II diabetics, mean age 63 years) were evaluated with video capillary microscopy, transcutaneous partial oxygen tension (tcpO2) measurement and laser Doppler fluxmetry (LDF) at the forefoot of the affected leg at admission and after revascularisation. Mean hospital stay was 28 ± 11.7 days. Patients were stratified according to the etiology of DFS in patients with neuropathic lesions, macroangiopathic ulcers and mixed neuropathic-angiopathic lesions. Results: All groups had impaired microcirculation, and significant differences between groups were found in respect to capillary density. Reactive hyperemia, LDF pattern and tcpO2 did not differ significantly. Microcirculatory examinations did not yield additional information to clinical and Doppler sonographic results. Conclusion: In clinical practice, the role of microcirculation evaluation techniques for diabetic foot syndrome is limited.

scholarly journals Analysis of Clinical Profiles, Deformities, and Plantar Pressure Patterns in Diabetic Foot Syndrome

2021 ◽  
Vol 11 (23) ◽  
pp. 11464
Author(s):  
Claudia Giacomozzi ◽  
Giada Lullini ◽  
Alberto Leardini ◽  
Paolo Caravaggi ◽  
Maurizio Ortolani ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Plantar Pressure ◽  
Weight Bearing ◽  
Descriptive Analysis ◽  
Biomechanical Analysis ◽  
Diabetic Foot Syndrome ◽  
Foot Bones ◽  
Patients With Diabetes ◽  
Ct Analysis

Diabetic foot syndrome refers to heterogeneous clinical and biomechanical profiles, which render predictive models unsatisfactory. A valuable contribution may derive from identification and descriptive analysis of well-defined subgroups of patients. Clinics, biology, function, gait analysis, and plantar pressure variables were assessed in 78 patients with diabetes. In 15 of them, the 3D architecture of the foot bones was characterized by using weight-bearing CT. Patients were grouped by diabetes type (T1, T2), presence (DN) or absence (DNN) of neuropathy, and obesity. Glycated hemoglobin (HbA1c) and plantar lesions were monitored during a 48-month follow-up. Statistical analysis showed significant differences between the groups for at least one clinical (combined neuropathy score, disease duration, HbA1c), biological (age, BMI), functional (joint mobility, foot alignment), or biomechanical (regional peak pressure, pressure-time integral, cadence, velocity) variable. Twelve patients ulcerated during follow-up (22 lesions in total), distributed in all groups but not in the DNN T2 non-obese group. These showed biomechanical alterations, not always occurring at the site of lesion, and HbA1c and neuropathy scores higher than the expected range. Three of them, who also had weight-bearing CT analysis, showed >40% of architecture parameters outside the 95%CI. Appropriate grouping and profiling of patients based on multi-instrumental clinical and biomechanical analysis may help improve prediction modelling and management of diabetic foot syndrome.

scholarly journals The role of «old age proteins» and endotelial dysfunction markers in diabetic foot syndrome development

2021 ◽  
Vol 6 (3) ◽  
pp. 77-85
Author(s):  
R. I. Damdinov ◽  
K. G. Shapovalov ◽  
N. I. Troitskaya
Keyword(s):  
Old Age ◽  
Diabetic Foot ◽  
Diabetic Foot Syndrome

The role of 'Diabetic Foot' rooms in the organization of specialised help to patient with diabetic foot syndrome in Uzbekistan

2019 ◽  
Author(s):  
Nilufar Ibragimova ◽  
Telman Kamalov ◽  
Khamidulla Shakirov ◽  
Lyudmila Kokareva ◽  
Oksana Platonova
Keyword(s):  
Diabetic Foot ◽  
Diabetic Foot Syndrome

scholarly journals Collagen role in the mechanisms of chronic wounds healing diabetic foot syndrome.

2018 ◽  
Vol 96 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Ekaterina V. Silina ◽  
V. A. Stupin ◽  
R. B. Gabitov
Keyword(s):  
Wound Healing ◽  
Diabetic Foot ◽  
World Literature ◽  
Chronic Wounds ◽  
Diabetic Foot Syndrome ◽  
Medical Products ◽  
The World ◽  
Native Collagen ◽  
Different Types

The review of the world literature, is devoted to the role of collagen in the process of wound healing. The problems of epidemiology of chronic wounds and ulcers of various genesis, physiology and pathophysiology of wound healing phases are considered. The pathogeneticrole of different types of collagen, as well as the mechanisms of collagen, macrophage, fibroblasts, matrix metalloproteinases and other cytokines in healing ulcers are discussed. The prospects of development and use of medical products and preparations based on collagen in the treatment of patients with chronic wounds and ulcers are shown. The results of clinical studies on the effectiveness of collagen with preserved (native) and unsaved (fractionated) structure are presented. The advantages of using native collagen in the treatment of diabetic foot syndrome are demonstrated.

scholarly journals GENETIC PROFILE STAPHYLOCOCCUS AUREUS, ISOLATED FROM BACTERIAL CARRIERS AND PATIENTS WITH INFECTIOUS INFLAMMATORY PATHOLOGY

2018 ◽  
pp. 56-62 ◽  
Author(s):  
V. A. Gritsenko ◽  
A. R. Mavzyutov ◽  
T. M. Pashkova ◽  
O. L. Kartashova ◽  
Ya. V. Tyapaeva ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Diabetic Foot ◽  
Lower Limbs ◽  
Diabetic Foot Syndrome ◽  
Genetic Profile ◽  
Pathogenic Potential ◽  
Asymptomatic Carriage ◽  
Purulent Wounds ◽  
Genetic Profiles

Aim. A comparative genetic evaluation of the pathogenic potential of Staphylococcus aureus strains isolated from bacterial carriers and patients with infectious inflammatory pathology. Materials and methods. The presence of pathogenicity genes (ssp, spa, clfA and clfB) in 163 strains of S. aureus isolated from the mucous membrane of the nasal cavity of bacterial carriers, from the vaginal discharge of women with uterine myoma, the contents of the pustules of newborns with perinatal pyoderma, and the transudate of venous-trophic ulcers lower limbs and purulent wounds in patients with diabetic foot syndrome. Results. It was shown that the frequency of occurrence of ssp, spa, clfA and clfB genes in clinical strains of S. aureus depended on the source of their isolation. In all cultures of S. aureus (except vaginal isolates), the most common gene was ssp (in 66.7 - 94.6% of cases), which was found isolated or in different combinations with other genes (spa, clfA, clfB). It has been established that the genetic profiles of strains of S. aureus isolated from bacterial carriers and patients with infectious inflammatory pathology (perinatal pyoderma, purulent wounds in diabetic foot syndrome) show a pronounced similarity in the presence of ssp, spa, clfA and clfB genes. Conclusion. The possible role of asymptomatic carriage of strains of S. aureus with a pathogenic potential in the development of endogenous infections of different localization is discussed.

Sign in / Sign up

Export Citation Format

Share Document