The Role of Dynamic Plantar Pressures in Diabetic Foot Ulcers

Diabetes Care ◽  
1997 ◽  
Vol 20 (5) ◽  
pp. 855-858 ◽  
Author(s):  
R. M. Stess ◽  
S. R. Jensen ◽  
R. Mirmiran
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Plantar Pressures

Plantar Pressures, Plantar Forces, and Their Influence on the Pathogenesis of Diabetic Foot Ulcers

2013 ◽  
Vol 103 (4) ◽  
pp. 322-332 ◽  
Author(s):  
Jérôme Patry ◽  
Richard Belley ◽  
Mario Côté ◽  
Marie-Ludivine Chateau-Degat
Keyword(s):  
Shear Stress ◽  
Mechanical Stress ◽  
Diabetic Foot ◽  
Threshold Value ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Plantar Pressures ◽  
Manual Search ◽  
Patients With Diabetes ◽  
Full Text Review

Background: Clinical recommendations for the prevention and healing of diabetic foot ulcers (DFUs) are somewhat clear. However, assessment and quantification of the mechanical stress responsible for DFU remain complex. Different pressure variables have been described in the literature to better understand plantar tissue stress exposure. This article reviews the role of pressure and shear forces in the pathogenesis of plantar DFU. Methods: We performed systematic searches of the PubMed and Embase databases, completed by a manual search of the selected studies. From 535 potentially relevant references, 70 studies were included in the full-text review. Results: Variables of plantar mechanical stress relate to vertical pressure, shear stress, and temporality of loading. At this time, in-shoe peak plantar pressure (PPP) is the only reliable variable that can be used to prevent DFU. Although it is a poor predictor of in-shoe PPP, barefoot PPP seems complementary and may be more suitable when evaluating patients with diabetes mellitus and peripheral neuropathy who seem noncompliant with footwear. An in-shoe PPP threshold value of 200 kPa has been suggested to prevent DFU. Other variables, such as peak pressure gradient and peak maximal subsurface shear stress and its depth, seem to be of additional utility. Conclusions: To better assess the at-risk foot and to prevent ulceration, the practitioner should integrate quantitative models of dynamic foot plantar pressures, such as in-shoe and barefoot PPPs, with the regular clinical screening examination. Prospective studies are needed to evaluate causality between other variables of mechanical stress and DFUs. (J Am Podiatr Med Assoc 103(4): 322–332, 2013)

Implementation of spiritual care in patients with diabetic foot ulcers: a literature review

2020 ◽  
Vol 29 (15) ◽  
pp. S24-S32
Author(s):  
Sumarno Adi Subrata
Keyword(s):  
Spiritual Care ◽  
Diabetic Foot ◽  
Nursing Practice ◽  
Theoretical Perspective ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
The Family ◽  
The Relationship ◽  
Extremity Amputation

Lower extremity amputation is a complication of diabetic foot ulcers that can cause spiritual crisis. Integrating spiritual care into nursing practice is important to overcome this. However, studies articulating the role of nurses in spiritual care when caring for patients with diabetic foot ulcers is limited. This article aims to describe the importance of providing spiritual care for this group of patients. The interpretation of spiritual care with respect to the relationship between the patient and the family, and the role of the nurse are discussed. The findings offer a theoretical perspective on spiritual care that can be used to develop spiritual interventions, as well as prevent spiritual crises in patients with diabetic foot ulcers.

Evaluation of the role of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers: a prospective comparative study

2016 ◽  
Vol 88 (4) ◽  
pp. 219-224 ◽  
Author(s):  
Chandrakant Munjewar ◽  
Ishaq Nabi ◽  
Santosh Gautam ◽  
Neelam Ahirwar ◽  
Poras Chaudhary ◽  
...  
Keyword(s):  
Comparative Study ◽  
Hyperbaric Oxygen ◽  
Diabetic Foot ◽  
Hyperbaric Oxygen Therapy ◽  
Oxygen Therapy ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Prospective Comparative Study

scholarly journals One step closer to understanding the role of bacteria in diabetic foot ulcers: characterising the microbiome of ulcers

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Karen Smith ◽  
Andrew Collier ◽  
Eleanor M. Townsend ◽  
Lindsay E. O’Donnell ◽  
Abhijit M. Bal ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
One Step

Role of early surgical revascularization in the management of refractory diabetic foot ulcers in patients without overt ischemic limbs

2010 ◽  
Vol 16 (1) ◽  
pp. 50
Author(s):  
Majid Moini ◽  
Mohammad R. Rasouli ◽  
Pedram Heidari ◽  
Hamid Reza Mahmoudi ◽  
Marjan Rasouli
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers ◽  
Surgical Revascularization

Role of biomarkers in predicting diabetes complications with special reference to diabetic foot ulcers

2017 ◽  
Vol 11 (4) ◽  
pp. 377-388 ◽  
Author(s):  
Sivakamasundari Pichu ◽  
Bhoomika M Patel ◽  
Subbu Apparsundaram ◽  
Ramesh K Goyal
Keyword(s):  
Special Reference ◽  
Diabetic Foot ◽  
Diabetes Complications ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers

scholarly journals Role of phenytoin in diabetic foot ulcers

2020 ◽  
Vol 13 (3) ◽  
pp. 222
Author(s):  
RaviKumar Chittoria ◽  
Padmalakshmi Bharathi Mohan ◽  
UdayKumar Chapa ◽  
Vinayak Chavan ◽  
Abhinav Aggarwal ◽  
...  
Keyword(s):  
Diabetic Foot ◽  
Foot Ulcers ◽  
Diabetic Foot Ulcers
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