Assessment of plantar pressure and balance in patients with diabet

Abstract

IntroductionPatients with diabetes for more than 10 years may have an increase in peak plantar pressure, considerable postural oscillation, balance deficit, alterations in gait pattern and an increased risk of falls. The aim of the present study was to assess the correlation between plantar pressure distribution and balance in patients with diabetes using a pressure platform (Footwork).Material and methodsThe study was carried out at the Human Movement Clinic of the Centro Universitário de Belo Horizonte (Brazil). The sample was made up of 18 right-handed individuals with type 2 diabetes – 14 females and 4 males – with an average age of 58.72 ±9.54 and an average of 18.56 ±6.61 years since diagnosis.ResultData analysis revealed that greater peak plantar pressure on the right hindfoot led to greater radial displacement (Rd) (r = 0.2022) and greater displacement velocity (r = 0.2240). Greater peak plantar pressure on the left hindfoot also led to greater displacement velocity (P) (r = 0.5728) and radial displacement (RD) (r = 0.1972). A positive correlation was found between time elapsed since diagnosis and peak midfoot pressure (r = 0.3752) on the right and left side as well as between BMI and plantar pressure on all regions of the foot.ConclusionsThe data reveal a correlation between postural oscillation and peak plantar pressure on the hindfoot.

Duration of Type 2 Diabetes is a Predictor of Elevated Plantar Foot Pressure

“…Changes in foot pressures can be determined by assessing peak plantar pressures or pressure-time integral [5]. Although Anjos et al reported that patients living with diabetes for more than 10 years may have increased peak plantar pressure [9], which is also supported by Tuna et al [10], there is a clear paucity of information regarding this matter.…”

“…Limited joint mobility [4,5], structural foot deformities [6], intrinsic muscle weakness [7], and muscle atrophy [8] occur in both type 1 and type 2 diabetes. These complications may occur as a result of hyperglycemia and play a significant role in increasing plantar pressures [9].…”

Relationship Between Balance and Fear of Falling in Geriatric Type 2 Diabetes Mellitus Patients

“…The participants performed the test barefoot, with eyes open. Each data collection time was 30 seconds (19). The COP parameters assessed in this study were COP velocity (cm/ sec) and COP length (cm).…”

Effects of Foot Arch Structure on Postural Stability

“…Therefore, this study used the Shoe Type Stabilometer that can measure CoP and plantar pressure in the natural standing position [6,9]. …”

“…One reason for this lack of findings may be that subjects in these studies were restricted to patients with disease or several young participants able to use large equipment (e.g. force plate, threedimensional (3D) motion analyzer) [5,6].…”