Diabetic Foot Assessment of People With Diabetic Peripheral Neuropathy And Associated Factors To Plantar Pressure Changes.

Abstract

Diabetic neuropathy is one of the main complications of Diabetes Mellitus, which can lead to loss of protective sensation, motor alteration, in plantar pressure, generating deformities, abnormal gait and mechanical trauma to the feet.OBJECTIVE: to evaluate the distribution of plantar pressure, sensorimotor changes, balance and associated factors to plantar pressure changes in people with peripheral diabetic neuropathy.METHOD: Cross-sectional study conducted with individuals registered in the municipal public health network of a city in the east of São Paulo - Brazil, with Diabetes Mellitus and Peripheral Neuropathy identified by the Michigan Screening Instrument, sensory-motor changes by the International Consensus, static and dynamic assessments of plantar pressure using Baropodometry with BaroScan and balance using the Berg scale.RESULTS: Of the 200 individuals evaluated, 52.55% had no plantar protective sensitivity, the static evaluation did not identify changes in the peak of plantar pressure, however in the dynamics the average in the right foot was 6.08 (± 2) kgf / cm2 and 6 , 7 (± 1.62) kgf / cm2 on the left foot, the center of static pressure on the right foot was lower (10.55 ± 3.82) than on the left foot (11.97 ± 3.90), pointing hyper plantar pressure. The risk of falling was high, ranging from 8 to 56 points, with an average of 40.96 (± 10.77).CONCLUSION: The absence of protective plantar sensitivity, increased pressure, biomechanical changes lead to loss of balance and are predictive of complications in the feet due to diabetic neuropathy.