Plantar pressures in diabetes with no known neuropathy (无神经病变的糖尿病患者的足底压力)

Syed, Nafeez; Maiya, Arun G.; Hanifa, Nazia; Goud, Sandeep

doi:10.1111/1753-0407.12016

Cited by 6 publications

(5 citation statements)

References 43 publications

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“…Therefore, the Non-PN cDMII group did not use a medial-lateral weight strategy for weight distribution in the different tasks, alternatively, they used an anterior and posterior strategy to maintain their balance. Our results concur with previous studies in which, to our understanding, a difference in plantar pressure in the population with controlled diabetes has yet to be found (Lafound et al, 2004& Syed et al, 2013. In their study, Syed and colleagues (2013) reflected that there was no difference in pressure of the different zones of the foot in participants with DM without neuropathy and participants without DM.…”

Section: Discussionsupporting

confidence: 92%

“…Furthermore, Ahmmed et al, (2003) studied three groups, participants with DM with neuropathy, participants with DM without neuropathy and the control group, and they, too, did not find a significant difference in weight distribution between both lower extremities when performing two balance tasks (EO, EC). Contrary to the authors, our study ventures further and observes weight distribution in conditions that compromised the visual, proprioceptive and vestibular systems (Lafound et al, 2004& Syed et al, 2013. For consideration in future research, performing a study where weight distribution between rear-foot and forefoot in each foot individually is evaluated would be beneficial as, in this study, it was demonstrated that participants with DMII sway more anteriorly and posteriorly compared to medially and laterally.…”

Section: Discussionmentioning

confidence: 63%

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Evaluating static postural control in subjects with controlled-diabetes mellitus II

Rosario¹,

Hyder²,

Orozco³

et al. 2020

jhse

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Diabetes and neuropathy have been linked to postural instability. Aims: The purpose of this study is to determine how each system involved in balance is affected when challenged in a static standing posture. The goal was to identify postural instability by measuring balance through the amount of sway and weight bearing distribution in nonneuropathic controlled type II diabetics. Methods: Twelve participants (five males and seven females) with controlled type II diabetes mellitus and no history of peripheral neuropathy (Non-PN cDMII) formed the diabetic group, whereas eighteen participants (7 males and 11 females) without type II diabetes formed the control group. The exclusion criteria was applied via a series of screening tests (Berg Balance Scale, Five Times Sit To Stand Test, Functional Reach Test and Monofilament Test). Postural stability and weight distribution during quiet standing were measured using a Tekscan Matscan pressure mat, which measured the amount of sway and weight distribution. Static postural control was evaluated during eight sensory conditions that perturbed or stimulated the visual, proprioceptive, and vestibular systems. Results: Postural control was found to be significantly deficient when the vestibular system was stimulated, whereas the proprioceptive system was perturbed. After the data analysis, there was a significant difference in anteroposterior sway (p = .05) with the following tasks: eyes open with head movements on an unstable surface, and eyes closed with head movements on a firm surface. Conclusions: The results revealed that the experimental group with type II diabetes had greater postural instability when compared to the control group during tasks with the vestibular system on an unstable surface. This demonstrates that, due to their deficits, individuals with non-PN cDMII are unable to maintain their balance when the vestibular and proprioceptive systems are challenged simultaneously.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 63%

Evaluating static postural control in subjects with controlled-diabetes mellitus II

Rosario¹,

Hyder²,

Orozco³

et al. 2020

jhse

View full text Add to dashboard Cite

show abstract

“…Our findings were supported with the study [19], which demonstrated significant plantar pressure differences between diabetes and non-diabetes. Another study identified significant changes in plantar pressure parameters between diabetes patients and non-diabetes [2].…”

Section: Discussionsupporting

confidence: 91%

The influence of isometric resisted ankle strength on dynamic foot plantar pressure in diabetes and non-diabetes participants

Ahsan

Shanb

2023

ELECTRON J GEN MED

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Introduction: Patients with diabetes are more likely to fall due to increased plantar pressure and decreased strength in the lower extremities. Objectives: To determine the influence of isometric ankle strength on dynamic foot plantar pressure in diabetes and non-diabetes participants. Methods: Twenty diabetes patients and twenty non-diabetes participants with age 28-54 years, height 150-182 cm, weight 48-90 kg, and BMI 25-54 kg/m2 participated in the study. The diabetes level was determined based on fasting plasma glucose levels. The resisted isometric muscle strength of the foot during dorsiflexion, plantar flexion, inversion, and eversion was measured using an electronic handheld dynamometer. The plantar pressure distribution during dynamic conditions was determined by using a 48.7×44.7 cm pressure platform. The outcome measures between diabetes and non-diabetes groups were statistically compared by student t-test. The correlation coefficient was determined by the Pearson correlation coefficient test. A p-value of less than 0.05 was considered significant. Result: The significant differences were found between diabetes and non-diabetes participants for the dorsiflexion (p=.048), plantarflexion (p=.031), inversion (p=.011), eversion (p=.024), peak pressure (p=.024), pressure per square inch (p=.012), pressure time integral (p=.014), and peak pressure gradient (p=.009). Significant relationships between resisted isometric ankle joint strength and foot plantar pressure for diabetes patients and non-diabetes participants were found. Conclusion: The present study’s findings reflect the higher frequency of plantar pressure distribution and higher muscle weakness in diabetes patients than in non-diabetes participants. These findings suggested that pressure data could help us to customize therapy strategies for patients with diabetes and prescribe a proper exercise intervention’s short-and long-term effects on gait biomechanics.

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“…Reversely, it can be stated that disturbance of plantar pressure distribution is an indicator of development of neuropathic disorder in patients with diabetes [37]. Syed et al [38] also showed that in the absence of neuropathy, there is no significant difference regarding plantar pressures between patients with diabetes and healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Plantar pressure distribution in diverse stages of diabetic neuropathy

Abri

Aalaa

Sanjari

et al. 2019

J Diabetes Metab Disord

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Background Diabetic Foot Ulceration in patients with diabetes could be associated with high plantar pressure caused by diabetes neuropathy. Therefore, it seems that one of the ways of identifying high-risk legs in diabetic patients with neuropathy would be characterization of elevated plantar pressure distributions. Objective Comparing the plantar pressure distribution in diabetic patients who suffered neuropathy with those without neuropathy. Methods and materials Plantar pressure distribution was recorded in the following categories: 38 diabetic patients without neuropathy, 30, 40 and 34 patients with mild neuropathy, moderate and severe neuropathy respectively. Results Patients suffered from severe neuropathy suggested higher maximum peak plantar pressure at midfoot, heel, and medial forefoot. The peak pressure of midfoot was significantly different in the following categories as well: patient without neuropathy (32.3 ± 17.9 kPa), mild neuropathic (24.0 ± 17.9 kPa), moderate neuropathic (21.5 ± 12.6 kPa), and severe neuropathic (22.9 ± 10.7 kPa) groups (p = 0.02). ConclusionThe progression of diabetic neuropathy would have been increased followed by the peak plantar pressure.

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Plantar pressures in diabetes with no known neuropathy (无神经病变的糖尿病患者的足底压力)

Cited by 6 publications

References 43 publications

Evaluating static postural control in subjects with controlled-diabetes mellitus II

Evaluating static postural control in subjects with controlled-diabetes mellitus II

The influence of isometric resisted ankle strength on dynamic foot plantar pressure in diabetes and non-diabetes participants

Plantar pressure distribution in diverse stages of diabetic neuropathy

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