Plantar sensory threshold in the ulcerative foot

Ja, Birke; Ds, Sims

doi:10.5935/0305-7518.19860028

Cited by 138 publications

(90 citation statements)

References 4 publications

(4 reference statements)

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“…These are semi-quantitative, reliable measurements, complementary to each other, with proven predictive value for the development of clinical problems, such as foot ulcers and the need for amputation (Goldberg and Lindblom, 1979;Bloom et al, 1984;Birke and Sims, 1986;Sosenko et al, 1990;Kumar et al, 1991;Veves et al, 1994;Young et al, 1994;Valk et al, 1997). Both were applied 6 times to two locations on both feet.…”

Section: La Neuropathymentioning

confidence: 99%

Evaluation of a screening and prevention programme for diabetic foot complications

Meijer

Links²,

Smit

et al. 2001

Prosthetics &Amp; Orthotics International

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Foot complications in diabetes can be decreased by preventive measures. The authors evaluated the current diabetic foot screening and prevention programme of the diabetes outpatient clinic of their university hospital, by assessing the presence of risk factors for the development of foot disorders and the preventive measures taken.Fifty (50) diabetic patients not known to have foot complications were selected at random. Risk factors and preventive measures were inventarised with the Coleman riskcategorization system and the Preventive Measures Scale, respectively.Sixty per cent (60%) of the patients were at risk of developing diabetic foot complications. The preventive measures were low in these patients. Patient knowledge was insufficient and behaviour even worse. Basal preventive shoe adaptations were absent in most patients at risk. No relation between risk category and the preventional status was found.Cross-sectional examination at a university outpatient clinic showed serious risk profiles for foot complications, which were not balanced by the application of generally accepted preventive measures. At the outpatient clinic, screening should be optimised.

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Section: La Neuropathymentioning

confidence: 99%

Evaluation of a screening and prevention programme for diabetic foot complications

Meijer

Links²,

Smit

et al. 2001

Prosthetics &Amp; Orthotics International

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“…Nylon monofilament test is a simple test to diagnose patient's risk for the formation of foot ulcers due to peripheral sensory neuropathy [7]. The test is unusual and there is present risk of ulcers formation if the patient can not feel the touch of an monofilament when pressed on foot with only so much pressure that can bend filament [8].…”

Section: Methodology Screening For Peripheral Neuropathymentioning

confidence: 99%

Diabetic Foot Evaluation in Family Medicine

Tuzlak¹,

Alibasic²

2015

J Diabetes Metab

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Introduction: Diabetes mellitus is characterized by the lack of glycemic control, which may cause damage to the small and large blood vessels and nerves, which could, among the other things, lead to changes in the foot. Most of diabetic foot complications that resulted in amputation begin with the formation of skin ulcers. The most important risk factors and predictors of diabetic ulcers are the presence of diabetic neuropathy and structural foot deformities, infections and peripheral occlusive arterial disease. Smoking, hypertension and hyperlipidemia also contribute to the increased prevalence.Objective: To analyze the effectiveness of recommended interventions, conducted by family medicine team, for the prevention of diabetic foot ulcers. Patients and methods:Data from the medical records of all patients with type 2 diabetes in the family medicine team 1 of Public Health Institution -Healthcare Center Kalesija were retroactively analyzed. Interventions that were implemented in the prevention of diabetic ulcers are as follows: screening for diabetic neuropathy using SemmesWeinstein's monofilament, regular and systematic examination of footwear and feet, education of patients and family members about proper hygiene and foot care, daily foot inspection by the patient, and other possible effective clinical interventions such as: optimizing the values of blood pressure, blood glucose, hyperlipidemia and smoking cessation.Results: From total of 80 patients with type 2 diabetes, in 45 (56%) was established peripheral neuropathy. From these 45 patients with neuropathy, in 40 (88%) there has been no development of ulcers due to regular implementation of recommended interventions for prevention during each visit, and in 5 patients (12.5%) the disease led to the development of diabetic ulcers. Of these 5 patients with diabetes that developed diabetic ulcer, 2 (40%) underwent amputation due to poor communication and cooperation, irregular visits and the impossibility of implementing intervention and prevention measures. Conclusion:The family medicine has a central role in the prevention and early diagnosis of diabetic foot complications. Patients with diabetes may benefit from preventive interventions, including screening for neuropathy, educating patients on every visit, wearing proper footwear, intensive care and supervision, as well as early identification of high risk for amputation and evaluation for surgical intervention. A multidisciplinary team approach is vital in the management of diabetic foot. Regular, careful and systematic review of the feet of patients with diabetes is one of the easiest, cheapest and most effective preventive intervention and measure for the prevention of diabetic foot complications. Diabetic Foot Evaluation in Family Medicine IntroductionDiabetes affects 4.2% of the world population and is characterized by the lack of glycemic control, which may cause damage to the small and large blood vessels and nerves, which could, among the other things, lead to changes in the foot. Most of...

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“…Pressure sensitivity is inferred by asking individuals to close their eyes and applying nylon monofilaments calibrated to deliver predetermined forces to ascertain the minimum perceivable force applied to the skin. Within the context of hand rehabilitation, absolute sensitivity thresholds for the fingertips and sole of the foot have been reported as 0.63g and 3.5g respectively [78]. Sensitivity to light touch is also used as a screening tool for detecting neuropathic damage.…”

Section: Pressurementioning

confidence: 99%

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

Demain

Metcalf

Merrett

et al. 2012

Disability and Rehabilitation: Assistive Technology

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 The current lack of emphasis on somatosensory rehabilitation may contribute to poor hand recovery in patients with central nervous system pathology.  Haptic technologies have the potential to improve sensation and sensory motor integration in neurological conditions  An underlying theoretical rationale is provided for the design and clinical use of haptic technologies in neuro-rehabilitation of the hand. AbstractPurpose. This paper provides rehabilitation professionals and engineers with a theoretical and pragmatic rationale for the inclusion of haptic feedback in the rehabilitation of central nervous system disorders affecting the hand. Method. A narrative review of haptic devices used in sensorimotor hand rehabilitation was undertaken. Presented papers were selected to outline and clarify the underlying somatosensory mechanisms underpinning these technologies and provide exemplars of the evidence to date.Results. Haptic devices provide kinaesthetic and/or tactile stimulation. Kinaesthetic haptics are beginning to be incorporated in central nervous system rehabilitation, however, there has been limited development of tactile haptics. Clinical research in haptic rehabilitation of the hand is embryonic but initial findings indicate potential clinical benefit. Conclusions. Haptic rehabilitation offers the potential to advance sensorimotor hand rehabilitation but both scientific and pragmatic developments are needed to ensure that its potential is realised.

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Plantar sensory threshold in the ulcerative foot

Cited by 138 publications

References 4 publications

Evaluation of a screening and prevention programme for diabetic foot complications

Evaluation of a screening and prevention programme for diabetic foot complications

Diabetic Foot Evaluation in Family Medicine

A narrative review on haptic devices: relating the physiology and psychophysical properties of the hand to devices for rehabilitation in central nervous system disorders

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