Relationship of Limited Joint Mobility and Foot Deformities with Neurological Examination in Patients with Diabetes

Sanz‐Corbalán, Irene; Lázaro-Martínez, José L.; García-Morales, Esther; Aragón‐Sánchez, Javier; Carabantes-Alarcón, David; García‐Álvarez, Yolanda

doi:10.1055/s-0032-1329981

Cited by 7 publications

(4 citation statements)

References 10 publications

(11 reference statements)

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“…This finding is in line with the results of studies conducted in Mizan Tepi, Southwest Ethiopia (36.5%) [ 19 ] and Jordan 34% [ 23 ]. However, the findings of this study are lower than those of studies conducted in Kenya, Iraq, the United Kingdom, India, Spain, and China, which found an overall prevalence of foot deformity among diabetic patients were 46% [ 39 ], 46.7% [ 40 ], 44.5% [19], 40% [ 41 ], 60.2% [ 42 ] and 42% [ 43 ] respectively. This difference could be due to variations in the study populations, study design, and assessment methods.…”

Section: Discussioncontrasting

confidence: 85%

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2022, cross-sectional study

Adebabay,

Worede,

Sume

et al. 2023

BMC Endocr Disord

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Introduction Diabetes foot deformity is among the major causes of diabetic foot ulceration, resulting in lower limb amputation. However, the study on the distribution of foot deformity and its risk factor among diabetic patients in Ethiopia is limited. This study determined the overall prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia. Methods Hospital-based cross-sectional study was conducted among 392 diabetic patients using a systematic random sampling technique at Debre Markos Comprehensive Specialized Hospital. Data were collected by pre-tested, semi-structured questionnaires and diabetic foot assessment format. Multivariable binary logistic regression was used to determine the association between dependent and independent variables. Adjusted odds ratios (AOR) with their 95% confidence interval (CI) were used to determine the strength of the association, and a variable with a p-value < 0.05 was statistically significant factors of diabetes foot deformity. Result The overall prevalence of foot deformity was 33.4% [95% CI: 28.9–38.3]. In the final logistic regression analysis, rural residency [AOR = 2.64, 95% CI: 1.31, 5.31], poor glycemic control [AOR = 2.41; 95% CI: 1.34, 4.33], diabetes duration ≥ 10 years [AOR = 2.74; 95% CI: 1.50, 5.02], inadequate footwear [AOR = 2.11; 95% CI: 1.17, 3.82] and presence of peripheral neuropathy [AOR = 8.21; 95% CI: 4.54, 14.84] were statistically significant associated factors with diabetes foot deformity. Conclusion The prevalence of foot deformity among adult diabetic patients was high. It is recommended to incorporate foot deformity screening in routine diabetic patient follow-ups especially for those with poor glycaemic control, rural residency, long diabetes duration, inadequate footwear, and diabetic peripheral neuropathy.

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Section: Discussioncontrasting

confidence: 85%

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2022, cross-sectional study

Adebabay,

Worede,

Sume

et al. 2023

BMC Endocr Disord

View full text Add to dashboard Cite

show abstract

“…This finding is in line with the results of studies conducted in Mizan Tepi, Southwest Ethiopia (36.5%) [17], and Jordan 34% [18]. However, the findings of this study are lower than those of studies conducted in Kenya, Iraq, the United Kingdom, India, Spain, and China, which found an overall prevalence of foot deformity among diabetic patients were 46% [29], 46.7% [30], 44.5% [19] , 40% [31], 60.2% [32], and 42% [33] respectively. This difference could be due to variations in the ages of study participants, study design, and assessment methods, or to differences in the study populations.…”

Section: Discussioncontrasting

confidence: 67%

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2022

Adebabay

Worede

Sume

et al. 2023

Preprint

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Introduction: Diabetes foot deformity is among the major causes of diabetic foot ulceration that results in lower limb amputation. But, the study on the distribution of foot deformity and its risk factors among diabetic patients in Ethiopia is not satisfactory; particularly there is no study in the study area. Objective: To assess the prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2022 Methods: A hospital-based cross-sectional study was conducted among 392 diabetic patients at Debre Markos Comprehensive Specialized Hospital from June 1st to July 30th, 2022, using a systematic random sampling technique. Data were collected by using pre-tested semi-structured questionnaires and diabetic foot assessment format, entered through epidata 4.6 versions, and exported to STATA 14 version for analysis. Multivariable binary logistic regression was used to determine the association between dependent and independent variables. Adjusted odds ratios (AOR) with their 95% Confidence interval (CL) were used to determine the strength of the association, and a variable with a p-value <0.05 were statistically significant in multivariable logistic regression. Result: The overall prevalence of foot deformity was 33.42% [95% CI: 28.9–38.3]. In the final multivariable binary logistic regression analysis, rural residency [AOR = 2.55, 95% CI: 1.26, 5.14], poor glycemic control [AOR = 2.63; 95% CI: 1.45, 4.79], diabetes duration between 11 and 15 years [AOR = 2.42; 95% CI: 1.12, 5.26], diabetes duration greater than 15 years [AOR = 4.62; 95% CI: 1.80, 11.82], inadequate footwear[AOR = 2.06; 95% CI: 1.13, 3.75] and presence of peripheral neuropathy [AOR = 8.11; 95% CI: 4.45, 14.77] were statistically significant associated factors with diabetes foot deformity. Conclusion: The prevalence of foot deformity among adult diabetic patients was high. It is recommended to incorporate foot deformity screening in routine diabetic foot management.

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“…We, and others, have also previously shown that DPN, including early-stage DPN, can reduce quality of life even in the absence of pain [ 6 , 7 ]. Individuals with DPN are recognized to have sensorimotor deficits, including reduced proprioceptive sense [ 8 ], ankle mobility, range of motion [ 9 , 10 ], and muscle strength [ 11 ], leading to reduced balance [ 12 ], gait and mobility alterations [ 9 , 13 ], and increased risk of falls [ 14 ]. It is unclear, however, if these functional deficits in individuals with DPN are associated with, and responsible for, reduction in HRQoL.…”

Section: Introductionmentioning

confidence: 99%

Functional status mediates the association between peripheral neuropathy and health-related quality of life in individuals with diabetes

et al. 2017

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AimsTo examine differences in health-related quality of life (HRQoL) between patients with and without diabetic peripheral neuropathy (DPN), and whether these differences can be explained by functional deficits.MethodsThis was a cross-sectional study of 160 patients with type 2 diabetes mellitus, 80 with DPN and 80 without. Assessments included HRQoL (health utility score derived from EQ-5D-5L), functional status measurements [muscle strength, timed up and go (TUG), five times sit-to-stand (FTSTS), functional reach, body sway velocity] and self-reported balance confidence [Activities-specific Balance Confidence (ABC) scale].ResultsMean utility scores were 0.67 ± 0.14 and 0.77 ± 0.16 in patients with and without DPN, respectively (p < 0.001). Patients with DPN had lower great toe extensor strength (6.4 ± 1.8 vs 7.6 ± 2.8 lbs, p = 0.001), greater body sway velocity (2.40 ± 1.31 vs 1.90 ± 0.52 mm/s, p = 0.002), slower TUG (12.1 ± 4.6 vs 10.1 ± 2.3 s, p < 0.001) and FTSTS (15.8 ± 5.8 vs 13.9 ± 5.4 s, p = 0.03) scores, and lower ABC score (73.4 ± 21.3 vs 82.6 ± 16.9, p = 0.003), compared to those without DPN. On stepwise multiple regression, DPN status, FTSTS, body sway velocity, BMI, diabetes duration, pain, and gender explained 38% of HRQoL variance. Addition of ABC score into the model explained 45% of variance. Results from structural equation modelling showed that DPN had direct effects on HRQoL and indirect effects through FTSTS, body sway velocity, and ABC score, with χ 2 = 8.075 (p = 0.044), root mean square error of approximation = 0.103 (lower bound 0.015, upper bound 0.191), Comparative Fit Index = 0.966, Tucker–Lewis Index = 0.887, and Standardized Root Mean Square Residual = 0.053.ConclusionsPatients with DPN have worse HRQoL compared to patients without DPN, partly mediated by functional status parameters. Effective interventions targeting functional status may be beneficial in improving HRQoL in these patients. Electronic supplementary materialThe online version of this article (10.1007/s00592-017-1077-8) contains supplementary material, which is available to authorized users.

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Relationship of Limited Joint Mobility and Foot Deformities with Neurological Examination in Patients with Diabetes

Cited by 7 publications

References 10 publications

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2022, cross-sectional study

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos comprehensive specialized hospital, Northwest Ethiopia, 2022, cross-sectional study

Prevalence and associated factors of foot deformity among adult diabetic patients on follow-up at Debre Markos Comprehensive Specialized Hospital, Northwest Ethiopia, 2022

Functional status mediates the association between peripheral neuropathy and health-related quality of life in individuals with diabetes

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