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首页> 外文期刊>Diabetic Foot & Ankle >Foot deformities, function in the lower extremities, and plantar pressure in patients with diabetes at high risk to develop foot ulcers
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Foot deformities, function in the lower extremities, and plantar pressure in patients with diabetes at high risk to develop foot ulcers

机译：患有高风险患足溃疡的糖尿病患者的足部畸形，下肢功能和足底压力

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Objective: Foot deformities, neuropathy, and dysfunction in the lower extremities are known risk factors that increase plantar peak pressure (PP) and, as a result, the risk of developing foot ulcers in patients with diabetes. However, knowledge about the prevalence of these factors is still limited. The aim of the present study was to describe the prevalence of risk factors observed in patients with diabetes without foot ulcers and to explore possible connections between the risk factors and high plantar pressure.Patients and methods: Patients diagnosed with type 1 (n=27) or type 2 (n=47) diabetes (mean age 60.0±15.0 years) were included in this cross-sectional study. Assessments included the registration of foot deformities; test of gross function at the hip, knee, and ankle joints; a stratification of the risk of developing foot ulcers according to the Swedish National Diabetes Register; a walking test; and self-reported questionnaires including the SF-36 health survey. In-shoe PP was measured in seven regions of interests on the sole of the foot using F-Scan?. An exploratory analysis of the association of risk factors with PP was performed.Results: Neuropathy was present in 28 (38%), and 39 (53%) had callosities in the heel region. Low forefoot arch was present in 57 (77%). Gait-related parameters, such as the ability to walk on the forefoot or heel, were normal in all patients. Eighty percent had normal function at the hip and ankle joints. Gait velocity was 1.2±0.2 m/s. All patients were stratified to risk group 3. Hallux valgus and hallux rigidus were associated with an increase in the PP in the medial forefoot. A higher body mass index (BMI) was found to increase the PP at metatarsal heads 4 and 5. Pes planus was associated with a decrease in PP at metatarsal head 1. Neuropathy did not have a high association with PP.Conclusions: This study identified several potential risk factors for the onset of diabetic foot ulcers (DFU). Hallux valgus and hallux rigidus appeared to increase the PP under the medial forefoot and a high BMI appeared to increase the PP under the lateral forefoot. There is a need to construct a simple, valid, and reliable assessment routine to detect potential risk factors for the onset of DFU.
机译：目的：下肢的脚部畸形，神经病变和功能障碍是已知的会增加足底峰值压力（PP）的危险因素，因此，有增加糖尿病患者患足部溃疡的风险。但是，关于这些因素的普遍性的知识仍然有限。本研究的目的是描述在没有足溃疡的糖尿病患者中观察到的危险因素的普遍性，并探讨危险因素与足底高压之间的可能联系。患者和方法：诊断为1型（n = 27）的患者这项横断面研究包括2型或2型（n = 47）糖尿病（平均年龄60.0±15.0岁）。评估包括足部畸形的登记;测试髋，膝和踝关节的总体功能;根据瑞典国家糖尿病登记册对发生脚溃疡的风险进行分层;步测;以及自我报告的问卷，包括SF-36健康调查。使用F-Scan？在脚底的七个感兴趣区域中测量鞋内PP。对危险因素与PP的相关性进行了探索性分析。结果：28例（38％）存在神经病变，而脚后跟区域则有39例（53％）存在神经病变。低前足弓出现在57（77％）。与步态有关的参数，例如前脚或脚后跟行走的能力，在所有患者中都是正常的。 80％的人的髋和踝关节功能正常。步态速度为1.2±0.2m / s。所有患者均分为危险组3。拇外翻和僵直与前足内侧PP增加有关。发现较高的体重指数（BMI）会增加meta骨头4和5的PP。扁平肌与meta骨头1的PP减少相关。神经病与PP的相关性不高。结论：本研究确定了糖尿病足溃疡（DFU）发作的几个潜在危险因素。拇外翻和僵硬拇指似乎增加了前脚内侧下的PP，高的BMI似乎增加了前脚外侧下的PP。有必要构建一个简单，有效和可靠的评估程序，以检测DFU发作的潜在危险因素。

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