open access

Vol 2, No 1 (2001): Practical Diabetology
Original articles (submitted)
Published online: 2000-11-03
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Distribution of plantar pressure in healthy controls and patients with type 1 and 2 diabetes

T. Koblik, J. Sieradzki, B. Mirkiewicz-Sieradzka, E. Gryz, B. Rajchel-Chyla, R. Gajewski, A. Ewy-Skalska
Diabetologia Praktyczna 2001;2(1):71-78.

open access

Vol 2, No 1 (2001): Practical Diabetology
Original articles (submitted)
Published online: 2000-11-03

Abstract

OBJECTIVE. To investigate the distribution of plantar pressures in healthy subjects and in patients with type 1 and 2 diabetes with or without sensorimotor neuropathy (SMN). The paper opens a series of studies aiming at the construction of the first Polish prophylactic footwear, which would offload the sites at high risk of plantar foot ulceration.
MATERIAL AND METHODS. We studied 215 healthy subjects, 56 patients with type 1 diabetes, and 61 patients with type 2 diabetes. Chronic complications of diabetes were evaluated, especially neuropathy based upon NDS score, NSS score and neural conduction. We used the Emed-SF V2.1 system to measure plantar pressures [N/cm2]. RESULTS. Among the healthy individuals the highest pressures were observed below the second and the third metatarsal head (38,8 N/cm2 and 33,4 N/cm2, respectively). Similar results were found in the group of type 1 diabetes patients. However, the patients with type 2 diabetes mellitus had statistically significant higher pressures below the second, the third, and the fourth metatarsal head when compared with non-diabetic controls (45,5 N/cm2, 39,6 N/cm2, 31,8 N/cm2, respectively). Similar results below the third and fourth metatarsal head were observed in the group of type 2 diabetes patients complicated by diabetic neuropathy.
CONCLUSIONS.
1. The highest pressures in healthy subjects were identified under great toe, the second and third metatarsal head.
2. Patients with type 2 diabetes have significantly higher pressures under the second through fifth metatarsal heads as compared with healthy subjects and type 1 diabetics.
3. In patients with type 2 diabetes complicated by SMN the highest pressures are found under the third and fourth metatarsal head, being significantly different from healthy subjects.
4. Special preventive procedures i.e. offloading metatarsal heads are necessary in patients with type 2 diabetes, especially those with concomitant SMN.

Abstract

OBJECTIVE. To investigate the distribution of plantar pressures in healthy subjects and in patients with type 1 and 2 diabetes with or without sensorimotor neuropathy (SMN). The paper opens a series of studies aiming at the construction of the first Polish prophylactic footwear, which would offload the sites at high risk of plantar foot ulceration.
MATERIAL AND METHODS. We studied 215 healthy subjects, 56 patients with type 1 diabetes, and 61 patients with type 2 diabetes. Chronic complications of diabetes were evaluated, especially neuropathy based upon NDS score, NSS score and neural conduction. We used the Emed-SF V2.1 system to measure plantar pressures [N/cm2]. RESULTS. Among the healthy individuals the highest pressures were observed below the second and the third metatarsal head (38,8 N/cm2 and 33,4 N/cm2, respectively). Similar results were found in the group of type 1 diabetes patients. However, the patients with type 2 diabetes mellitus had statistically significant higher pressures below the second, the third, and the fourth metatarsal head when compared with non-diabetic controls (45,5 N/cm2, 39,6 N/cm2, 31,8 N/cm2, respectively). Similar results below the third and fourth metatarsal head were observed in the group of type 2 diabetes patients complicated by diabetic neuropathy.
CONCLUSIONS.
1. The highest pressures in healthy subjects were identified under great toe, the second and third metatarsal head.
2. Patients with type 2 diabetes have significantly higher pressures under the second through fifth metatarsal heads as compared with healthy subjects and type 1 diabetics.
3. In patients with type 2 diabetes complicated by SMN the highest pressures are found under the third and fourth metatarsal head, being significantly different from healthy subjects.
4. Special preventive procedures i.e. offloading metatarsal heads are necessary in patients with type 2 diabetes, especially those with concomitant SMN.
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About this article
Title

Distribution of plantar pressure in healthy controls and patients with type 1 and 2 diabetes

Journal

Clinical Diabetology

Issue

Vol 2, No 1 (2001): Practical Diabetology

Pages

71-78

Published online

2000-11-03

Bibliographic record

Diabetologia Praktyczna 2001;2(1):71-78.

Authors

T. Koblik
J. Sieradzki
B. Mirkiewicz-Sieradzka
E. Gryz
B. Rajchel-Chyla
R. Gajewski
A. Ewy-Skalska

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