The Significance of Plantar Pressure Measurement in Diabetic Patients.
- Author:
Seung Hyun CHUNG
1
;
Ji Hye HWANG
;
Kwang Won KIM
Author Information
1. Department of Physical Medicine, Division of Endocrinology and Metabolism.
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Diabetic foot ulcer;
Plantar pressure
- MeSH:
Diabetes Mellitus;
Diabetic Foot;
Heel;
Humans;
Neural Conduction;
Physical Examination;
Ulcer
- From:Journal of the Korean Academy of Rehabilitation Medicine
2001;25(1):149-156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: To study the relationship between plantar pressure and diabetic foot ulcer and the assessment the usefulness of plantar pressure measurement in diabetic patients. METHOD: The total 94 diabetic patients were enrolled in this study. The plantar pressure was measured by using EMED-SF. And the nerve conduction studies, physical examination, and history taking were done. Patients were divided into 3 subgroups, Group A: without neuropathy and past ulcer history (n=31), Group B: with neuropathy and without past ulcer history (n=44), Group C: with neuropathy and past ulcer history (n=19). RESULTS: 1) There were significant increase in the maximum peak pressure (MPP) and the pressure-time integral (PTI) values in the Group C as compared with the Group A and B (p<0.05). 2) As compared among the groups for each areas, the MPP and the PTI significantly higher in group C for heel, medial fore-foot, and lateral fore-foot area than in another two groups (p<0.05). CONCLUSION: The high plantar pressure was significantly related with diabetic foot ulcer history. The plantar pressure measurement may be useful in diabetic patients as a predictive and management aids of diabetic foot ulcer.