Diabetic foot ulcer incidence in relation to plantar pressure magnitude and measurement location.

ABSTRACT:

Aims

We prospectively examined the relationship between site-specific peak plantar pressure (PPP) and ulcer risk. Researchers have previously reported associations between diabetic foot ulcer and elevated plantar foot pressure, but the effect of location-specific pressures has not been studied.

Methods

Diabetic subjects (n=591) were enrolled from a single VA hospital. Five measurements of in-shoe plantar pressure were collected using F-Scan. Pressures were measured at 8 areas: heel, lateral midfoot, medial midfoot, first metatarsal, second through fourth metatarsal, fifth metatarsal, hallux, and other toes. The relationship between incident plantar foot ulcer and PPP or pressure-time integral (PTI) was assessed using Cox regression.

Results

During follow-up (2.4years)

SUBMITTER: Ledoux WR 

PROVIDER: S-EPMC4227535 | biostudies-literature | 2013 Nov-Dec

REPOSITORIES: biostudies-literature