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Gait parameters, plantar pressures and body balance of diabetics with neuropathy and vasculopathy that use insoles

Grant number: 11/02648-2
Support Opportunities:Scholarships in Brazil - Master
Effective date (Start): March 01, 2012
Effective date (End): February 28, 2013
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:Cristina Elena Prado Teles Fregonesi
Grantee:Alessandra Madia Mantovani Fabri
Host Institution: Faculdade de Ciências e Tecnologia (FCT). Universidade Estadual Paulista (UNESP). Campus de Presidente Prudente. Presidente Prudente , SP, Brazil


Peripheral diabetic neuropathy, most common chronic complication of Diabetes Mellitus, characterized by sensory disturbances generating, the feet, lower perception of somatosensory areas that affect the nervous traffic of information and predisposes to abnormal weight bearing in these areas. Still, it is responsible for deficits of motor fibers that may lead to changes in muscle strength and decrease of movement control. The combination of these factors puts his feet in areas at risk for the onset of ulcers and amputations. In order to avoid such implications has indicated insoles for diabetics. Therefore, the objective of the study is to analyze the behavior of the gait parameters, of plantar pressure and body balance in diabetic neuropathies and vasculopathies, subjected to the use of custom insoles and, systematically, to evaluate the performance of these parameters in relation to time of use. This study will have two groups: CG - Control Group and DG - Diabetic Group (neuropathy and vasculopathy). The methods are based on, initially, confirm in diabetic subjects the neuropathy (sensitivity monofilament test and a scale for diagnosis of diabetic distal polyneuropathy) and of the peripheral vasculopathy (through the ankle/arm and finger oximeter). After, they would be tested for electronic baropodometry (static and gait) and cinemetry. After tests, each subject will receive a customized insole, according to their changes pedal and, from this, there will be a reassessment of momentum in which the subject will be submitted to tests in the first minute, second day, fifteenth, thirtieth and fortieth days after placing insole.

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Academic Publications
(References retrieved automatically from State of São Paulo Research Institutions)
FABRI, Alessandra Madia Mantovani. Parâmetros da marcha, pressões plantares e equilíbrio corporal de diabéticos neuropatas e vasculopatas, com o uso de palmilhas. 2013. Master's Dissertation - Universidade Estadual Paulista (Unesp). Faculdade de Ciências e Tecnologia. Presidente Prudente Presidente Prudente.

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