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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Ulcer-risk classification and plantar pressure distribution in patients with diabetic polyneuropathy: exploring the factors that can lead to foot ulceration

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Giacomozzi, Claudia [1] ; Sartor, Cristina D. [2, 3] ; Telles, Rafael [2] ; Uccioli, Luigi [4] ; Sacco, Isabel C. N. [2]
Total Authors: 5
[1] Ist Super Sanita, Dipartimento Malattie Cardiovasc Dismetabol & Inv, Vle Regina Elena 299, I-00161 Rome - Italy
[2] Univ Sao Paulo, Sch Med, Phys Therapy Speech & Occupat Therapy Dept, Sao Paulo, SP - Brazil
[3] Univ Ibirapuera, Dept Phys Therapy, Sao Paulo, SP - Brazil
[4] Univ Roma Tor Vergata, Dipartimento Med Sistemi, Rome - Italy
Total Affiliations: 4
Document type: Journal article
Source: ANNALI DELL ISTITUTO SUPERIORE DI SANITA; v. 54, n. 4, p. 284-293, 2018.
Web of Science Citations: 0

Plantar pressure is critical in the onset of neuropathic foot ulcers. However, risk classifications do not consider it as a stratification parameter. Whether plantar pressure distribution affects ulcer-risk was investigated. Patients from a research study (n. 134) and from a clinical environment (n. 83) were classified into ulcer-risk groups according to the International Working Group on the Diabetic Foot guidelines. Pressure distribution was acquired during gait (Pedar-X System), and assessed for hindfoot, midfoot, forefoot and toes (1way- and 2way-ANOVAs, p < 0.05). Pressure distribution changed with polyneuropathy even in the low-risk groups (median p = 0.048; 0.001-0.223). Risk classification correlated poorly with pressure distribution (median p = 0.686; 0.374-0.828). BMI, age and walking speed influenced most parameters and rendered the studies almost impossible to compare (2-way ANOVA factor A > 0.05). Pressure-time integral, the only comparable parameter between the two studies, may increase the predictive capacity of ulcer-risk stratification models. (AU)

FAPESP's process: 14/09477-7 - 7th world congress of biomechanics
Grantee:Cristina Dallemole Sartor
Support type: Research Grants - Meeting - Abroad
FAPESP's process: 11/19304-4 - Influence of physical therapy intervention on foot and ankle biomechanics of gait in diabetic neuropatic individuals: a randomized controlled trial
Grantee:Cristina Dallemole Sartor
Support type: Scholarships in Brazil - Doctorate (Direct)