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

Autor(es)

Giacomozzi, Claudia ^[1] ; Sartor, Cristina D. ^{[2, 3]} ; Telles, Rafael ^[2] ; Uccioli, Luigi ^[4] ; Sacco, Isabel C. N. ^[2]

Afiliação do(s) autor(es)

^[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

• Tipo de documento: Artigo Científico
• Fonte: ANNALI DELL ISTITUTO SUPERIORE DI SANITA; v. 54, n. 4, p. 284-293, 2018.
• Citações Web of Science: 0

Resumo

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)

• Processo FAPESP: 14/09477-7 - 7th World Congress of Biomechanics
• Beneficiário: Cristina Dallemole Sartor
• Modalidade de apoio: Auxílio à Pesquisa - Reunião - Exterior
• Processo FAPESP: 11/19304-4 - Influência da intervenção cinesioterapêutica em tornozelo e pé na biomecânica da marcha de diabéticos neuropatas: um ensaio clínico randomizado
• Beneficiário: Cristina Dallemole Sartor
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto