Measurement of Plantar Pressure at Callosity Sites in Patients with Diabetic Neuropathy.

DOI
  • Kanamori Akira
    Department of Internal Medicine, Kitasato University School of Medicine
  • Aoki Chikara
    Faculty of Rehabilitation, Kitasato University School of Allied Health Sciences
  • Yajima Yoshitada
    Department of Internal Medicine, Kitasato University School of Medicine

Bibliographic Information

Other Title
  • 糖尿病性神経障害患者における足底べんち部圧測定と過剰圧軽減の試み

Abstract

We studied the effect of callus lesions on plantar pressures, and whether callus removal or wearing well-cushioned shoes reduced pressure at callus sites.<BR>We measured plantar pressure in five patients with diabetic neuropathy and plantar callosities (six metatarsal heads and two great toes), using the foot-pressure distribution analyzing system, F-SCAN (Tek-Scan, Inc., USA). While subjects were standing barefoot, peak pressures (mean±SD) were significantly higher at eight callosity sites (2, 788±1, 772g/cm2) than at the same sites in twenty healthy subjects (451±247). Furthermore, peak pressures at these sites were significantly higher while walking barefoot than while standing still. With treatment, peak pressures were reduced in these areas by 53% from 2, 788±1, 772 to 1, 313±618g/cm2 (p<0.05). In addition, wearing well-cushioned Doctor shoes (Lowell Shoe, Inc., USA) reduced peak pressures by 67% before treatment of callosities and 79% after treatment.<BR>These results suggest that a callus acts as a foreign body elevation plantar pressures, which can be reduced by callus removal and by wearing well-cushioned shoes, and thus, may prevent foot ulceration in diabetic patients with neuropathy.

Journal

Keywords

Details 詳細情報について

  • CRID
    1390001204906529920
  • NII Article ID
    130004115264
  • DOI
    10.11213/tonyobyo1958.42.201
  • ISSN
    1881588X
    0021437X
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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