Plantar pressures in diabetes with no known neuropathy

NewsBot · Nov 30, 2012

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Plantar pressures in diabetes with no known neuropathy.
Syed N, Maiya AG, Hanifa N, Goud S.
J Diabetes. 2012 Nov 28

OBJECTIVE:
To investigate the association of arch type and gender to the plantar pressure distribution in subjects without diabetes mellitus and diabetics without peripheral neuropathy.

METHODS:
Plantar pressures of 62 type 2 diabetes subjects (aged 63.6 ± 7.6 years; BMI 24.3 ± 2.9; duration of diabetes 7 ± 2.5 years) with no peripheral neuropathy and 63 non diabetic adults (aged 62.5 ± 8.5 years; BMI 22.4 ± 2.5) were recorded in static stance using a foot analyzer. Data was collected from both feet and were analyzed for their association with disease, arch type and gender using 'Mann Whitney U test' and 'Chi square test' respectively.

RESULTS:
A significant difference was noted between the plantar pressures of left and right feet in diabetic subjects of both gender and their metatarsal heads were over-loaded in terms of magnitude. This increased over-load noted in the plantar pressures correlated poorly with the type of the foot arch and gender of all the diabetic subjects. However, there was no difference noted between the pressures at different zones amongst the diabetic and non-diabetic groups.

CONCLUSION:
No difference in plantar pressures was identified between the non-diabetic subjects and the diabetics without peripheral neuropathy. No significant correlation was found between plantar pressures in diabetic subjects and their arch type or gender. There was however significant difference in plantar pressures between right and left feet
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Admin2 · Dec 1, 2012

Related threads:
Other threads tagged with diabetic foot biomechanics and plantar pressures

David Smith · Dec 1, 2012

RESULTS:
A significant difference was noted between the plantar pressures of left and right feet in diabetic subjects of both gender and their metatarsal heads were over-loaded in terms of magnitude. This increased over-load noted in the plantar pressures correlated poorly with the type of the foot arch and gender of all the diabetic subjects. However, there was no difference noted between the pressures at different zones amongst the diabetic and non-diabetic groups.
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I don't understand the logic of this statement! How can it be that in one foot the met heads were overloaded in terms of pressure magnitude in only the diabetic subjects and that there was no significant difference in pressure between groups non diabetic and diabetic???

Dave Smith

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Admin2 Administrator Staff Member

David Smith Well-Known Member

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