Comparison of static podobarography between diabetic and non-diabetic neuropathy patients

Authors

DOI:

https://doi.org/10.33448/rsd-v11i14.36044

Keywords:

Diabetic Neuropathies; Diabetes Complications; Case-Control Studies; Biomechanical phenomena.

Abstract

Objective: To compare the pedobarographic findings of plantar pressure distribution in individuals with typical diabetic neuropathy with non-diabetic individuals. Methods: 25 patients with typical diabetic neuropathy were randomly selected and another 25 non-diabetic patients were selected electively. After undergoing clinical examination according to the report and recommendations of the San Antonio Conference on Diabetic Neuropathy, glycated hemoglobin (HbA1c) and static podobarography tests were performed to identify pressure points in the feet and distribution of plantar pressure. Results: The mean age of 62.24 (± 9.01) years, mean body mass index (BMI) of 29.69 (± 5.9) Kg / m² and mean HbA1c of 8.9 (± 3.29% of non-diabetic patients, mean age was 61.04 (± 9.69). The mean hallucin pressure in the diabetic group was 111.16 (± 64.25) kPa, in the non-diabetic group was 78.91 (± 4.43) Kg / m² and HbA1c was 5.3 (± 0.24) ± 38.48) kPa and the comparison showed ap = 0.015. Conclusion: An increase in pressure was found in the hallux region of diabetic patients when compared to non-diabetic patients.

References

Abbott, C. A., Carrington, A. L., Ashe, H., Bath, S., Every, L. C., Griffiths J., Hann, A. W., Hussein, A., Jackson, N., Johnson, K. E., Ryder, C. H., Torkington, R., Van Ross, E. R. E., Whalley, A. M., Widdows, P., Williamson, S., Boulton, A. J. M., & North-West Diabetes Foot Care Study. (2002). The North-West Diabetes Foot Care Study: Incidence of, and Risk Factors for, New Diabetic Foot Ulceration in a Community-based patient cohort. Diabetic Medicine, 19(5), 377-384.

Alex, R., Ratnaraj, B., Winston, B., Devakiruba, D. N. S., Samuel, C., John, J., Mohan, V. R., Prasad, J. H., & Jacob, K. S. (2010). Risk Factors for Foot Ulcers in Patients with Diabetes Mellitus - A Short Report from Vellore, South India. Indian Journal of Community Medicine, 35(1), 183-185.

American Diabetes Association (ADA). (2014). Standarts of Medical Care in Diabetes 2014. Diabetes Care, 37, S14-S80.

Andrade, M. V., Noronha, K., Oliveira, C. D. L., Cardoso, C. S., Calazans, J. A., Juliao, N. A., Souza, A., & Tavares, P. A. (2019). Análise da linha de cuidado para pacientes com diabetes mellitus e hipertensão arterial: a experiência de um município de pequeno porte no Brasil. Revista Brasileira de Estudos de População, 36, 1-21.

Banchellini, E., Macchiarini, S., Dini, V., Rizzo, L., Tedeschi, A., Scatena, A., Goretti, C., Campi, F., Romanelli, M., & Piaggesi, A. (2008). Use of Nanotechnology-Designed Footsock in the Management of Preulcerative Conditions in the Diabetic Foot: Results of a Single, Blind Randomized Study. The International Journal of Lower Extremity Wounds, 7(2), 82-87.

Cavanagh, P. R., Rodgers, M. M., & Liboshi, A. (1987). Pressure Distribution under Symptom-Free Feet during Barefoot Standing. Foot Ankle, 7(5), 262-276.

Cavanagh, P. R., & Ulbrecht, J. S. (1994). Clinical plantar pressure measurement in diabetes: rationale and methodology. The foot, 4(3), 123-135.

Deschamps, K., Matricali, G. A., Roosen, P., Desloovere, K., Bruyninckx H., Spaepen, P., Nobels, F., Tits, J., Flour, M., & Staes, F. (2013). Classification of Forefoot Plantar Pressure Distribution in Persons with Diabetes: A Novel Perspective for the Mechanical Management of Diabetic Foot. Plos One, 8(11), 1-10.

Herman, W.H., Pop-Busui, R., Braffett, B. H., Martin, C. L., Cleary, P. Q., Alberts, J. W., Feldman, E. L., & DCCT/EDIC Research Group. (2012). Use of the Michigan Neuropathy Screening Instrument as a measure of distal symmetrical peripheral neuropathy in Type 1 diabetes: results from the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications. Diabetic Medicine, 29(7), 937-944.

Hills, A. P., Hennig, E. M., McDonald, M., & Bar-Or, O. (2001). Plantar pressure differences between obese and nonobese adults: a biomechanical analysis. International Journal of Obesity, 25(11), 1674-1679.

Leitao, V. B. G., Francisco, P. M. S. B., Malta, D. C., & Costa, K. S. (2021). Tendência do uso e fontes de obtenção de antidiabéticos orais para tratamento de diabetes no Brasil de 2012 a 2018: análise do inquérito Vigitel. Revista Brasileira de Epidemiologia, 24, e210008.

Lott, D. J., Zou, D., Muller, & M. J. (2008). Pressure Gradient and Subsurface Shear Stress on the Neuropathic Forefoot. Clinical Biomechanics, 23(3), 342-348.

Malta, D. C., Ribeiro, E. G., Gomes, C. S., Alves, F. T. A., Stopa, S. R., Sardinha, L. M. V., Pereira, C. A., Duncan, B. B., & Schimidt, M. I. (2022). Indicadores da linha de cuidado de pessoas com diabetes no Brasil: Pesquisa Nacional de Saúde 2013 e 2019. Epidemiologia e Serviços de Saúde, 31 (spe1), e2021382.

McLellan, K. C. P., Barbalho, S. M., Cattalini, M., & Lerario, A. C. (2007). Diabetes mellitus do tipo 2, síndrome metabólica e modificação no estilo de vida. Revista de Nutrição, 20(5), 515-524.

Merolli, A., & Uccioli, L. (2005). Plantar pressure distribution in patients with neuropathic diabetic foot. Journal of Applied Biomaterials & Biomechanics, 3(1), 61-64.

Muzy, J., Campos, M. R., Emmerick, I., Silva, R. S. D., & Schramm, J. M. D. A. (2021). Prevalência de diabetes mellitus e suas complicações e caracterização das lacunas na atenção à saúde a partir da triangulação de pesquisas. Cadernos de Saúde Pública, 37(5), e76120.

Rodrigues, D. F., Brito, G. E. G., Sousa, N. M., Rufino, T. M. S., & Carvalo, T. D. (2011). Prevalência de fatores de risco e complicações do Diabetes Mellitus Tipo 2 em usuários de uma Unidade de Saúde da família. Revista Brasileira de Ciências da Saúde, 15(3), 277-286.

Sacco, I. C. N., Hamamoto, N. A., Gomes, A. A., Onodera, N. A., Hirata, R. P., & Henning, E. M. (2009). Role of ankle mobility in foot rollover during gait in individuals with diabetic neuropathy. Clinical Biomechanics, 24(8), 687-692.

Santos, H. C., Ronsoni, M. F., Colombo, B. S., Oliveira, C. S. S., Hohl, A., Coral, M. H. C., & Sande-Lee, S. V. (2015). Peripheral Neuropathy Scores in Diabetic. Revista da Sociedade Brasileira de Clínica Médica, 13(1), 40-45.

Sarnow, M. R., Veves, A., Giurini, J. M., Rosenblum, B. I., Chrzan, J. S., & Habersham, G. M. (1994). In-Shoe Foot Pressure Measurements in Diabetic Patients with At-Risk Feet and in Healthy Subjects. Diabetes care, 17(9), 1002-1006.

Sociedade Brasileira de Diabetes (SBD). (2016). Diretrizes da Sociedade Brasileira de Diabetes (2015-2016), 1-348.

Tuna, H., Yildiz, M., Çeltìk, C., & Kokìno, S. (2004). Static and dynamic plantar pressure measurements in adolescents. Acta Orthopaedica et Traumatologica Turcica, 38(3), 200-205.

Tschiedel, B. (2014). Complicações Crônicas do Diabetes. Jornal Brasileiro de Medicina, 102(5), 7-12.

Vela, A. S., Lavery, L. A., Armstrong, D. G., & Anaim, A. A. (1998). The effect of increased weight on peak pressures: implications for obesity and diabetic foot pathology. The Journal of Foot & Ankle Surgery, 37(5), 416-420.

Yu, X., Yu, G. R., Chen, Y. X., & Liu, X. C. (2011). The Characteristics and Clinical Significance of Plantar Pressure Distribution in Patients with Diabetic Toe Deformity: a Dynamic Plantar Pressure Analysis. Journal of International Medical Research, 39(6), 2352-2359.

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Published

25/10/2022

How to Cite

GALVÃO, L. C. .; KRAVUTSCHKE, R. M. .; GOMES, R. Z. .; FARHAT, G. .; SANTOS, A. A. M. dos. Comparison of static podobarography between diabetic and non-diabetic neuropathy patients. Research, Society and Development, [S. l.], v. 11, n. 14, p. e228111436044, 2022. DOI: 10.33448/rsd-v11i14.36044. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/36044. Acesso em: 26 nov. 2022.

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Section

Health Sciences