57-291
Relación entre deformidad y presión máxima plantar en antepié en pacientes con polineuropatía diabética
Relationship between Deformity and maximum plantar pressure in forefoot in patients with diabetic polyneuropathy.
NAVARRO MONSOLIU R, MARTÍNEZ ASSUCENA A, HERNÁNDEZ MIJARES A, MERINO RAMIREZ MA, ZARAGOZA CARDELLS E, BAUTISTA RENTERO D 1 SERVICIO DE MEDICINA FÍSICA Y REHABILITACIÓN, HOSPITAL DE REQUENA. ESPAÑA. 2 SERVICIO DE ENDOCRINOLOGÍA. HOSPITAL DR PESET. VALENCIA. ESPAÑA. 3 SERVICIO DE NEUROFISIOLOGÍA. HOSPITAL DE LA RIBERA. ALZIRA. ESPAÑA 4 RADIOLOGÍA. CLÍNICA ERESA. VALENCIA. ESPAÑA 5 SERVICIO MEDICINA PREVENTIVA. HOSPITAL DR PESET. VALENCIA. ESPAÑA
Recepción:
31/10/2022
Aceptación:
31/10/2022
Publicación:
31/10/2022
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Resumen (ES)
Diabetes mellitus (DM) is a health problem worldwide. The appearance of ulcers in diabetic patients annually affects
around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and
death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot
(HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar
pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure
system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists
of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of
plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained
specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar
pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion:
The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to
prevent the appearance of plantar ulcers
around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and
death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot
(HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar
pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure
system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists
of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of
plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained
specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar
pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion:
The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to
prevent the appearance of plantar ulcers
Palabras clave (ES):
pie
pie
diabetic
neuropatía
diabetic
ulceración
plantar
presión
pies
deformidad
Resumen (EN)
Diabetes mellitus (DM) is a health problem worldwide. The appearance of ulcers in diabetic patients annually affects
around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and
death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot
(HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar
pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure
system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists
of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of
plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained
specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar
pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion:
The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to
prevent the appearance of plantar ulcers
around 26 million people worldwide. Without proper care, these foot ulcers can lead to hospitalization, amputation and
death. Objetive: Try to find out that mechanical and structural factors are related to high plantar pressure in the forefoot
(HPPF) and increase the risk of plantar ulcers in patients with diabetic neuropathy (DNP). Find out which peak of plantar
pressure is considered high and therefore risk factor for the development of plantar ulcer, using an in-shoe pressure
system (BIOFOOT/IBV). Material and methods: Observational, cross-sectional and analytical study. The sample consists
of 70 patients (140 feet or units of analysis), with risk of plantar ulcer 1 and 2, without ischemia, of the risk classification of
plantar ulcer development of the International Working Group on Diabetic Foot (IWGDF). Results: The results obtained
specify that structural alteration of the foot is considered as a risk factor for the development of plantar ulcer. A plantar
pressure is determined above which it is considered that patients with DNP could be at risk of ulceration. Conclusion:
The observation of the feet of diabetic patients, especially those affected by DNP, and the use of insoles may be useful to
prevent the appearance of plantar ulcers
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