Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Indicators of Future Ulceration in Diabetes Patients of Low-Moderate Foot Risk

Davida Louise O’Brien1, Claire M. Buckley2*, Frank Hill2, Maria Horgan3, Ivan J. Perry2 and Magdalena Tyndyk1
1Medical Engineering, Design and Innovation Centre, Department of Manufacturing, Biomedical and Facilities Engineering, Cork Institute of Technology, Cork, Ireland
2Department of Epidemiology and Public Health, University College Cork, Cork, Ireland
3Diabetes in General Practice (DiGP) , Department of General Practice, University College Cork, Cork, Ireland
Corresponding Author : Claire M Buckley
Department of General Practice
University College Cork, Cork, Ireland
Tel: 00353866020313
E-mail: Claire. buckley@ucc.ie
Received September 30, 2014; Accepted October 10, 2014; Published October 17, 2014
Citation: O’Brien DL, Buckley CM, Hill F, Horgan M, Perry IJ, et al. (2014) Indicators of Future Ulceration in Diabetes Patients of LowModerate Foot Risk. Clin Res Foot Ankle 2:155. doi:10.4172/2329-910X.1000155
Copyright: © 2014 Lousie O’Brien, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Related article at
DownloadPubmed DownloadScholar Google

Abstract

Background & Aim: Diabetes Mellitus can cause serious health problems including foot complications. Peripheral neuropathy affects the outer appendages, most commonly the lower limbs. Ulceration of the feet has a high possibility of advancement to amputation; thus greatly diminishing quality of life. This study investigates if patients with diabetes, who are at low-moderate risk of foot disease, have any underlying biomechanical signs which may indicate that they are at risk of future ulceration.

Methods: Twenty patients with Diabetes Mellitus at low-moderate risk of foot disease and 32 healthy individuals participated in this study. All participants completed a self-administrated questionnaire (assessing sociodemographic and lifestyle factors) and underwent a clinical foot screening examination (plantar sensation, pedal pulses and ankle range of motion), gait assessment (spatio-temporal parameters) and barefoot plantar pressure analysis. Results between the 2 groups were compared.

Results: Major differences were observed in area of plantar pressure distribution, walking speed and foot alignment between low-moderate risk participants with diabetes and healthy controls. Low-moderate risk participants with diabetes recorded elevated dynamic plantar pressure in regions of metatarsal heads and the heel. Plantar pressure was correlated with arch type and foot alignment (p<0.05). Dissimilarities were not observed for lifestyle behavior and ankle range of motion.

Conclusion: This pilot study demonstrated a group of patients with diabetes at low-moderate risk of foot disease showing significant differences in biomechanical measures that are linked to callus/ulcer formation. Risk factors for ulceration previously reported for high risk patients with diabetes also affect patients with low-moderate foot risk.

Keywords

Top