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The characteristics and clinical significance of plantar pressure distribution in patients with diabetic toe deformity: a dynamic plantar pressure analysis.

Abstract
This study evaluated plantar pressure distribution and its clinical significance in patients with diabetic foot toe deformities. Patients with diabetic claw or hammer toe deformities (patient group; n = 30) and healthy subjects without toe deformities (control group; n = 30) were recruited into the study. Plantar pressures in different regions of the foot were measured using the F-scan(®) in-shoe plantar pressure dynamic analysis system. Peak pressures in the hallux and first to fifth metatarsal heads were significantly higher in the patient group compared with the control group. In the midfoot there was no significant difference between the two groups. Hindfoot peak plantar pressures were significantly lower in the patient group compared with the control group. The results indicated that toe deformities in patients with diabetes increased forefoot plantar pressures to abnormally high levels. If plantar pressure is regularly monitored in patients with diabetic foot, toe deformities might be detected earlier and ulceration prevented.
AuthorsX Yu, G-R Yu, Y-X Chen, X-C Liu
JournalThe Journal of international medical research (J Int Med Res) Vol. 39 Issue 6 Pg. 2352-9 ( 2011) ISSN: 1473-2300 [Electronic] England
PMID22289554 (Publication Type: Journal Article)
Topics
  • Case-Control Studies
  • Diabetic Foot (diagnostic imaging, physiopathology)
  • Female
  • Gait (physiology)
  • Humans
  • Imaging, Three-Dimensional
  • Male
  • Middle Aged
  • Pressure
  • Toes (abnormalities, diagnostic imaging, physiopathology)
  • Tomography, X-Ray Computed

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