Effect of Offloading Plantar Pressure on Peak Pressure in Ten Plantar Regions and Gait Speed in Men With Diabetes and Active Diabetic Foot Ulcers, and Healthy Men

Jafarzadeh, M; Golpayegani, AT; Ghomsheh, FT

Effect of Offloading Plantar Pressure on Peak Pressure in Ten Plantar Regions and Gait Speed in Men With Diabetes and Active Diabetic Foot Ulcers, and Healthy Men

Jafarzadeh, M Golpayegani, AT Ghomsheh, FT

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Publisher:: Negah Scientific Publisher
Publication Type:: Journal Article
Citation:: Scientific Journal of Rehabilitation Medicine, 2023, 11, (6), pp. 864-877
Issue Date:: 2023-01-21

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Field	Value	Language
dc.contributor.author	Jafarzadeh, M
dc.contributor.author	Golpayegani, AT
dc.contributor.author	Ghomsheh, FT
dc.date.accessioned	2024-05-13T22:43:42Z
dc.date.available	2024-05-13T22:43:42Z
dc.date.issued	2023-01-21
dc.identifier.citation	Scientific Journal of Rehabilitation Medicine, 2023, 11, (6), pp. 864-877
dc.identifier.issn	2251-8401
dc.identifier.issn	2252-0414
dc.identifier.uri	http://hdl.handle.net/10453/178953
dc.description.abstract	Background and Aims Diabetes is associated with dysfunction and damage in various organs due to abnormal pressure on ten plantar regions This study aims to compare the effect of offloading plantar pressure on peak pressure of ten plantar regions and gait speed in men with diabetes and active diabetic foot ulcers and healthy men Methods This is a causal comparative study Participants were 30 healthy men 30 diabetic men and 30 men with active diabetic foot ulcers who needed no leg amputation according to their physicians Sampling was done using random and convenience methods Diabetic foot ulcers were classified based on the Meggitt Wagner classification criteria according to which grade 1 indicates grade 1 indicates a superficial ulcer and was used as a criterion for selecting people with diabetic foot ulcers Plantar pressure variables were recorded using RSscan software RSscan International Belgium 0 5 0 5 0 02 m 4363 sensors at a sampling frequency of 300 Hz and the gait speed was measured using a digital stopwatch Correct walking considered as the full impact of the foot on the middle of the foot scan machine Data were analyzed using independent t test in SPSS software version 24 Results The peak pressure in the metatarsal 3 P 0 001 metatarsal 4 P 0 020 medial heel P 0 004 and lateral heel P 0 007 in the diabetic foot ulcer group significantly increased compared to the diabetic group In addition the peak pressure in the medial heel P 0 013 and lateral heel P 0 019 in the diabetic group significantly decreased compared to the healthy group Conclusion Men with diabetic foot ulcers are more exposed to abnormal peak pressures in different plantar regions which can cause irreversible clinical injuries Diabetic men have a lower gait speed than healthy men which can be important in their rehabilitation
dc.language	en
dc.publisher	Negah Scientific Publisher
dc.relation.ispartof	Scientific Journal of Rehabilitation Medicine
dc.relation.isbasedon	10.32598/sjrm.11.6.2
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Effect of Offloading Plantar Pressure on Peak Pressure in Ten Plantar Regions and Gait Speed in Men With Diabetes and Active Diabetic Foot Ulcers, and Healthy Men
dc.type	Journal Article
utslib.citation.volume	11
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
pubs.consider-herdc	true
dc.date.updated	2024-05-13T22:43:41Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	11
utslib.citation.issue	6

Abstract:

Background and Aims Diabetes is associated with dysfunction and damage in various organs due to abnormal pressure on ten plantar regions This study aims to compare the effect of offloading plantar pressure on peak pressure of ten plantar regions and gait speed in men with diabetes and active diabetic foot ulcers and healthy men Methods This is a causal comparative study Participants were 30 healthy men 30 diabetic men and 30 men with active diabetic foot ulcers who needed no leg amputation according to their physicians Sampling was done using random and convenience methods Diabetic foot ulcers were classified based on the Meggitt Wagner classification criteria according to which grade 1 indicates grade 1 indicates a superficial ulcer and was used as a criterion for selecting people with diabetic foot ulcers Plantar pressure variables were recorded using RSscan software RSscan International Belgium 0 5 0 5 0 02 m 4363 sensors at a sampling frequency of 300 Hz and the gait speed was measured using a digital stopwatch Correct walking considered as the full impact of the foot on the middle of the foot scan machine Data were analyzed using independent t test in SPSS software version 24 Results The peak pressure in the metatarsal 3 P 0 001 metatarsal 4 P 0 020 medial heel P 0 004 and lateral heel P 0 007 in the diabetic foot ulcer group significantly increased compared to the diabetic group In addition the peak pressure in the medial heel P 0 013 and lateral heel P 0 019 in the diabetic group significantly decreased compared to the healthy group Conclusion Men with diabetic foot ulcers are more exposed to abnormal peak pressures in different plantar regions which can cause irreversible clinical injuries Diabetic men have a lower gait speed than healthy men which can be important in their rehabilitation

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http://hdl.handle.net/10453/178953