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Journal of the Korean Academy of Rehabilitation Medicine 2001;25(1):149-156.
The Significance of Plantar Pressure Measurement in Diabetic Patients.
Chung, Seung Hyun , Hwang, Ji Hye , Kim, Kwang Won
1Department of Physical Medicine, Division of Endocrinology and Metabolism.
2Department of Rehabilitation, Division of Endocrinology and Metabolism.
3Department of Medicine Samsung Medical Center, Sungkyunkwan University School of Medicine.
당뇨병 환자에서의 족저압 측정의 의미
정승현, 황지혜, 김광원1
성균관대학교 의과대학 삼성서울병원 재활의학교실, 1내분비대사내과교실

To study the relationship between plantar pressure and diabetic foot ulcer and the assessment the usefulness of plantar pressure measurement in diabetic patients.

The total 94 diabetic patients were enrolled in this study. The plantar pressure was measured by using EMED-SF. And the nerve conduction studies, physical examination, and history taking were done. Patients were divided into 3 subgroups, Group A: without neuropathy and past ulcer history (n=31), Group B: with neuropathy and without past ulcer history (n=44), Group C: with neuropathy and past ulcer history (n=19).

1) There were significant increase in the maximum peak pressure (MPP) and the pressure-time integral (PTI) values in the Group C as compared with the Group A and B (p<0.05). 2) As compared among the groups for each areas, the MPP and the PTI significantly higher in group C for heel, medial fore-foot, and lateral fore-foot area than in another two groups (p<0.05).

The high plantar pressure was significantly related with diabetic foot ulcer history. The plantar pressure measurement may be useful in diabetic patients as a predictive and management aids of diabetic foot ulcer.

Key Words: Diabetes mellitus, Diabetic foot ulcer, Plantar pressure


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