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ORIGINAL ARTICLE
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 58-62

Assessment of foot pressure in patients with diabetes by using mat scan in a tertiary care teaching hospital in North India


1 Department of Endocrinology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of Internal Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
3 Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
4 Department of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Correspondence Address:
Manjunath Totaganti
Department of Endocrinology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand 249203
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCDM.JCDM_6_22

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Introduction: Diabetic foot ulcers are a common diabetic complication that can be lethal. Abnormal plantar pressures are hypothesized to influence the pathogenesis of neuropathic ulcers in the diabetic foot. Aim: To analyze the maximum plantar pressures and average plantar pressures in diabetic patients. Materials and Methods: The study used 62 diabetes individuals as participants. Body mass index was calculated, as well as illness duration and hemoglobin A1c. Plantar pressure was measured in static (standing) and dynamic (walking/taking a step on the mat) settings for all patients using the BTS (BTS is a bioengineering company based in Italy) walk system. The plantar pressures (kPa) at the five metatarsal regions, the mid-foot region, and the medial and lateral heel regions were measured. Results: We found that the maximum dynamic pressures were higher in at metatarsal region, which were above 600 kPa, which were considered a risk for ulceration. Conclusion: Persons with diabetes have higher maximum plantar pressures. These people are at high risk for foot ulceration in the metatarsal and mid-foot regions. This can be used as an indicator of the development of ulcers.


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