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- W1605338357 abstract "Loss of protective pain sensation(peripheral neuropathy) is wellrecognised as a complicationof diabetes mellitus that plays amajor role in the developmentof foot ulceration (InternationalWorking Group on the DiabeticFoot, 1999). As many as 15% ofpeople with diabetes will developa foot ulcer during their lifetime(Plank et al, 2003); moreover, footulceration precedes amputationin approximately 85% of nontraumaticcases (Bird et al, 1999).Figures suggest that 50% ofpatients attending diabeticfoot clinics will have peripheralneuropathy (Baker et al,2005); thus, it is imperativethat individuals with diabetesreceive regular assessment offoot sensation (neurologicalassessment). An annualneurological review will allowearly identifi cation of sensoryloss and prompt intervention toprevent deterioration (InternationalCaroline McIntosh is Senior Lecturer in Podiatry, University of Huddersfi eld, YorkshireSensory loss is a major contributory factor to foot ulceration in people with diabetes mellitus.Evidence suggests that ulcer risk is increased seven fold in the insensate foot (Buchman, 2005).Loss of the protective pain sensation can result in unnoticed trauma to the feet. For example, blistersfrom ill-fi tting footwear can precede ulceration in the diabetic foot. This article will describe how toassess the sensory status of the feet in patients with diabetes.140 Wound Essentials • Volume 1 • 2006Working Group on the DiabeticFoot, 1999; Departmentof Health, 2001; ScottishIntercollegiate Guidelines Network[SIGN], 2001; National Institutefor Health and Clinical Excellence[NICE], 2004)." @default.
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- W1605338357 date "2006-01-01" @default.
- W1605338357 modified "2023-09-27" @default.
- W1605338357 title "Assessing the sensory status of the diabetic foot" @default.
- W1605338357 hasPublicationYear "2006" @default.
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