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- W2101683765 abstract "Introduction: The incidence of “diabetic foot” in the population affected is well known. Recent epidemiological studies show that the 8% of deaths, related to diabetes, is the direct consequence of leg ulcers [1] and that the survival after major amputation is less than 50% at 5 years after surgery [2]. The high plantar pressure has been associated prospectively to the development of ulcers in diabetic patients, and would be strongly predictive for it [3]. The aim of this study is the evaluation of plantar property in orthostatic position and during the gait in diabetic patients with and without neuropathy. Correlation between the kinematic parameters – measured by baropodometric platform – and patient’s neuropathy stage are statistically evaluated. Methods: The study is based on a cluster of 24 patients (15 malesand9 females), divided into three subgroups, according to the stage of neuropathy, following the Dyck’s scale (1993), and compared with 18 healthy controls (10males and 8 females). The same cluster is examined 2 years later. After an initial physical examination, patients were subjected to an instrumental gait analysis by baropodometric platform. The study uses an experimental scheme consists of a static test, during which the patient remains upright andmotionless for 10 s, and a dynamic test, which allows to obtain informations about the pressure, the area and the duration of support during the gait. Parameters normalizationwas applied in order to increase statistical significance Results: The kinematic data highlights that integral pressuretime is better thanpeakpressure value towhicha certain areaof the foot is subjected. Regarding the peak pressure, emerged an increase of the mean value, by comparing groups without neuropathy to those with neuropathy. The duration of support has proved to be highly significant in distinguishing membership in different stages of neuropathy (p=0.0014). The dynamic analysis shows a decrease of the support area related to the progression of neuropathy, as well as moving from controls to the patients without neuropathy. Static analysis revealed that the progression of neuropathy causes an instability even when standing still, as deduced from a stabilometric study. The follow-up analysis shows that the duration of support represents the parameter most changeable over time, in the same patient (p=0.0692). Discussion: The average values support a correlation with the progression of neuropathy. The increase of the peak pressure, in literature, was already relatedwith the neuropathy development and with an higher risk of plantar ulcers. The obtained results support the theory that a follow-up baropodometric is useful in monitoring the progression of neuropathy in diabetic patients. The data obtained may be a valid parameters for prevention, rehabilitation and motor re-education for getting and maintaining a more corrected gait." @default.
- W2101683765 created "2016-06-24" @default.
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- W2101683765 date "2014-08-01" @default.
- W2101683765 modified "2023-09-27" @default.
- W2101683765 title "Baropodometric examination of patients with diabetic neuropathy at 2 years follow-up: Identification of kinematic parameters of gait related to neuropathy progression" @default.
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- W2101683765 doi "https://doi.org/10.1016/j.gaitpost.2014.05.022" @default.
- W2101683765 hasPublicationYear "2014" @default.
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