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. 2022 Sep 16;21(2):1577-1589.
doi: 10.1007/s40200-022-01104-1. eCollection 2022 Dec.

Factors associated with changes in plantar pressure of people with peripheral diabetic neuropathy

Juliana Vallim Jorgetto  1 , Daniella Silva Oggiam  1 , Mônica Antar Gamba  2 , Denise Miyuki Kusahara  3
Affiliations

Factors associated with changes in plantar pressure of people with peripheral diabetic neuropathy

Juliana Vallim Jorgetto et al. J Diabetes Metab Disord. .

Abstract

Abstract: Diabetic neuropathy is one of the main complications of Diabetes Mellitus, which can lead to loss of protective sensation, motor, and plantar pressure alteration, generating deformities, abnormal gait and mechanical trauma to the feet.

Objective: to evaluate the distribution of plantar pressure, sensorimotor changes, balance and associated factors to plantar pressure changes in people with peripheral diabetic neuropathy.

Method: Cross-sectional study conducted with individuals registered in the primary public health service of a city in the east of São Paulo - Brazil. The sample was composed by people with Diabetes Mellitus and Peripheral Neuropathy identified by the Michigan Screening Instrument. It were investigated variables such as sensory-motor changes, static and dynamic plantar pressure using baropodometry and balance using the Berg scale. A significance level of 5% was adopted for all tests used.

Results: Of the 200 individuals evaluated, 52.55% had no plantar protective sensitivity, the static evaluation did not demonstrated changes in the peak of plantar pressure, however in the dynamics the mean in the right foot was 6.0 (±2) kgf/cm2 and 6,7 (±1.62) kgf/cm2 on the left foot, the center of static pressure on the right foot was lower (10.55 ± 3.82) than on the left foot (11.97 ± 3.90), pointing hyper plantar pressure. The risk of falling was high, ranging from 8 to 56 points, with an average of 40.9 (±10.77).

Conclusion: The absence of protective plantar sensitivity, increased pressure, biomechanical changes lead to loss of balance and are predictive of complications in the feet due to diabetic neuropathy.

Keywords: Biomechanics; Diabetes mellitus; Peripheral diabetic neuropathy; Physiotherapy.

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Conflict of interest statement

Competing interestsThe authors do not have conflicts of financial interest, personal or institutional relationships, referring to the theme or data presented in the manuscript and the financial support received for the research. Were duly mentioned in the manuscript.

Figures

Chart 1
Chart 1
Functionality scale for lower limbs
Fig. 1
Fig. 1
Functional scale of lower limb tests of sample participants
See this image and copyright information in PMC

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