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April2014 Vol.51 Issue:        2        Table of Contents
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Correlation between Plantar Pressure and Plantar Microcirculation in Diabetic Peripheral Neuropathy Patients

Kadrya H. Battecha1, Waleed T. Mansour2, Gihan M. Ramzy3

Departments of Basic Science1, Neuromuscular Disorders and Its Surgery2; Faculty of Physical Therapy; Neurology3, Faculty of Medicine; Cairo University; Egypt


Background: Foot ulceration in patients with diabetic neuropathy is a major health problem, often leading to further complications. However neuropathy by itself is not the only factor responsible for ulceration; other abnormalities associated with this condition such as disturbed peak plantar pressures and impairments in micro-circulation have also been reported to play a crucial role. Objective: This study was done to investigate the effect of plantar pressure on plantar microcirculation in diabetic neuropathy patients. Methods: This study was conducted on two groups: group A (experimental group) consists of forty five patients presented clinically with diabetic peripheral neuropathy and group B (control group) consists of forty five normal subjects. RS scan foot plate system was used to measure the plantar pressure, while laser Doppler flow meter was used to investigate the plantar microcirculation. Results:  between subjects MANOVA showed that there is a significance difference between both groups in plantar pressure and microcirculation under the three studied points. While, Pearson correlation showed that there was a positive correlation between plantar pressure distribution and plantar microcirculation under heel, big toe and little toe in experimental group with no correlation between them in control group. Conclusion: Plantar pressure has an effect on microcirculation and so, it can be considered as one of the essential factors that cause foot ulceration in diabetic polyneuropathic patients. [Egypt J Neurol Psychiat Neurosurg.  2014; 51(2): 249-254

Key words: diabetic neuropathy, plantar pressure, microcirculation

 Correspondence to Kadrya H. Battecha, Department of Physical Therapy, Faculty of Physical Therapy, Cairo University, Egypt. Email:

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