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Correlation between Plantar Pressure and Plantar Microcirculation in Diabetic Peripheral Neuropathy Patients
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Kadrya H. Battecha1,
Waleed T. Mansour2, Gihan M. Ramzy3
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Departments
of Basic Science1, Neuromuscular Disorders
and Its Surgery2; Faculty of Physical Therapy; Neurology3,
Faculty of Medicine; Cairo University; Egypt
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ABSTRACT
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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: kadryabattechapt@gmail.com
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