Static and Dynamic Plantar Pressure in Diabetic Patients with Advanced Neuropathy

罹患嚴重神經病變之糖尿病患者之靜態與動態足底壓力

施偉立(Wei-Li Hsi) ； 柴惠敏(Huei-Ming Chai) ； 林銘川(Ming-Chuan Lin) ； 饒紀倫(Chi-Lun Rau) ； 賴金鑫(Jin-Shin Lai)

《中華民國復健醫學會雜誌》 30卷2期 (2002/06) Pp. 65-72

摘要

The purpose of the study was to reveal any abnormal distribution of the static and dynamic plantar pressure in the diabetic patients with advanced neuropathy. Sixteen diabetic patients with advanced neuropathy (Group N) and 16 diabetic patients without advanced neuropathy (Group D) were recruited. Advanced neuropathy was determined by inability to perceive the 5.07 Semmes-Weinstein monofilament at one or more sites in each foot. Static plantar pressure was measured during standing, and dynamic plantar pressure was measured during walking. Static plantar pressure was significantly higher (p＜0.05) at the posterior part of bilateral central lateral metatarsal heads, while dynamic plantar pressure was significantly higher (p＜0.05) at the posterior part of left central lateral metatarsal heads, in Group N than in Group D. Both static and dynamic plantar pressure was significantly lower (p＜0.05) at the left lateral and central lateral toes in Group N than in Group D. Static plantar pressure was significantly lower (p＜0.05) at the left anterior medial heel, while dynamic plantar pressure was significantly lower (p＜0.05) at the left posterior central midfoot, in Group N than in Group D. In conclusion, advanced neuropathy tends to increase plantar pressure at lateral metatarsal heads and decrease plantar pressure at lateral toes during both standing and walking, and decrease plantar pressure at anterior heel during standing and at posterior midfoot during walking in the diabetic patients.

關鍵字

靜態 ； 動態 ； 足底壓力 ； 糖尿病 ； 嚴重神經病變

並列摘要

The purpose of the study was to reveal any abnormal distribution of the static and dynamic plantar pressure in the diabetic patients with advanced neuropathy. Sixteen diabetic patients with advanced neuropathy (Group N) and 16 diabetic patients without advanced neuropathy (Group D) were recruited. Advanced neuropathy was determined by inability to perceive the 5.07 Semmes-Weinstein monofilament at one or more sites in each foot. Static plantar pressure was measured during standing, and dynamic plantar pressure was measured during walking. Static plantar pressure was significantly higher (p＜0.05) at the posterior part of bilateral central lateral metatarsal heads, while dynamic plantar pressure was significantly higher (p＜0.05) at the posterior part of left central lateral metatarsal heads, in Group N than in Group D. Both static and dynamic plantar pressure was significantly lower (p＜0.05) at the left lateral and central lateral toes in Group N than in Group D. Static plantar pressure was significantly lower (p＜0.05) at the left anterior medial heel, while dynamic plantar pressure was significantly lower (p＜0.05) at the left posterior central midfoot, in Group N than in Group D. In conclusion, advanced neuropathy tends to increase plantar pressure at lateral metatarsal heads and decrease plantar pressure at lateral toes during both standing and walking, and decrease plantar pressure at anterior heel during standing and at posterior midfoot during walking in the diabetic patients.

並列關鍵字

static ； dynamic ； plantar pressure ； diabetes mellitus ； advanced neuropathy