diaendoСахарный диабетDiabetes mellitus2072-03512072-0378Endocrinology research centre10.14341/DM12723diaendo-12723Research ArticleОригинальные исследованияOriginal StudiesРаспределение подошвенного давления при сахарном диа- бете 2 типа с синдромом диабетической стопы: клиническое обсервационное исследованиеPlantar pressure distribution profile of type 2 diabetes mellitus with diabetic foot syndrome: A hospital-based observational studyhttps://orcid.org/0000-0002-1507-2862KoradaH. Y.KoradaH. Ya.

Манипал

Hrishikesh Yadav Korada

Manipal

hrishi.yadav99@gmail.comhttps://orcid.org/0000-0003-3406-6799AroraE.AroraE.

Манипал

Esha Arora

Manipal

eshampt@gmail.comhttps://orcid.org/0000-0002-6013-2537RaoS. K.RaoSh. K.

Манипал

Sharath K Rao; Professor and Dean of Department of Orthopedics

Manipal

sk.rao@manipal.eduhttps://orcid.org/0000-0001-9040-5252HandeM. H.HandeM.

Манипал

Manjunath Hande, Professor and Head of Comprehensive Geriatric Clinic

Manipal

manjunath.hande@manipal.eduhttps://orcid.org/0000-0002-3811-1350ShettyS.ShettyS.

Манипал

Sahana Shetty, Professor and Head of Department of Endocrinology

Manipal

sahanashetty0606@gmail.comhttps://orcid.org/0000-0003-0851-0411MaiyaG. А.MaiyaA. G.

Манипал

G Arun Maiya, Chief of Centre for Diabetic Foot Care and Research, Dean of Manipal College of Health Professions, Professor of Department of Physiotherapy

Manipal

arun.maiya.g@gmail.comЦентр исследований и ухода за диабетической стопой, отделение физиотерапии, больница Кастурба, Академия высшего образования МанипалаИндияCentre for Diabetic Foot Care and Research, Department of Physiotherapy, Kasturba Hospital, Manipal Academy of Higher EducationIndiaОтделение ортопедии, Медицинский колледж Кастурба, Академия высшего образования МанипалаИндияDepartment of Orthopedics, Kasturba Medical College, Manipal Academy of Higher EducationIndiaГериатрическая клиника, Медицинский колледж Кастурба, Академия высшего образования МанипалаИндияComprehensive Geriatric Clinic, Kasturba Medical College, Manipal Academy of Higher EducationIndiaОтделение эндокринологии, Медицинский колледж Кастурба, Академия высшего образования МанипалаИндияDepartment of Endocrinology, Kasturba Medical College, Manipal Academy of Higher EducationIndia202123122021246548552Copyright © Korada H.Y., Arora E., Rao S.K., Hande M.H., Shetty S., Maiya G.А., 20222022Korada H.Y., Arora E., Rao S.K., Hande M.H., Shetty S., Maiya G.А.Korada H.Y., Arora E., Rao S.K., Hande M., Shetty S., Maiya A.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.dia-endojournals.ru/jour/article/view/12723

ВВЕДЕНИЕ. Распространенность синдрома диабетической стопы среди населения Индии увеличивается. Синдром диабетической стопы — это триада неврологических, сосудистых и биомеханических изменений, вызванных длительным сахарным диабетом (СД). Изменение распределения давления подошвы является фактором риска развития язв диабетической стопы.ЦЕЛЬ. Оценить распределение и параметры подошвенного давления при СД 2 типа (СД2) с синдромом диабетической стопы.МЕТОДЫ. В этом исследовании приняли участие 60 пациентов с СД2. Всего было выделено 3 группы пациентов: 20 пациентов без диабетической нейропатии, 20 с диабетической дистальной нейропатией без поражения сосудов и 20 с диабетической дистальной нейропатией с поражением периферических артерий. Затем мы сравнили параметры подошвенного давления, такие как максимальное подошвенное давление, интеграл давления и времени и общую площадь контакта, которые были измерены с использованием системы подошвенного давления WinTrack.РЕЗУЛЬТАТЫ. Группа диабетической дистальной нейропатии с поражением периферических сосудов показала значительную разницу во всех измеренных параметрах подошвенного давления по сравнению с группой диабетической дистальной нейропатии без поражения сосудов. Было увеличено максимальное подошвенное давление, интегральное давление-время, а также уменьшена общая площадь контакта стопы (р<0,05).ЗАКЛЮЧЕНИЕ. Пациенты с дистальной нейропатией и поражением периферических сосудов имеют повышенное распределение подошвенного давления, подвержены более высокому риску развития нейроишемического поражения, что в дальнейшем приводит к язвам стопы.

INTRODUCTION: The prevalence of diabetic foot syndrome is increasing in the Indian population. It is a triad of neurological, vascular, and biomechanical changes due to long term diabetes mellitus (DM). Altered plantar pressure distribution is a risk factor for developing diabetic foot ulcers. The purpose of this study is to evaluate the altered plantar pressure distribution in diabetic peripheral neuropathy individuals with peripheral vascular disease in comparison with diabetic peripheral neuropathy and non-diabetic neuropathy. Therefore, the objective of the study is to evaluate the plantar pressure distribution and parameters in type 2 DM (T2DM) with diabetic foot syndrome.METHODS: In this study, 60 participants with T2DM were recruited in either one of the three groups: 20 Diabetic non-neuropathy (DNN), 20 Diabetic peripheral neuropathy (DPN), and 20 Diabetic peripheral neuropathy with the peripheral arterial disease (DNPAD). Then we compared the plantar pressure parameters like maximum plantar pressure, pressure-time integral, fore foot-hind foot ratio, and total contact area were measured using a WinTrack plantar pressure system.RESULTS: The diabetic peripheral neuropathy with peripheral vascular disease group shown a significant difference in all the  plantar pressure parameters measured in comparison with the diabetic peripheral neuropathy group. There was increased Maximum plantar pressure, pressure-time integral and forefoot hindfoot ratio, and reduced total contact area of the foot (p < 0.05).CONCLUSION: For patients, with combined peripheral neuropathy and peripheral vascular disease have increased plantar pressure distribution, are at higher risks of developing neuro-ischemic foot, which further leads to diabetic foot ulcers.

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The authors declare that there are no conflicts of interest present.