Plantar Pressure Distribution Among Diabetes and Healthy Participants: A Cross‑sectional Study

Mohammad Ahsan, Alsayed A. Shanab, Shibili Nuhmani

Abstract


Background: Plantar Pressure distribution refers to the distribution of force over the sole of the foot. Recently many studies indicate plantar pressure distribution assisted in determining and managing the impairment related to musculoskeletal disorders. Methods: This cross-sectional study was conducted with forty participants (20 diabetes type 2 patients +20 healthy) from Imam Abdulrahman bin Faisal University. All the measurements were taken in the morning session. To measure height and weight, participants took off their shoes and stood on the stadiometer. The body mass index determined with the help of a bioelectric impedance device to get the health level of the participants—Proclaimed diabetes type 2 patients selected for the data collection. Tekscan's Mobile Mat was used to determine the plantar pressure of healthy and diabetes participants. Results: The finding revealed that diabetes participants have more pressure in the mid-foot section, whereas healthy participants showed more pressure on the heel section. The metatarsal section showed similar types of pressure distribution in both participants. The result also revealed that diabetes participants have more peak pressures, time integral, and gradient than healthy participants. Significant differences between diabetes and healthy participants were existing. Conclusions: The findings highlight the importance of measuring plantar pressure distribution since these are known to incorporate in the main parts of the foot and thus provide a shred of constructive evidence for the total load exposer of a single leg static task.

Keywords


Diabetes; healthy subject; peak pressure; plantar pressure; pressure time integral volunteers

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References


Cavanagh PR, Morag E, Boultom AJM, Young MJ, Deffne KT,

Pammer SE. The relationship of static structure to dynamic foot

function. J Biomech 1997;30:243-50.

Zou D, Mueller MJ, Lott DJ. Effect of peak pressure and

pressure gradient on subsurface shear stresses in the neuropathic

foot. J Biomech 2007;40:883-90.

Anjos DM, Gomes LP, Sampaio LM, Correa JC, Oliveira CS.

Assessment of plantar pressure and balance in patients with

diabetes. Arch Med Sci 2010;6:43-8.

Barn R, Waaijman R, Nollet F, Woodburn J, Bus SA. Predictors

of barefoot plantar pressure during walking in patients with

diabetes, peripheral neuropathy and a history of ulceration. PLoS

One 2015;10:e0117443.

Nouman M, Leelasamran W, Chatpun S. Chatpun. Effectiveness

of total contact orthosis for plantar pressure redistribution in

neuropathic diabetic patients during different walking activities.

Foot Ankle Int 2017;38:901-8.

Ledoux WR, Shofer JB, Cowley MS, Ahroni JH, Cohen V,

Boyko EJ. Diabetic foot ulcer incidence in relation to plantar

pressure magnitude and measurement location. J Diabetes

Complicat 2013;27:621-6.

Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in

patients with diabetes. JAMA 2005;293:217-28.

Lavery LA, Armstrong DG, Wunderlich RP, Tredwell J,

Boulton AJ. Predictive value of foot pressure assessment as part

of a population-based diabetes disease management program.

Diabetes Care 2003;26:1069-73.

Zulkifli SS, Loh WP. A state-of-the-art review of foot pressure.

Foot Ankle Surg 2020;26:25-32. Https://doi.org/10.1016/j.fas. 2018.12.005.

Sutkowska E, Sutkowski K, Sokołowski M, Franek E, Dragan S.

Distribution of the highest plantar pressure regions in patients

with diabetes and its association with peripheral neuropathy,

gender, age, and BMI: One centre study. J Diabetes Res

;2019:7395769.

Dufour AB, Losina E, Menz HB, LaValley MP, Hannan MT.

Obesity, foot pain and foot disorders in older men and women.

Obes Res Clin Pract 2017;11:445-53.

Tas S, Bek N, Ruhi Onur M, Korkusuz F. Effects of body mass

index on mechanical properties of the Plantar Fascia and heel

pad in asymptomatic participants, Foot Ankle Int 2017;38:77984.

Morag E, Cavanagh PR. Structural and functional predictors

of regional peak pressures under the foot during walking.

J Biomech 1999;32:359-70.

Teyhen DS, Stoltenberg BE, Collinsworth KM, Giesel CL,

Williams DG, Kardouni CH, et al. Dynamic plantar pressure

parameters associated with static arch height index during gait.

Clin Biomech (Bristol, Avon) 2009;24:391-6.

Buldt AK, Forghany S, Landorf KB, Levinger P, Murley GS,

Menz HB. Foot posture is associated with plantar pressure

during gait: A comparison of normal, planus and cavus feet. Gait

Posture 2018;62:235-40.

Basnet S, Maiya A. Comparison of static plantar pressure in

patients with diabetes and healthy individuals. J Sci Med Sport

;15:S361.

Bacarin TA, Sacco IC, Hennig EM. Plantar pressure distribution

patterns during gait in diabetic neuropathy patients with a history

of foot ulcers. Clinics 2009;64:113-20.

Zimny S, Schatz H, Pfohl M. The role of limited

joint mobility in diabetic patients with an at-risk foot.

Diabetes Care 2004;27:942-6.

Caravaggi P, Berti L, Leardini A, Lullini G, Marchesini G,

Baccolini L, et al. Biomechanical and functional alterations in

the diabetic foot: Differences between type I and type II diabetes.

Gait Posture 2017;57(Suppl 3):12-3.

Searlea A, Spinka MJ, Chutera VH. Prevalence of ankle equinus

and correlation with foot plantar pressures in people with

diabetes; Clin Biomech 2018;60:39-44.

Robinson CC, Balbinot LF, Silva MF, Achaval M, Zaro MA.

Plantar pressure distribution patterns of individuals with

prediabetes in comparison with healthy individuals and

individuals with diabetes. J Diabetes Sci Technol 2013;7:1113-21.

Gravante G, Pomara F, Russo G, Amato G, Cappello F, Ridola C.

Plantar pressure distribution analysis in normal weight young

women and men with normal and claw feet: A cross-sectional

study. Clin Anat 2005;18:245-50.

Borg J, Mizzi S, Formosa C. Peak pressure data and pressuretime integral in the contralateral limb in patients with diabetes

and a trans-tibial prosthesis. Gait Posture 2018;64:55-8.

Liu R, Hu M, Gu Y, Lin H, XU B, XU J Zhou J. Differences

in plantar pressure between the diabetic and healthy subjects.

Leather Foorware J 2017;17:193-8.

His WL, Chai HM, Ali JS. Comparision of pressure and time

parameters in evaluating diabetic footwear. Am J Phys Med

Rehabil 2002;81:822-9.