The Distribution of Plantar Pressures in American Indians with Diabetes Mellitus

作者：Thomas G. McPoil, W. Yamada, Wayne Smith, Mark Cornwall · 发表于：Journal of the American Podiatric Medical Association · 年份：2001 · DOI：10.7547/87507315-91-6-280 · 被引用次数：27 · 研究领域：Diabetic Foot Ulcer Assessment and Management、Lower Extremity Biomechanics and Pathologies、Skin Diseases and Diabetes

The primary purpose of this study was to determine the magnitude and duration of plantar pressures acting on the feet of American Indians with diabetes mellitus. A secondary purpose was to determine whether differences in the range of motion of the ankle and first metatarsophalangeal joints existed between American Indians with and without diabetes. Three groups of American Indian subjects were tested: a control group (n = 20); a group with diabetes but no peripheral neuropathy (n = 24); and a group with diabetes and peripheral neuropathy (n = 21). A floor-mounted pressure sensor platform was used to collect plantar pressure data while subjects walked barefoot. The results indicated that American Indians with diabetes have 1) a pattern of peak plantar pressure similar to patterns previously reported for non-American Indians with diabetes and 2) a reduction in ankle and first metatarsophalangeal joint range of motion in comparison with nondiabetic American Indians.