Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk

Aims: To analyze a plantar pressure cut-off point for diabetic foot reulceration beneath the metatarsal heads in patients with previous forefoot amputation. Methods: A one-year prospective study was conducted in a total of 105 patients at high risk for foot ulceration. Peak plantar pressure (PPP) an...

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Detalles Bibliográficos
Autores: García Madrid, Marta, García Álvarez, Yolanda, Sanz Corbalán, Irene, Álvaro Afonso, Francisco Javier, López Moral, Mateo, Lázaro Martínez, José Luis
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/71876
Acceso en línea:https://hdl.handle.net/20.500.14352/71876
Access Level:acceso abierto
Palabra clave:Diabetic foot
Forefoot amputation
Plantar pressure
Reulceration
Enfermería, Fisioterapia y Podología
Podología
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spelling Predictive value of forefoot plantar pressure to predict reulceration in patients at high riskPredictive value of forefoot plantar pressure to predict reulceration in patients at high riskGarcía Madrid, MartaGarcía Álvarez, YolandaSanz Corbalán, IreneÁlvaro Afonso, Francisco JavierLópez Moral, MateoLázaro Martínez, José LuisDiabetic footForefoot amputationPlantar pressureReulcerationEnfermería, Fisioterapia y PodologíaPodologíaAims: To analyze a plantar pressure cut-off point for diabetic foot reulceration beneath the metatarsal heads in patients with previous forefoot amputation. Methods: A one-year prospective study was conducted in a total of 105 patients at high risk for foot ulceration. Peak plantar pressure (PPP) and pressure-time integral (PTI) in the entire foot, the forefoot region, and each metatarsal head separately were registered. ROC curves were used to select the optimal diagnostic pressure cut-off points. Patients were follow-up monthly or until the development of an ulcer event. Results: A total of 52 (49.5%) patients developed a reulceration. Using ROC analyses for PPP in the full-foot and in the forefoot, did not predict reulceration beneath the metatarsal heads. Analyzing separately each metatarsal head all patients with values greater than or equal to 20.8 N/cm2 at the 1st, 18.62 N/cm2 for the 2nd, 18.85 at the 3rd, 17.88 at the 4th, and 12.2 at the 5th metatarsal heads will suffer a reulceration despite the use of orthopedic treatment with optimum values of sensitivity (from 100 to 87.5) and specificity (from 83.2 to 62.8). Conclusion: Barefoot pressures beneath the metatarsal heads should be analyzed separately to predict the region at risk of reulceration.ElsevierUniversidad Complutense de Madrid20222022-06-3020222022-06-30journal articlehttp://purl.org/coar/resource_type/c_6501info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/71876reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 3.0 Españahttps://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/718762026-06-02T12:44:21Z
dc.title.none.fl_str_mv Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
title Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
spellingShingle Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
García Madrid, Marta
Diabetic foot
Forefoot amputation
Plantar pressure
Reulceration
Enfermería, Fisioterapia y Podología
Podología
title_short Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
title_full Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
title_fullStr Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
title_full_unstemmed Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
title_sort Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
dc.creator.none.fl_str_mv García Madrid, Marta
García Álvarez, Yolanda
Sanz Corbalán, Irene
Álvaro Afonso, Francisco Javier
López Moral, Mateo
Lázaro Martínez, José Luis
author García Madrid, Marta
author_facet García Madrid, Marta
García Álvarez, Yolanda
Sanz Corbalán, Irene
Álvaro Afonso, Francisco Javier
López Moral, Mateo
Lázaro Martínez, José Luis
author_role author
author2 García Álvarez, Yolanda
Sanz Corbalán, Irene
Álvaro Afonso, Francisco Javier
López Moral, Mateo
Lázaro Martínez, José Luis
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidad Complutense de Madrid
dc.subject.none.fl_str_mv Diabetic foot
Forefoot amputation
Plantar pressure
Reulceration
Enfermería, Fisioterapia y Podología
Podología
topic Diabetic foot
Forefoot amputation
Plantar pressure
Reulceration
Enfermería, Fisioterapia y Podología
Podología
description Aims: To analyze a plantar pressure cut-off point for diabetic foot reulceration beneath the metatarsal heads in patients with previous forefoot amputation. Methods: A one-year prospective study was conducted in a total of 105 patients at high risk for foot ulceration. Peak plantar pressure (PPP) and pressure-time integral (PTI) in the entire foot, the forefoot region, and each metatarsal head separately were registered. ROC curves were used to select the optimal diagnostic pressure cut-off points. Patients were follow-up monthly or until the development of an ulcer event. Results: A total of 52 (49.5%) patients developed a reulceration. Using ROC analyses for PPP in the full-foot and in the forefoot, did not predict reulceration beneath the metatarsal heads. Analyzing separately each metatarsal head all patients with values greater than or equal to 20.8 N/cm2 at the 1st, 18.62 N/cm2 for the 2nd, 18.85 at the 3rd, 17.88 at the 4th, and 12.2 at the 5th metatarsal heads will suffer a reulceration despite the use of orthopedic treatment with optimum values of sensitivity (from 100 to 87.5) and specificity (from 83.2 to 62.8). Conclusion: Barefoot pressures beneath the metatarsal heads should be analyzed separately to predict the region at risk of reulceration.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022-06-30
2022
2022-06-30
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/71876
url https://hdl.handle.net/20.500.14352/71876
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Atribución-NoComercial-SinDerivadas 3.0 España
https://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Docta Complutense
instname:Universidad Complutense de Madrid (UCM)
instname_str Universidad Complutense de Madrid (UCM)
reponame_str Docta Complutense
collection Docta Complutense
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,300724

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