Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy

Aims: The principal aim of this study was to identify a cut-off point along the spectrum of peak plantar midfoot pressure that has an optimum combination of sensitivity and specificity to screen for neuropathic ulceration in patients with Charcot neuroarthropathy (CN). Methods: A 1-year outcome stud...

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Autores: López Moral, Mateo, Molines Barroso, Raúl Juan, García Morales, Esther Alicia, García Álvarez, Yolanda, Álvaro Afonso, Francisco Javier, Lázaro Martínez, José Luis
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universidad Complutense de Madrid (UCM)
Repositorio:Docta Complutense
Idioma:inglés
OAI Identifier:oai:docta.ucm.es:20.500.14352/129661
Acceso en línea:https://hdl.handle.net/20.500.14352/129661
Access Level:acceso abierto
Palabra clave:616.718.7/.9
Charcot foot
Diabetic foot
Plantar pressure
Prevention
Re-ulceration
Endocrinología
Podología
3205.02 Endocrinología
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oai_identifier_str oai:docta.ucm.es:20.500.14352/129661
network_acronym_str ES
network_name_str España
repository_id_str
spelling Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathyLópez Moral, MateoMolines Barroso, Raúl JuanGarcía Morales, Esther AliciaGarcía Álvarez, YolandaÁlvaro Afonso, Francisco JavierLázaro Martínez, José Luis616.718.7/.9Charcot footDiabetic footPlantar pressurePreventionRe-ulcerationEndocrinologíaPodología3205.02 EndocrinologíaAims: The principal aim of this study was to identify a cut-off point along the spectrum of peak plantar midfoot pressure that has an optimum combination of sensitivity and specificity to screen for neuropathic ulceration in patients with Charcot neuroarthropathy (CN). Methods: A 1-year outcome study was performed in twenty-five patients with diabetes, affected with chronic CN midfoot deformity. Peak plantar pressure (PPP) and pressure/time Integral (PTI) in the midfoot region were registered. For selecting the optimal diagnostic cut-off points on the scale of pressure measurement, ROC curves were used. Results: Twelve (48%) patients developed a plantar midfoot ulcer. Baseline PPP (24.04 ± 6.33 Vs. 12.85 ± 3.29 N/cm2) and PTI (11.89 ± 4.60 Vs. 5.42 ± 2.26 N/cm2/s) were significantly higher in the ulcerated group (p < .001 and p < .001, respectively). Using ROC analyses, optimal cut-off point for PPP was 16.45 N/cm2, yielding a sensitivity of 92% and a specificity of 85%; and for PTI, optimal cut-off point was 7.2 N/cm2/s, yielding a sensitivity of 92% and a specificity of 77%. Conclusions: Patients with CN midfoot deformity with cut-off values for PPP of 16.45 N/cm2 and PTI of 7.2 N/cm2/s showed an elevated risk of neuropathic ulceration in the plantar area of the midfoot.ElsevierUniversidad Complutense de Madrid20212021-05-0120212021-05-01journal articlehttp://purl.org/coar/resource_type/c_6501AMhttp://purl.org/coar/version/c_ab4af688f83e57aainfo:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/20.500.14352/129661reponame:Docta Complutenseinstname:Universidad Complutense de Madrid (UCM)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2Attribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:docta.ucm.es:20.500.14352/1296612026-06-02T12:44:21Z
dc.title.none.fl_str_mv Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
title Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
spellingShingle Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
López Moral, Mateo
616.718.7/.9
Charcot foot
Diabetic foot
Plantar pressure
Prevention
Re-ulceration
Endocrinología
Podología
3205.02 Endocrinología
title_short Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
title_full Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
title_fullStr Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
title_full_unstemmed Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
title_sort Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy
dc.creator.none.fl_str_mv López Moral, Mateo
Molines Barroso, Raúl Juan
García Morales, Esther Alicia
García Álvarez, Yolanda
Álvaro Afonso, Francisco Javier
Lázaro Martínez, José Luis
author López Moral, Mateo
author_facet López Moral, Mateo
Molines Barroso, Raúl Juan
García Morales, Esther Alicia
García Álvarez, Yolanda
Álvaro Afonso, Francisco Javier
Lázaro Martínez, José Luis
author_role author
author2 Molines Barroso, Raúl Juan
García Morales, Esther Alicia
García Álvarez, Yolanda
Álvaro Afonso, Francisco Javier
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 616.718.7/.9
Charcot foot
Diabetic foot
Plantar pressure
Prevention
Re-ulceration
Endocrinología
Podología
3205.02 Endocrinología
topic 616.718.7/.9
Charcot foot
Diabetic foot
Plantar pressure
Prevention
Re-ulceration
Endocrinología
Podología
3205.02 Endocrinología
description Aims: The principal aim of this study was to identify a cut-off point along the spectrum of peak plantar midfoot pressure that has an optimum combination of sensitivity and specificity to screen for neuropathic ulceration in patients with Charcot neuroarthropathy (CN). Methods: A 1-year outcome study was performed in twenty-five patients with diabetes, affected with chronic CN midfoot deformity. Peak plantar pressure (PPP) and pressure/time Integral (PTI) in the midfoot region were registered. For selecting the optimal diagnostic cut-off points on the scale of pressure measurement, ROC curves were used. Results: Twelve (48%) patients developed a plantar midfoot ulcer. Baseline PPP (24.04 ± 6.33 Vs. 12.85 ± 3.29 N/cm2) and PTI (11.89 ± 4.60 Vs. 5.42 ± 2.26 N/cm2/s) were significantly higher in the ulcerated group (p < .001 and p < .001, respectively). Using ROC analyses, optimal cut-off point for PPP was 16.45 N/cm2, yielding a sensitivity of 92% and a specificity of 85%; and for PTI, optimal cut-off point was 7.2 N/cm2/s, yielding a sensitivity of 92% and a specificity of 77%. Conclusions: Patients with CN midfoot deformity with cut-off values for PPP of 16.45 N/cm2 and PTI of 7.2 N/cm2/s showed an elevated risk of neuropathic ulceration in the plantar area of the midfoot.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021-05-01
2021
2021-05-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
AM
http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/20.500.14352/129661
url https://hdl.handle.net/20.500.14352/129661
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
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
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
Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
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
_version_ 1869419453402316800
score 15,81155

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