Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF)
Abstract Background The stratification system from the International Working Group on the Diabetic Foot (IWGDF) was used to classify the participants as to the ulcer risk. However, it is not yet known what the classification groups’ individual deficits are regarding sensitivity, function, and muscul...
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| Format: | Article |
| Language: | English |
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BMC
2019-10-01
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| Series: | Diabetology & Metabolic Syndrome |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13098-019-0487-x |
| _version_ | 1818271504664625152 |
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| author | Jane S. S. P. Ferreira João P. Panighel Érica Q. Silva Renan L. Monteiro Ronaldo H. Cruvinel Júnior Isabel C. N. Sacco |
| author_facet | Jane S. S. P. Ferreira João P. Panighel Érica Q. Silva Renan L. Monteiro Ronaldo H. Cruvinel Júnior Isabel C. N. Sacco |
| author_sort | Jane S. S. P. Ferreira |
| collection | DOAJ |
| description | Abstract Background The stratification system from the International Working Group on the Diabetic Foot (IWGDF) was used to classify the participants as to the ulcer risk. However, it is not yet known what the classification groups’ individual deficits are regarding sensitivity, function, and musculoskeletal properties and mechanics. This makes it difficult to design proper ulcer prevention strategies for patients. Thus, this study aimed to investigate the foot function, foot strength and health of people with diabetes mellitus (DM)—with or without DPN—while considering the different ulcer risk classifications determined by the IWGDF. Methods The subject pool comprised 72 people with DM, with and without DPN. The patients were divided into three groups: Group 0 (G0), which comprised diabetic patients without DPN; Group 1 (G1), which comprised patients with DPN; and Group 2 (G2), which comprised patients with DPN who had foot deformities. The health and foot function of the subjects’ feet were assessed using a foot health status questionnaire (FHSQ-BR) that investigated four domains: foot pain, foot function, footwear, and general foot health. The patients’ foot strength was evaluated using the maximum force under each subject’s hallux and toes on a pressure platform (emed q-100, Novel, Munich, Germany). Results Moderate differences were found between G0 and G1 and G2 for the foot pain, foot function, general foot health, and footwear. There was also a small but significant difference between G0 and G2 in regards to hallux strength. Conclusion Foot health, foot function and strength levels of people with DM and DPN classified by the ulcer risk are different and this must be taken into account when evaluating and developing treatment strategies for these patients. |
| first_indexed | 2024-12-12T21:27:14Z |
| format | Article |
| id | doaj.art-46a678e901fb43c4990ff0f1f9523b3e |
| institution | Directory Open Access Journal |
| issn | 1758-5996 |
| language | English |
| last_indexed | 2024-12-12T21:27:14Z |
| publishDate | 2019-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Diabetology & Metabolic Syndrome |
| spelling | doaj.art-46a678e901fb43c4990ff0f1f9523b3e2022-12-22T00:11:26ZengBMCDiabetology & Metabolic Syndrome1758-59962019-10-011111910.1186/s13098-019-0487-xFoot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF)Jane S. S. P. Ferreira0João P. Panighel1Érica Q. Silva2Renan L. Monteiro3Ronaldo H. Cruvinel Júnior4Isabel C. N. Sacco5Department of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, School of Medicine, University of São PauloAbstract Background The stratification system from the International Working Group on the Diabetic Foot (IWGDF) was used to classify the participants as to the ulcer risk. However, it is not yet known what the classification groups’ individual deficits are regarding sensitivity, function, and musculoskeletal properties and mechanics. This makes it difficult to design proper ulcer prevention strategies for patients. Thus, this study aimed to investigate the foot function, foot strength and health of people with diabetes mellitus (DM)—with or without DPN—while considering the different ulcer risk classifications determined by the IWGDF. Methods The subject pool comprised 72 people with DM, with and without DPN. The patients were divided into three groups: Group 0 (G0), which comprised diabetic patients without DPN; Group 1 (G1), which comprised patients with DPN; and Group 2 (G2), which comprised patients with DPN who had foot deformities. The health and foot function of the subjects’ feet were assessed using a foot health status questionnaire (FHSQ-BR) that investigated four domains: foot pain, foot function, footwear, and general foot health. The patients’ foot strength was evaluated using the maximum force under each subject’s hallux and toes on a pressure platform (emed q-100, Novel, Munich, Germany). Results Moderate differences were found between G0 and G1 and G2 for the foot pain, foot function, general foot health, and footwear. There was also a small but significant difference between G0 and G2 in regards to hallux strength. Conclusion Foot health, foot function and strength levels of people with DM and DPN classified by the ulcer risk are different and this must be taken into account when evaluating and developing treatment strategies for these patients.http://link.springer.com/article/10.1186/s13098-019-0487-xMuscle weaknessDiabetic neuropathiesDiabetic footUlcer |
| spellingShingle | Jane S. S. P. Ferreira João P. Panighel Érica Q. Silva Renan L. Monteiro Ronaldo H. Cruvinel Júnior Isabel C. N. Sacco Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) Diabetology & Metabolic Syndrome Muscle weakness Diabetic neuropathies Diabetic foot Ulcer |
| title | Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) |
| title_full | Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) |
| title_fullStr | Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) |
| title_full_unstemmed | Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) |
| title_short | Foot function and strength of patients with diabetes grouped by ulcer risk classification (IWGDF) |
| title_sort | foot function and strength of patients with diabetes grouped by ulcer risk classification iwgdf |
| topic | Muscle weakness Diabetic neuropathies Diabetic foot Ulcer |
| url | http://link.springer.com/article/10.1186/s13098-019-0487-x |
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