| 756 | 5 | 109 |
| 下载次数 | 被引频次 | 阅读次数 |
随着社会经济的发展，糖尿病的发病率呈逐年上升趋势。作为糖尿病的并发症，糖尿病足是导致患者残疾的主要原因。糖尿病足溃疡的形成主要与周围神经病变、骨关节畸形和微小创伤等因素有关。足底压力的异常是导致糖尿病患者发生足溃疡的重要危险因素，糖尿病足患者溃疡前期足底压力出现异常增高和分布改变。目前，可以选择多种仪器对足底压力进行检测，每种仪器都有其独特的优势，同时也存在一定的局限性。足底压力异常的治疗方法包括穿戴措施、外科手术、康复理疗等。本文从以上几个方面对近5年国内外关于足底压力的研究进展进行综述。
Abstract：With the development of the social economy, the incidence of diabetes shows a rising trend year by year. As a complication of diabetes, diabetic foot disease is the major cause of disability in patients. The formation of diabetic foot ulcers is mainly related to factors such as peripheral neuropathy, bone and joint deformities, and minor trauma. Abnormal plantar pressure is an important risk factor for foot ulcers in diabetic patients. In the early stage of diabetic foot ulcers, plantar pressure increases abnormally and its distribution changes. At present, there are many instruments available for the detection of plantar pressure. Each instrument has its unique advantages but also has certain limitations. The treatment methods for abnormal plantar pressure include wearing measures, surgical procedures, rehabilitation therapy, and other means. This article reviews and analyses the research progress on plantar pressure at home and abroad over the past five years from the above aspects.
[1]Schmidt AM.Highlighting diabetes mellitus:the epidemic continues[J].Arterioscler Thromb Vasc Biol,2018,38(1):e1-e8.
[2]Armstrong DG,Boulton AJM,Bus SA.Diabetic foot ulcers and Their recurrence[J].New Engl J Med,2017,376(24):2367-2375.
[3]Sen P,Demirdal T,Emir B.Metaanalysis of risk factors for amputation in diabetic foot infections[J].Diabetes Metab Res Rev,2019,35(7):e3165.
[4]Fu XL,Ding H,Miao WW,et al.Global recurrence rates in diabetic foot ulcers:a systematic review and metaanalysis[J].Diabetes Metab Res Rev,2019,35(6):e3160.
[5]Halawa MR,Eid YM,El-Hilaly RA,et al.Relationship of planter pressure and glycemic control in type 2 diabetic patients with and without neuropathy[J].Diabetes Metab Syndr.2018,12(2):99-104.
[6]Falzon B,Formosa C,Camilleri L,et al.Duration of type 2diabetes is a predictor of elevated plantar foot pressure[J].Rev Diabet Stud,2018,14(4):372-380.
[7]Lazzarini PA,Crews RT,van Netten JJ,et al.Measuring plantar tissue stress in people with diabetic peripheral neuropathy:a critical concept in diabetic foot management[J].J Diabetes Sci Technol,2019,13(5):869-880.
[8]Lockhart M,Dinneen SF,O'Keeffe DT.Plantar pressure measurement in diabetic foot disease:a scoping review[J].J Diabetes Investig,2024,18.
[9]Ahsan M,Shanab AA,Nuhmani S.Plantar pressure distribution among diabetes and healthy participants:a crosssectional study[J].Int J Prev Med,2021,12:88.
[10]Pataky Z,Assal JP,Conne P,et al.Plantar pressure distribution in type 2 diabetic patients without peripheral neuropathy and peripheral vascular disease[J].Diabet Med,2005,22(6):762-767.
[11]Xu L,Zeng H,Zhao J,et al.Index of plantar pressure alters with prolonged diabetes duration[J].Diabetes Ther,2019,10(6):2139-2152.
[12]Sutkowska E,Sutkowski K,Soko?owski M,et al.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].J Diabetes Res,2019,2019:7395769.
[13]Ledoux WR,Shofer JB,Cowley MS,et al.Diabetic foot ulcer incidence in relation to plantar pressure magnitude and measurement location[J].J Diabetes Complications,2013,27:621-626.
[14]Alam U,Riley DR,Jugdey RS,et al.Diabetic neuropathy and gait:a review[J].Diabetes Ther,2017,8(6):1253-1264.
[15]Feldman EL,Callaghan BC,Pop-Busui R,et al.Diabetic neuropathy[J].Nat Rev Dis Primers,2019,5(1):41.
[16]Abri H,Aalaa M,Sanjari M,et al.Plantar pressure distribution in diverse stages of diabetic neuropathy[J].J Diabetes Metab Disord,2019,18(1):33-39.
[17]Lechleitner M,Abrahamian H,Francesconi C,et al.Diabetic neuropathy and diabetic foot syndrome[J].Wien Klin Wochenschr,2019,131(Suppl 1):141-150.
[18]Iqbal Z,Azmi S,Yadav R,et al.Diabetic peripheral neuropathy:epidemiology,diagnosis,and pharmacotherapy[J].Clin Ther,2018,40(6):828-849.
[19]Fernando ME,Crowther RG,Pappas E,et al.Plantar pressure in diabetic peripheral neuropathy patients with active foot ulceration,previous ulceration and no history of ulceration:a meta-analysis of observational studies[J].PLo SOne,2014,9(6):e99050.
[20]Bacarin TA,Sacco IC,Hennig EM.Plantar pressure distribution patterns during gait in diabetic neuropathy patients with a history of foot ulcers[J].Clinics (Sao Paulo),2009,64(2):113-120.
[21]Chuter VH,Spink MJ,David M,et al.Clinical foot measurements as a proxy for plantar pressure testing in people with diabetes[J].J Foot Ankle Res,2021,14(1):56.
[22]Searle A,Spink MJ,Chuter VH.Prevalence of ankle equinus and correlation with foot plantar pressures in people with diabetes[J].Clin Biomech (Bristol,Avon),2018,60:39-44.
[23]Keukenkamp R,Busch-Westbroek TE,Barn R,et al.Foot ulcer recurrence,plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity:a cohort analysis[J].Diabet Med,2021,38(4):e14438.
[24]López-Moral M,Molines-Barroso RJ,García-Morales E,et al.Predictive values of foot plantar pressure assessment in patients with midfoot deformity secondary to Charcot neuroarthropathy[J].Diabetes Res Clin Pract,2021,175:108795.
[25]Hazari A,Maiya A,Agouris I,et al.Prediction of peak plantar pressure for diabetic foot:the regressional model[J].Foot (Edinb),2019,40:87-91.
[26]Belvedere C,Giacomozzi C,Carrara C,et al.Correlations between weight-bearing 3D bone architecture and dynamic plantar pressure measurements in the diabetic foot[J].JFoot Ankle Res,2020,13(1):64.
[27]Bartolo E,Giacomozzi C,Coppini DV,et al.The effect of induced joint restriction on plantar pressure during gait-a pilot study[J].Gait Posture,2021,90:23-28.
[28]Duan Y,Ren W,Liu W,et al.Relationship between plantar tissue hardness and plantar pressure distributions in people with diabetic peripheral neuropathy[J].Front Bioeng Biotechnol,2022,10:836018.
[29]Pu F,Ren W,Fu H,et al.Plantar blood flow response to accumulated pressure stimulus in diabetic people with different peak plantar pressure:a non-randomized clinical trial[J].Med Biol Eng Comput,2018,56(7):1127-1134.
[30]Abouaesha F,van Schie CH,Armstrong DG,et al.Plantar soft-tissue thickness predicts high peak plantar pressure in the diabetic foot[J].J Am Podiatr Med Assoc,2004,94(1):39-42.
[31]Bus SA,Akkerman EM,Maas M.Changes in sub-calcaneal fat pad composition and their association with dynamic plantar foot pressure in people with diabetic neuropathy[J].Clin Biomech (Bristol,Avon),2021,88:105441.
[32]Duan Y,Ren W,Xu L,et al.The effects of different accumulated pressure-time integral stimuli on plantar blood flow in people with diabetes mellitus[J].BMC Musculoskelet Disord,2021,22(1):554.
[33]Mei Q,Fernandez J,Fu W,et al.A comparative biomechanical analysis of habitually unshod and shod runners based on a foot morphological difference[J].Hum Mov Sci,2015,42:38-3.
[34]Zulkifli SS,Loh WP.A state-of-the-art review of foot pressure[J].Foot Ankle Surg,2020,26(1):25-32.
[35]Aqueveque P,Osorio R,Pastene F,et al.Capacitive sensors array for plantar pressure measurement insole fabricated with flexible PCB[J].Annu Int Conf IEEE Eng Med Biol Soc,2018,2018:4393-4396.
[36]Abbott CA,Chatwin KE,Foden P,et al.Innovative intelligent insole system reduces diabetic foot ulcer recurrence at plantar sites:a prospective,randomized,proof-of-concept study[J].Lancet Digit Health,2019,1(6):e308-e318.
[37]Schneider WL,Severn M.Prevention of plantar ulcers in people with diabetic peripheral neuropathy using pressuresensing shoe insoles[R].CADTH Rapid Response Reports,2016:160.
[38]Shalamberidze M,Sokhadze Z,Tatvidze M.The design of individual orthopedic insoles for the patients with diabetic foot using integral curves to describe the plantar overpressure areas[J].Comput Math Methods Med,2021,2021:9061241.
[39]Aerts W,Scarton A,De Groote F,et al.Validation of plantar pressure simulations using finite and discrete element modelling in healthy and diabetic subjects[J].Comput Methods Biomech Biomed Engin.2017,20(13):1442-1452.
[40]Keatsamarn T,Visitsattapongse S,Aoyama H,et al.Opticalbased foot plantar pressure measurement system for potential application in human postural control measurement and person identification[J].Sensors (Basel),2021,21(13):4437.
[41]Altayyar SS.Bare foot and in-shoe plantar pressure in diabetic males and females-is there difference?[J].Med Devices (Auckl),2021,14:271-276.
[42]Lazzarini PA,Jarl G,Gooday C,et al.Effectiveness of offloading interventions to heal foot ulcers in persons with diabetes:a systematic review[J].Diabetes Metab Res Rev,2020,36(1):e3275.
[43]Ahmed S,Barwick A,Butterworth P,et al.Footwear and insole design features that reduce neuropathic plantar forefoot ulcer risk in people with diabetes:a systematic literature review[J].J Foot Ankle Res,2020,13(1):30.
[44]Zwaferink JBJ,Custers W,Paardekooper I,et al.Optimizing footwear for the diabetic foot:Data-driven custommade footwear concepts and their effect on pressure relief to prevent diabetic foot ulceration[J].PLo S One,2020,15(4):e0224010.
[45]Tran K,Spry C.Custom-made foot orthoses versus prefabricated foot orthoses:a review of clinical effectiveness and cost-effectiveness[R].CADTH Rapid Response Reports,2019:23.
[46]Nouman M,Leelasamran W,Chatpun S.Effectiveness of total contact orthosis for plantar pressure redistribution in neuropathic diabetic patients during different walking activities[J].Foot Ankle Int,2017,38(8):901-908.
[47]Malki A,Baltasar Badaya M,Dekker R,et al.Effects of individually optimized rocker midsoles and self-adjusting insoles on plantar pressure in persons with diabetes mellitus and loss of protective sensation[J].Diabetes Res Clin Pract,2024,207:111077.
[48]Bagherzadeh Cham M,Mohseni-Bandpei MA,Bahramizadeh M,et al.The effects of vibro-medical insole on sensation and plantar pressure distribution in diabetic patients with mild-to-moderate peripheral neuropathy[J].Clin Biomech,2018,59:34-39.
[49]Yavuz M,Ersen A,Monga A,et al.Temperature-and pressure-regulating insoles for prevention of diabetic foot ulcers[J].J Foot Ankle Surg,2020,59(4):685-688.
[50]Albers JW,Jacobson R.Decompression nerve surgery for diabetic neuropathy:a structured review of published clinical trials[J].Diabetes Metab Syndr Obes,2018,11:493-514.
[51]Dellon AL.The Dellon approach to neurolysis in the neuropathy patient with chronic nerve compression[J].Handchir Mikrochir Plast Chir,2008,40(6):351-360.
[52]Tamir E,Tamar M,Ayalon M,et al.Effect of mini-invasive floating metatarsal osteotomy on plantar pressure in patients with diabetic plantar metatarsal head ulcers[J].Foot Ankle Int,2021,42(5):536-543.
[53]García-Madrid M,García-álvarez Y,álvaro-Afonso FJ,et al.Analysis of plantar pressure pattern after metatarsal head resection.:can plantar pressure predict diabetic foot reulceration?[J].J Clin Med,2021,10(11):2260.
[54]Borg I,Mizzi S,Formosa C.Plantar pressure distribution in patients with diabetic peripheral neuropathy and a first-ray amputation[J].J Am Podiatr Med Assoc,2018,108(3):225-230.
[55]Maeshige N,Uemura M,Hirasawa Y,et al.Immediate effects of weight-bearing calf stretching on ankle dorsiflexion range of motion and plantar pressure during gait in patients with diabetes mellitus[J].Int J Low Extrem Wounds,2023,22(3):548-554.
[56]Lung CW,Liau BY,Peters JA,et al.Effects of various walking intensities on leg muscle fatigue and plantar pressure distributions[J].BMC Musculoskelet Disord,2021,22(1):831.
[57]Amemiya A,Noguchi H,Oe M,et al.Elevated plantar pressure in diabetic patients and its relationship with their gait features[J].Gait Posture,2014,40(3):408-414.
基本信息:
DOI：
中图分类号:R587.2
引用信息:
[1]鹿亮,孙怡宁,马祖长.糖尿病足底压力研究进展[J].中华骨与关节外科杂志,2024,17(06):566-572.
基金信息:
合肥市自然科学基金项目（合科[2023]127号）;; 医学人工智能联合基金项目（MAI2023 C008）