Pedobarography in diagnosis and clinical application
Amira Skopljak1, Mirsad Muftic2, Aziz Sukalo3
1Cathedra for Family medicine, Faculty of Medicine, University of Sarajevo, Sarajevo Bosnia and Herzegovina ; Public Institution Health Centre of Canton Sarajevo, Sarajevo, Bosnia and Herzegovina.
Summary
Pedobarography helps diagnose and manage foot issues in diabetes patients. This diagnostic tool aids in early detection and treatment, improving patient outcomes in prevention programs.
Area of Science:
- Biomechanics
- Diabetology
- Rehabilitation Medicine
Background:
- Pedobarography measures foot-floor pressure during dynamic loading, offering advantages over static analysis for identifying high-pressure points.
- It is a valuable diagnostic and rehabilitation tool for various clinical conditions, particularly in diabetes management.
Purpose of the Study:
- To demonstrate the benefits of pedobarography as a novel diagnostic and rehabilitation method within patient prevention programs.
- To assess its utility in managing diabetes-related foot complications.
Main Methods:
- A prospective study of 100 type 2 diabetes patients, with 45 undergoing pedobarography and custom insole fabrication.
- Evaluated parameters included balance, comorbidities, foot deformities, monofilament test, HbA1c, and plantar pressure (peak pressure, force, area).
Main Results:
- Patients exhibited high peak plantar pressures (above 200 kPa), indicating a need for intervention.
- Correlations were found between foot deformities and peak pressure/area, and between monofilament test results and peak pressure.
Conclusions:
- Pedobarography is crucial for early diagnosis and load management in diabetic patients.
- It supports adequate treatment and sensitivity disorder detection, significantly benefiting diabetes prevention programs.
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