脚部压力值的设备依赖性变化:糖尿病足部护理临床决策的后果
Nachiappan Chockalingam1, Claudia Giacomozzi2, Aoife Healy3
1Staffordshire University, Leek Road, Stoke on Trent, UK; Reading Central PCN, NHS England, Reading, UK.
Gait & posture
|February 14, 2026
概括
固定的脚部压力门对于糖尿病足风险评估是不可靠的. 不同的测量系统和脚部区域显示出显著的变异性,需要特定于设备的方法来准确的临床决策.
科学领域:
- 生物力学 生物力学
- 足部医学是一门专业.
- 医疗器械技术 医疗器械技术
背景情况:
- 脚部压力测量有助于识别糖尿病足的高风险区域.
- 目前的临床实践依赖于固定的值 (例如,鞋内200kPa,赤脚600kPa).
- 在各种不同的测量系统中,这些普遍值的有效性是可疑的.
研究的目的:
- 在不同的测量系统中评估固定脚部压力值 (200kPa和600kPa) 的可靠性.
- 评估设备依赖常见的衍生脚部压力测量方法.
- 为糖尿病足部护理风险评估提供临床指导方针.
主要方法:
- 在15名健康成年人中,使用3个平台和2个鞋子系统记录了脚下压力.
- 对脚跟,中脚和前脚区域的峰值压力进行了分析.
- 分析包括值超值,设备间协议和衍生措施的可靠性.
主要成果:
- 在99.3%的脚跟/前脚数据中,超过了200kPa的值,具有显著的设备依赖分布.
- 对于600kPa值的总体一致性很低 (5.4%),根据脚部区域和系统类型而异.
- 鞋内系统始终产生低于600kPa的压力;像后脚-前脚比率这样的衍生措施显示出有限的可靠性.
结论:
- 绝对脚部压力门 (200/600 kPa) 在商业系统和脚部区域都是不可靠的.
- 通常使用的衍生指标也是系统依赖的.
- 临床指南应该从固定值过渡到特定于设备或多维风险评估策略.
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