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The Importance of Foot Pressure in Diabetes

  • Reference work entry
  • First Online:
Handbook of Human Motion

Abstract

Foot pressure assessment refers to the study of pressure fields acting between the plantar surface of the foot and a supporting surface using typically electronic sensors. Individuals with both type 1 and type 2 diabetes are at risk of developing diabetic peripheral neuropathy (loss of peripheral sensory and motor function), which predisposes them to the development of plantar foot ulcers (open wounds). Foot pressure assessments have been extensively utilized to investigate the outcomes of biomechanical features in individuals with diabetes related foot complications termed the “high-risk” foot. Thus, the application of foot pressure measurements in individuals with diabetes includes monitoring patients for risk of ulceration, determining pressure off-loading capacities, and investigating the mechanical factors responsible for foot ulceration and ulcer healing.

The ideal application of foot pressure would be to utilize measurements to predict sites of potential ulceration, prior to ulcer occurrence, and to effectively guide pressure off-loading of ulcerated sites to progress wound healing. Although these two applications represent the overall importance of foot pressure assessments within the field of diabetes, such applications have limited use due to various reasons. The aim of this chapter is to provide the reader with an overview of foot pressure assessment in relation to diabetes mellitus and describe the factors which influence foot pressure assessments. In doing this, we hope to provide a focused discussion of the relevance of foot pressures in diabetes mellitus, utilizing the most up-to-date literature on the topic.

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Authors and Affiliations

  1. Podiatry Service, Kirwan Community Health Campus, Townsville, QLD, 4814, Australia

    Malindu E. Fernando

  2. Sport and Exercise, School of Health and Wellbeing, University of Southern Queensland, Ipswich, QLD, Australia

    Robert G. Crowther

  3. College of Medicine, James Cook University, Townsville, QLD, Australia

    Malindu E. Fernando

  4. Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia

    Scott Wearing

  5. Faculty for Sport and Health, Technische Universität München, Munich, Bavaria, Germany

    Scott Wearing

  6. Smart Movement, Brisbane, QLD, Australia

    Robert G. Crowther

Authors
  1. Malindu E. Fernando
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  2. Robert G. Crowther
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  3. Scott Wearing
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Corresponding author

Correspondence to Malindu E. Fernando .

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Fernando, M.E., Crowther, R.G., Wearing, S. (2018). The Importance of Foot Pressure in Diabetes. In: Handbook of Human Motion. Springer, Cham. https://doi.org/10.1007/978-3-319-14418-4_39

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