Review articlePeripheral neuropathy and the diabetic foot
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Cited by (45)
Consensus document on the treatment of diabetic foot infections
2012, AngiologiaChanges in pedal plantar pressure variability and contact time following massage therapy: A case study of a client with diabetic neuropathy
2007, Journal of Bodywork and Movement TherapiesCitation Excerpt :Additionally, inhospital mortality rates for diabetic amputees have been reported at 10%, this figure being higher than in the general diabetic population (Nelson et al., 1988), and the 5 year mortality rate following amputation is 50–75% (Laing et al., 1991). The role of sensory neuropathy and elevated or altered plantar pressure in the causation of diabetic ulceration has been recognized for some time (Duckworth et al., 1985; Boulton, 1992; Masson, 1992; Veves et al., 1993). More recently, Boulton (2004) noted that repetitive stress in the neuropathic foot played a major role in maintaining wound chronicity, thus reinforcing the need to manage plantar pressures effectively.
Diabetic foot disease
2006, Endocrine PracticeCitation Excerpt :Subsequently, the unopposed extrinsic muscles can lead to depression of the metatarsal heads, digital contractures, and cocked-up toes, which might result in equinus deformity of the ankle or varus deformity of the hindfoot. These changes result in abnormal pressure points, increased shearing, and greater friction on the foot (23,24). Gradual damage to type C fibers, which are responsible for the sensations of noxious, painful, and thermal stimuli, can lead to the loss of a vital protective mechanism against a variety of potentially damaging insults.
Relationship between peripheral vascular disease and high plantar pressures in diabetic neuro-ischaemic patients
2003, Diabetes and MetabolismThe effect of ankle equinus upon the diabetic foot
2002, Clinics in Podiatric Medicine and Surgery