RT Journal Article
T1 Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
T2 Predictive value of forefoot plantar pressure to predict reulceration in patients at high risk
A1 García Madrid, Marta
A1 García Álvarez, Yolanda
A1 Sanz Corbalán, Irene
A1 Álvaro Afonso, Francisco Javier
A1 López Moral, Mateo
A1 Lázaro Martínez, José Luis
AB Aims: To analyze a plantar pressure cut-off point for diabetic foot reulceration beneath the metatarsal heads in patients with previous forefoot amputation.Methods: A one-year prospective study was conducted in a total of 105 patients at high risk for foot ulceration. Peak plantar pressure (PPP) and pressure-time integral (PTI) in the entire foot, the forefoot region, and each metatarsal head separately were registered. ROC curves were used to select the optimal diagnostic pressure cut-off points. Patients were follow-up monthly or until the development of an ulcer event.Results: A total of 52 (49.5%) patients developed a reulceration. Using ROC analyses for PPP in the full-foot and in the forefoot, did not predict reulceration beneath the metatarsal heads. Analyzing separately each metatarsal head all patients with values greater than or equal to 20.8 N/cm2 at the 1st, 18.62 N/cm2 for the 2nd, 18.85 at the 3rd, 17.88 at the 4th, and 12.2 at the 5th metatarsal heads will suffer a reulceration despite the use of orthopedic treatment with optimum values of sensitivity (from 100 to 87.5) and specificity (from 83.2 to 62.8).Conclusion: Barefoot pressures beneath the metatarsal heads should be analyzed separately to predict the region at risk of reulceration.
PB Elsevier
SN 0168-8227
YR 2022
FD 2022-06-30
LK https://hdl.handle.net/20.500.14352/71876
UL https://hdl.handle.net/20.500.14352/71876
LA eng
NO CRUE-CSIC (Acuerdos Transformativos 2022)
DS Docta Complutense
RD 18 abr 2025