Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?

<h4>Background</h4>The aim of this study was to identify groups of subjects with similar patterns of forefoot loading and verify if specific groups of patients with diabetes could be isolated from non-diabetics.<h4>Methodology/principal findings</h4>Ninety-seven patients with...

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Autores principales:	Kevin Deschamps, Giovanni Arnoldo Matricali, Philip Roosen, Kaat Desloovere, Herman Bruyninckx, Pieter Spaepen, Frank Nobels, Jos Tits, Mieke Flour, Filip Staes
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/948b90b42212443c948ec4cdd050a66e
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spelling	oai:doaj.org-article:948b90b42212443c948ec4cdd050a66e2021-11-18T08:45:03ZClassification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?1932-620310.1371/journal.pone.0079924https://doaj.org/article/948b90b42212443c948ec4cdd050a66e2013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24278219/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The aim of this study was to identify groups of subjects with similar patterns of forefoot loading and verify if specific groups of patients with diabetes could be isolated from non-diabetics.<h4>Methodology/principal findings</h4>Ninety-seven patients with diabetes and 33 control participants between 45 and 70 years were prospectively recruited in two Belgian Diabetic Foot Clinics. Barefoot plantar pressure measurements were recorded and subsequently analysed using a semi-automatic total mapping technique. Kmeans cluster analysis was applied on relative regional impulses of six forefoot segments in order to pursue a classification for the control group separately, the diabetic group separately and both groups together. Cluster analysis led to identification of three distinct groups when considering only the control group. For the diabetic group, and the computation considering both groups together, four distinct groups were isolated. Compared to the cluster analysis of the control group an additional forefoot loading pattern was identified. This group comprised diabetic feet only. The relevance of the reported clusters was supported by ANOVA statistics indicating significant differences between different regions of interest and different clusters.<h4>Conclusion/s significance</h4>There seems to emerge a new era in diabetic foot medicine which embraces the classification of diabetic patients according to their biomechanical profile. Classification of the plantar pressure distribution has the potential to provide a means to determine mechanical interventions for the prevention and/or treatment of the diabetic foot.Kevin DeschampsGiovanni Arnoldo MatricaliPhilip RoosenKaat DesloovereHerman BruyninckxPieter SpaepenFrank NobelsJos TitsMieke FlourFilip StaesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 11, p e79924 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Kevin Deschamps Giovanni Arnoldo Matricali Philip Roosen Kaat Desloovere Herman Bruyninckx Pieter Spaepen Frank Nobels Jos Tits Mieke Flour Filip Staes Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
description	<h4>Background</h4>The aim of this study was to identify groups of subjects with similar patterns of forefoot loading and verify if specific groups of patients with diabetes could be isolated from non-diabetics.<h4>Methodology/principal findings</h4>Ninety-seven patients with diabetes and 33 control participants between 45 and 70 years were prospectively recruited in two Belgian Diabetic Foot Clinics. Barefoot plantar pressure measurements were recorded and subsequently analysed using a semi-automatic total mapping technique. Kmeans cluster analysis was applied on relative regional impulses of six forefoot segments in order to pursue a classification for the control group separately, the diabetic group separately and both groups together. Cluster analysis led to identification of three distinct groups when considering only the control group. For the diabetic group, and the computation considering both groups together, four distinct groups were isolated. Compared to the cluster analysis of the control group an additional forefoot loading pattern was identified. This group comprised diabetic feet only. The relevance of the reported clusters was supported by ANOVA statistics indicating significant differences between different regions of interest and different clusters.<h4>Conclusion/s significance</h4>There seems to emerge a new era in diabetic foot medicine which embraces the classification of diabetic patients according to their biomechanical profile. Classification of the plantar pressure distribution has the potential to provide a means to determine mechanical interventions for the prevention and/or treatment of the diabetic foot.
format	article
author	Kevin Deschamps Giovanni Arnoldo Matricali Philip Roosen Kaat Desloovere Herman Bruyninckx Pieter Spaepen Frank Nobels Jos Tits Mieke Flour Filip Staes
author_facet	Kevin Deschamps Giovanni Arnoldo Matricali Philip Roosen Kaat Desloovere Herman Bruyninckx Pieter Spaepen Frank Nobels Jos Tits Mieke Flour Filip Staes
author_sort	Kevin Deschamps
title	Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
title_short	Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
title_full	Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
title_fullStr	Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
title_full_unstemmed	Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
title_sort	classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/948b90b42212443c948ec4cdd050a66e
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Classification of forefoot plantar pressure distribution in persons with diabetes: a novel perspective for the mechanical management of diabetic foot?

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