Diabetic Foot Considerations Related to Plantar Pressures and Shear.

Foot Ankle Clin · Mar 2023 · Review

Martin JK, Davis BL

Center for Human Machine Systems, Cleveland State University, WH 305

Foot & Ankle

SUMMARY — THE REDUCTIONThis review covers plantar pressure and shear as biomechanical risk markers for diabetic foot ulcers, along with emerging monitoring tools and Charcot arthropathy, aiming to prevent ulceration and improve patient outcomes.
Abstract, as published

Diabetic foot ulcers are a complex, multifaceted, and widespread complication of diabetes mellitus. Although there are a multitude of risk factors contributing to diabetic foot ulcer development, pressure and (more recently) shear stresses are two biomechanical metrics that are gaining popularity for monitoring risk factors predisposing skin breakdown. Other areas of diabetic foot ulcers under research include plantar temperature measuring, as well as monitoring wear-time compliance and machine learning/AI algorithms. Charcot arthropathy is another diabetes complication that has a relationship with diabetic foot ulcer development, which should be monitored for development alongside ulcer development. The ability to monitor and prevent diabetic foot ulcer development and Charcot neuroarthropathy will lead to increased patient outcomes and patient quality of life.

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