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糖尿病足与足底压力和剪切力相关的考虑因素。

Diabetic Foot Considerations Related to Plantar Pressures and Shear.

机构信息

Center for Human Machine Systems, Cleveland State University, WH 305, Cleveland, OH 44115, USA.

Center for Human Machine Systems, Cleveland State University, WH 305, Cleveland, OH 44115, USA.

出版信息

Foot Ankle Clin. 2023 Mar;28(1):13-25. doi: 10.1016/j.fcl.2022.11.004. Epub 2023 Jan 2.

Abstract

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.

摘要

糖尿病足溃疡是糖尿病的一种复杂、多方面和广泛的并发症。尽管有许多导致糖尿病足溃疡发展的危险因素,但压力和(最近)剪切力是两种生物力学指标,它们越来越受欢迎,用于监测导致皮肤破裂的危险因素。糖尿病足溃疡研究的其他领域包括足底温度测量,以及监测佩戴时间的依从性和机器学习/人工智能算法。夏科氏关节病是另一种与糖尿病足溃疡发展有关的糖尿病并发症,应与溃疡发展同时监测其发展情况。监测和预防糖尿病足溃疡和夏科氏神经关节病的发展能力将提高患者的治疗效果和生活质量。

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本文引用的文献

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The Charcot foot: a pictorial review.夏科氏足:图文综述
Insights Imaging. 2019 Aug 5;10(1):77. doi: 10.1186/s13244-019-0768-9.
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Plantar pressure distribution in diverse stages of diabetic neuropathy.糖尿病神经病变不同阶段的足底压力分布
J Diabetes Metab Disord. 2019 May 11;18(1):33-39. doi: 10.1007/s40200-019-00387-1. eCollection 2019 Jun.

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