Greve J M, Leiva T P, Imamura M, Carvalho Júnior A E, Fernandes T D, Salomão O
Department of Orthopedics and Traumatology, School of Medicine, São Paulo University, Brazil.
Sao Paulo Med J. 1994 Jan-Mar;112(1):500-3. doi: 10.1590/s1516-31801994000100005.
The aim of this paper is to evaluate the effectiveness of podometry to measure the pressure developed over the feet and the value of these findings to help in the prevention of the plantar neuropathic ulcer in patients bearing Hansen's disease. We evaluated 13 patients with impaired plantar pain and touch sensations and 17 normal patients. All the patients were submitted to static evaluation using the podometer. The system employed was the "Midcapteur" commercial podometer composed of a platform for acquisition of analogic data capable of registering the segmental pressures applied to the feet. These data are read by a 386 IBM/PC compatible computer that registers the graphic patterns obtained from the pressures developed and also calculates the modes of pressure distribution in the four quadrants of the foot. These data obtained by means of static podometry were compared to the clinical evaluation of pain and touch sensation of the feet in hansenian patients. The results demonstrate that podometery is an efficient method for evaluating the pressure in impaired feet in Hansen's disease and is a progression of neuropathic ulcer; it is sensitive in the identification of the spots of increased pressure in anesthetic and anomalous areas, asymmetries and in correlating the presence of ulcers with increased pressure.
本文旨在评估足压计测量足部压力的有效性，以及这些测量结果对于预防汉森病患者足底神经性溃疡的价值。我们评估了13例足底疼痛和触觉受损的患者以及17例正常患者。所有患者均使用足压计进行静态评估。所使用的系统是“Midcapteur”商用足压计，它由一个用于采集模拟数据的平台组成，该平台能够记录施加在足部的分段压力。这些数据由一台与IBM/PC 386兼容的计算机读取，该计算机记录从所产生的压力中获得的图形模式，并计算足部四个象限的压力分布模式。将通过静态足压测量获得的这些数据与汉森病患者足部疼痛和触觉的临床评估结果进行比较。结果表明，足压测量是评估汉森病患者受损足部压力的一种有效方法，也是神经性溃疡进展情况的一种评估方法；它在识别麻醉和异常区域压力增加的部位、不对称性以及将溃疡的存在与压力增加相关联方面很敏感。
