步行自行车是降低糖尿病患者足底峰压的有效工具

IF 0.5 4区 医学 Q4 ORTHOPEDICS Journal of the American Podiatric Medical Association Pub Date : 2024-07-01 DOI:10.7547/22-127
Ulrich Illgner, Alexander Mehlhorn, Nani Osada, Veit Krenn, Franz Landauer
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引用次数: 0

摘要

背景:足部溃疡和感染是糖尿病患者的主要问题,代价高昂,也是截肢的主要原因。足底峰值压力在足底溃疡中起着至关重要的作用。负重是降低足底峰值压力和溃疡风险的常用工具。本研究的目的是确定与步行相比,步行自行车(无踏板的自行车)能否降低足底峰值压力:研究首先对 PubMed 上的文献进行了回顾。在盲法前瞻性方案中,14 名健康人(7 名男性,7 名女性;平均 ± SD 年龄,39.5 ± 11.3 岁)参与了研究。在皮肤和标准鞋之间安装了鞋内足底照相传感器,然后参与者步行 10 米三次,然后在步态实验室使用步行自行车移动相同距离(三次),不移除传感器(84 次测量):在这项单盲前瞻性研究中,平均±标准值足底峰值压力从步行时的 49.4 ± 12.9 牛顿/平方厘米显著降低到使用步行自行车时的 35.2 ± 14.6 牛顿/平方厘米(P = .003)。平均±标准步长从 0.68 ± 0.13 米显著增加到 0.91 ± 0.19 米(P < .001),原因是步数显著减少(从步行每 10 米 7.7 ± 1.4 步减少到使用步行自行车每 10 米 5.7 ± 1.1 步;P < .001):结论:足底峰值压力是糖尿病患者溃疡的风险因素。结论:足底峰值压力是糖尿病患者溃疡的危险因素。在这里,与步行相比,使用步行自行车可明显降低足底峰值压力(P = .003)。健步自行车可能是糖尿病患者减轻负重的一种工具,尤其是在双脚溃疡的情况下。我们还计划进行更多的研究,以在患者护理中验证这些发现。
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Walking Bike as an Effective Tool to Reduce Plantar Peak Pressure in Diabetes Mellitus.

Background: Foot ulcers and infections are a major and costly problem in patients with diabetes and a major cause of amputations. Plantar peak pressure plays an essential role in plantar ulceration. Off-loading is a common tool to reduce plantar peak pressure and risk of ulceration. The goal of this study was to determine whether reduction of plantar peak pressure can be achieved using a walking bike (a bike without pedals) compared with walking.

Methods: The study starts with a PubMed literature review. In a blinded prospective protocol, 14 healthy individuals (seven men, seven women; mean ± SD age, 39.5 ± 11.3 years) are included. In-shoe pedobarography sensors were attached between the skin and the standardized shoes, then participants walked 10 m three times and then moved over the same distance using a walking bike without removal of the sensor (three times) in a gait laboratory (84 measurements).

Results: In this single-blinded prospective study, mean ± SD plantar peak pressure was significantly reduced from 49.4 ± 12.9 N/cm2 with walking to 35.2 ± 14.6 N/cm2 using a walking bike (P = .003). Mean ± SD step length increased significantly from 0.68 ± 0.13 m to 0.91 ± 0.19 m (P < .001) due to a significantly reduced number of steps (from 7.7 ± 1.4 steps per 10 m of walking to 5.7 ± 1.1 steps per 10 m of using a walking bike; P < .001).

Conclusions: Plantar peak pressure is a risk factor for ulceration in diabetes. Herein, a significant reduction of plantar peak pressure was seen using a walking bike compared with walking (P = .003). Walking bikes may be a tool for off-loading for diabetic patients, especially if both feet are ulcerated. Additional studies to validate these findings in patient care are planned.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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