Diabetes Clinical Trial
Official title:
Thermal and Biomechanical Characterization of Diabetic Foot Patients, Predictors of Skin Temperature, Barefoot Plantar Pressure and Ulceration.
Diabetes is a chronic disease with increasing prevalence worldwide with a high burden to
individuals and the society and it is expected to be the 7th leading cause of death in 2030.
Diabetes related complications manifest in many body parts, often in the foot, due to reduced
blood flow and nerve damage, increasing the risk of ulcers and amputation. High plantar
pressures during walking contribute to the development of foot ulcers and foot ulcer
recurrence. Emerging studies also point skin temperature as another predictor of foot
ulceration. However, the number of studies including prediction models of plantar pressure
and skin temperature are scarce, especially in patients with confirmed diagnosis of diabetic
foot and a history of foot ulcer. Factors like mobility, hardness of plantar soft tissue,
foot deformities and other diabetes related characteristics have been related to plantar
pressure measurements but not to foot skin temperature measurements, and the relation between
skin temperature and plantar pressure has not been much explored in the literature. The role
of these variables in the development of foot ulceration needs further attention, especially
in patients with history of foot ulcers has they are at the highest risk to develop a foot
ulcer.
Therefore, the goal of this research is to determine which variables can be used to predict
plantar pressure and skin temperature and which factors are associated with the development
of foot ulcers in patients with established diagnosis of diabetic foot. The associations
between skin temperature and plantar pressure will also be addressed.
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