Article

The aim of this study was to investigate the anteroposterior and
intersidal asymmetric weight bearing and plantar pressure in patients with mild
diabetic peripheral neuropathy. DESIGN: A total of 102 subjects were enrolled in
this study. Plantar pressure and anteroposterior and intersidal weight-bearing
patterns on a foot plate were measured using Gaitview while standing and during
dynamic walking. The subjects were evaluated with nerve conduction study,
vibration sensory threshold (VST), and Diabetic Neuropathy Symptom (DNS) scores.
RESULTS: The subjects were classified into normal nerve conduction study and mild
diabetic peripheral neuropathy groups according to the results of the nerve
conduction study tests. The two groups differed significantly in asymmetric
weight-bearing pattern, DNS score, and VST. The sensitivities of anteroposterior
and intersidal asymmetry were similar to those of DNS score and VST, with
significant correlations between asymmetric weight bearing and VST and DNS
scores. In contrast, highest plantar pressure did not differ significantly in the
two groups and was not significantly correlated with nerve conduction study, VST,
or DNS score. CONCLUSIONS: Measurements of asymmetric weight bearing may indicate
the clinical significance of mild diabetic peripheral neuropathy similar as other
screening tools. Asymmetric weight-bearing pattern may be useful for evaluating
patients in the early period of diabetes mellitus because proper management would
prevent further complications and improve quality-of-life.

Langue : ANGLAIS