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  1. Article: A practical guide for examining and treating the diabetic foot.

    Boike, Allan M / Hall, James O

    Cleveland Clinic journal of medicine

    2002  Volume 69, Issue 4, Page(s) 342–348

    Abstract: Physicians can perform a quick, complete examination of the feet of patients with diabetes to prevent serious complications. The examination should focus on circulation, nerve function, musculoskeletal problems, and the skin. All patients should be urged ...

    Abstract Physicians can perform a quick, complete examination of the feet of patients with diabetes to prevent serious complications. The examination should focus on circulation, nerve function, musculoskeletal problems, and the skin. All patients should be urged to wear supportive, comfortable shoes, and to wash, moisturize, and examine their feet every day.
    MeSH term(s) Arthropathy, Neurogenic/diagnosis ; Arthropathy, Neurogenic/etiology ; Arthropathy, Neurogenic/therapy ; Diabetic Foot/diagnosis ; Diabetic Foot/etiology ; Diabetic Foot/therapy ; Diabetic Neuropathies/complications ; Diabetic Neuropathies/diagnosis ; Foot Ulcer/diagnosis ; Foot Ulcer/etiology ; Foot Ulcer/therapy ; Humans ; Infection/diagnosis ; Infection/etiology ; Infection/therapy ; Musculoskeletal Diseases/diagnosis ; Musculoskeletal Diseases/etiology ; Neurologic Examination ; Physical Examination ; Skin Diseases/diagnosis ; Skin Diseases/etiology ; Skin Diseases/prevention & control
    Language English
    Publishing date 2002-05-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 639116-3
    ISSN 0891-1150
    ISSN 0891-1150
    DOI 10.3949/ccjm.69.4.342
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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  2. Article: Simultaneous measurement of plantar pressure and shear forces in diabetic individuals.

    Perry, Julie E / Hall, James O / Davis, Brian L

    Gait & posture

    2001  Volume 15, Issue 1, Page(s) 101–107

    Abstract: Plantar foot ulceration is a diabetic complication whose underlying causative factors are still not fully understood. The goal of the current work was to simultaneously record plantar pressure and shear and examine the interrelationship of these forces; ... ...

    Abstract Plantar foot ulceration is a diabetic complication whose underlying causative factors are still not fully understood. The goal of the current work was to simultaneously record plantar pressure and shear and examine the interrelationship of these forces; specifically, if peak shear and pressure occurred at the same site/time and whether adjacent shear forces had a greater tendency to be directed towards or away from each other. A custom built 16 transducer array was used to record forefoot shear and pressure during gait initiation in a cohort of 12 neuropathic diabetic individuals. The individuals were barefoot and the transducers were covered with a 5 mm thick layer of Minorplast. The greatest pressure occurred in the medial metatarsal heads (189 kPa) and the greatest shear in the lateral metatarsal heads (33 kPa). The interaction of the shear forces revealed that the plantar tissue was stretched to a greater magnitude than it was bunched (24 kPa vs 12 kPa, averaged over all regions). Normal distributions were determined for stretching and bunching in both the medial-lateral and anterior-posterior directions. When shear and pressure were considered in combination, half of the neuropathic individuals had peak shear and pressure occurring at the same site. These peak stresses did not occur at the same time (average difference of 0.186 s). The results of this study help to further characterize tissue stresses experienced on the plantar surface of the foot during gait initiation in neuropathic diabetic individuals.
    MeSH term(s) Adult ; Aged ; Biomechanical Phenomena ; Diabetic Foot/physiopathology ; Female ; Humans ; Male ; Middle Aged ; Pressure ; Transducers
    Language English
    Publishing date 2001-11-14
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1162323-8
    ISSN 1879-2219 ; 0966-6362
    ISSN (online) 1879-2219
    ISSN 0966-6362
    DOI 10.1016/s0966-6362(01)00176-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 3804: Show issues Location:
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