Relationship Between Plantar Foot Pressures and Plantar Ulceration in Patients With Hansen's Disease

한센병 환자의 족저궤양과 최대 족저압력과의 관계

  • Jung, Do-Young (Dept. of Rehabilitation Therapy, The Graduate School, College of Health Science Yonsei University) ;
  • Park, Kyoung-Hee (Dept. of Rehabilitation, Wonju College of Medicine, Yonsei University) ;
  • Lee, Kang-Sung (Dept. of Environmental Health Science, The Graduate School, Soonchunhyang University)
  • 정도영 (연세대학교 보건과학대학 재활학과) ;
  • 박경희 (원주기독병원 재활의학과) ;
  • 이강성 (순천향대학교 대학원 환경보건학과)
  • Published : 2002.02.19

Abstract

Foot ulceration results in substantial morbidity in patients with peripheral neuropathy. The purpose of this study was to find the relationship of plantar foot pressures during walking to plantar ulceration in patients with Hansen's disease. The subjects were recuruited from two Welfare Clinic for Hansen's disease in Wonju and Uiwang city. Ten subjects (5 females, 5 males) with plantar ulceration and a mean age of 63 years were evaluated in this study. The mean duration of Hansen's disease in these subjects was 30 years. Plantar pressures were measured during self-selected comfortable walking speed by using MatScan system. Three subjects had plantar ulceration under the first metatarsal head. Five subjects had plantar ulceration under the second and third metatarsal head. Two subjects had plantar ulcers under the fifth metatarsal head. Eight of 10 subjects had plantar ulceration at highest pressure point that measured during walking. This result suggests that the abnormal high plantar pressure could be related factor to plantar ulceration in patients with Hansen's disease. Also the foot pressure measurement may be useful to evaluate the risk of plantar ulceration in patients with Hansen's disease.

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