Animesh
Manipal University, India
Posters-Accepted Abstracts: J Diabetes Metab
Background: Changes in the biomechanics of the foot, resulting in pressure redistribution, are known risk factors for ulceration of the diabetic foot. The investigation of the biomechanics of the foot using the static and dynamic foot scan are informative in understanding how changes to the foot�??s structure, and the resultant alterations in gait, could be associated with the risk of ulceration in the diabetic foot. Methods: Following clinical evaluation lower level laser therapy (helium-neon) was given on plantar and dorsum of the foot (Dosage Frequency: 20Hz, Duration: 6 mins, Mode: Scanning) for 10 sessions. Revaluation of the biomechanical parameters (plantar pressure) was done using i-step plantar pressure analyser. Results: Plantar pressure on the tarsal aspect was reduced compared to pre-laser treatment. The areas of high pressure showed a better pressure distribution pattern. Conclusion: As a result of the concurrent action of behavioural and adaptive factors, people with diabetic neuropathy may develop rigid feet that are less adaptable to the floor, leading to high plantar pressures under heal and MTH. Limited joint mobility, especially at the ankle and at the first metatarsal joints, contributes to the onset of increased plantar pressures that could be associated with ulceration on repeated loading and micro-trauma. Low level laser therapy treatment helps to even this plantar pressure distribution to a greater extent by increasing blood supply and healing the plantar soft tissues.
Email:
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