title: A lumped-parameter model to investigate the effect of plantar pressure on arterial blood flow in a diabetic foot.
abstract: This paper presents a lumped-parameter model for the big-toe region that investigates the effect of plantar pressure on the diameter of the blood vessels, specifically the arteries, in the presence of arterial and/or tissue changes. The model developed in this paper uses a multi-domain energy system approach to develop the lumped-parameter differential equations. Blood flow is modelled as fluidic flow through compliant pipes that have inertia, stiffness, and damping. The tissue material is treated as a soft compliant material that transmits the external force to the blood vessels. Conclusions have been drawn to show the effect of plantar pressure, tissue damage, and their combination on the diameter of the blood vessels. The principles used here can be used to model the entire foot and the model used to investigate the effect of plantar pressure, tissue damage, and arterial changes on different parts of the foot. The work presented here may also have applications in other vascular diseases.
authors.affiliation: Department of Mechanical Engineering and Energy Processes, Southern Illinois University at Carbondale, Carbondale, Illinois 62901, USA.
authors.forename: C
authors.initials: C
authors.lastname: Hahn
authors.forename: A
authors.initials: A
authors.lastname: Mahajan
authors.forename: T
authors.initials: T
authors.lastname: Chu
authors.forename: M
authors.initials: M
authors.lastname: Schoen
mesh_terms: D001158:Arteries / Q000503:physiopathology*; D001783:Blood Flow Velocity; D001794:Blood Pressure; D003198:Computer Simulation; D017719:Diabetic Foot / Q000503:physiopathology*; D004548:Elasticity; D005528:Foot / Q000098:blood supply* / Q000503:physiopathology*; D006801:Humans; D008954:Models, Biological; D011312:Pressure; D013314:Stress, Mechanical