title: Assessment of diabetic polyneuropathy and plantar pressure in patients with diabetes mellitus in prevention of diabetic foot.
abstract: BACKGROUND
  Risk assessment for development foot ulcer in diabetics is a key aspect in any plan and program for prevention of non-traumatic amputation of lower extremities.
  
  
  METHODS
  In the prospective research to assessed diabetic neuropathy in diabetic patients, to determined the dynamic function of the foot (plantar pressure), by using pedobarography (Group I), and after the use of orthopedic insoles with help of pedobarography, to determined the connection between the risk factors: deformity of the foot, limited joint movements, diabetic polyneuropathy, plantar pressure in effort preventing changes in the diabetic foot.
  
  
  RESULTS
  Out of 1806 patients, who are registered in one Team of family medicine examined 100 patients with diabetes mellitus Type 2. The average age of subjects was 59.4, SD11.38. The average HbA1c was 7.78% SD1.58. Combining monofilament and tuning fork tests, the diagnosis of polyneuropathy have 65% of patients. Comparing Test Symptom Score individual parameters between the first and second measurement, using pedobarography, in Group I, statistically significant difference was found for all of the assessed parameters: pain, burning sensation, paresthesia and insensitivity (p<0,05). The measurements of peak pressure, both first and the second measurement, for all of the subjects in Group I(45) show values above 200kPa. That's a level of pressure that needs to be corrected. The study finds correlation between the foot deformation, diabetic polyneuropathy and plantar pressure (p>0,05).
  
  
  CONCLUSIONS
  A detail clinical exam of diabetic food in a family doctor office equipped with pedobarography (plantar pressure measurements), use of orthopedic insoles, significantly reduces clinical symptoms of diabetic polyneuropathy in patients with diabetes.
authors: Department for Family medicine, Faculty of Medicine, University of Sarajevo, Bosnia and Herzegovina ; Public Institution Health Centre of Canton Sarajevo, Bosnia and Herzegovina.
authors: Amira
authors: A
authors: Skopljak
authors: Farmavita, Sarajevo, Bosnia and Herzegovina.
authors: Aziz
authors: A
authors: Sukalo
authors: Department for Family medicine, Faculty of Medicine, University of Tuzla, Bosnia and Herzegovina.
authors: Olivera
authors: O
authors: Batic-Mujanovic
authors: Faculty of Health Sciences, University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
authors: Mirsad
authors: M
authors: Muftic
authors: Clinic for Neurology, Clinical Center of Sarajevo University, Sarajevo, Bosnia and Herzegovina.
authors: Merita
authors: M
authors: Tiric-Campara
authors: Faculty of Health Sciences, University of Zenica, Zenica, Bosnia and Herzegovina.
authors: Lejla
authors: L
authors: Zunic
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D017719:Diabetic Foot / Q000209:etiology / Q000517:prevention & control*; D003929:Diabetic Neuropathies / Q000503:physiopathology*; D005260:Female; D006365:Heel / Q000503:physiopathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016059:Range of Motion, Articular; D016474:Weight-Bearing
keywords: Assessment; Diabetic foot; Diabetic polyneuropathy; Plantar pressure,
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