The effect of disease duration on foot plantar pressure values in patients with type 2 diabetes mellitus/Tip 2 diabetes mellituslu hastalarda ayak taban basincina hastalik suresinin etkisi

Objective: Diabetic foot problems and consequent ulceration in older patients are a major cause of morbidity and permanent disability. One of the major risk factors for ulceration is foot pressure changes. We, in this study, aimed to identify any relation between disease duration and plantar pressure of patients with type 2 diabetes. Material and Methods: This study was done on 168 feet of 84 diabetic patients. Demographic parameters and body mass index were noted. The patients were allocated according to disease duration as being more (Group 1) or less than 10 years (Group 2). Static and dynamic pedographic evaluation was performed for each of the patients, and results were compared between the groups. Results: The static pedobarographic evaluation revealed significantly higher forefoot plantar force percentage values in the left feet of patients in group 1. We found that peak phalanx pressure was significantly higher in the left foot, while the contact area was lower in the right foot of group 1 patients, by dynamic pedobarographic evaluation. Conclusion: Contact area decreases and peak pressure increases during walking in forefoot after 10 years of disease duration in type 2 diabetic patients. Key Words: Diabetic foot, plantar pressure, pedobarography, disease duration Amac: Diabetes mellituslu hastalarda ayak problemleri ve beraberindeki ulserasyonlar, morbidite ve kalici disabilitenin en onemli nedenidir. Ulserasyon icin onemli risk faktorlerinden biri ayaktaki basinc degisiklikleridir. Biz bu calismada, tip 2 diabetli hastalarda taban basinci ve hastalik suresi arasindaki iliskinin varligini tanimlamaya calistik. Gerec ve Yontemler: Bu calismada 84 diabetik hastanin 168 ayagi degerlendirildi. Yas, agirlik, boy ve vucut kitle indeksi gibi demografik ozellikler kaydedildi. Hastalar 10 yildan az (Grup 1) veya fazla (Grup 2) hastalik suresine gore ayrildi. Statik ve dinamik pedografik degerlendirme her hastada uygulandi ve sonuclar gruplar arasinda karsilastirildi. Bulgular: Statik pedobarografik degerlendirmede Grup 1'deki hastalarin sol on ayak taban basinci ortalama degeri anlamli yuksekti (p