Gait & Posture
Volume 35, Issue 1 , Pages 1-5 , January 2012

The interdependency of peak pressure and pressure–time integral in pressure studies on diabetic footwear: No need to report both parameters

  • R. Waaijman

      Affiliations

    • Corresponding Author InformationCorresponding author at: Department of Rehabilitation, Academic Medical Center, University of Amsterdam, P.O. 22660, 1100 DD Amsterdam, The Netherlands. Tel.: +31 20 5662416; fax: +31 20 5669154.
    • ,
  • S.A. Bus

Received 9 November 2010 ,Revised 29 June 2011 ,Accepted 9 July 2011.

References 

  1. Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. JAMA. 2005;293:217–228
  2. Reiber GE, Vileikyte L, Boyko EJ, del AM, Smith DG, Lavery LA, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999;22:157–162
  3. Veves A, Murray HJ, Young MJ, Boulton AJ. The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study. Diabetologia. 1992;35:660–663
  4. Boulton AJ, Hardisty CA, Betts RP, Franks CI, Worth RC, Ward JD. Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy. Diabetes Care. 1983;6:26–33
  5. Frykberg RG, Lavery LA, Pham H, Harvey C, Harkless L, Veves A. Role of neuropathy and high foot pressures in diabetic foot ulceration. Diabetes Care. 1998;21:1714–1719
  6. Kastenbauer T, Sauseng S, Sokol G, Auinger M, Irsigler K. A prospective study of predictors for foot ulceration in type 2 diabetes. J Am Podiatr Med Assoc. 2001;91:343–350
  7. Pham H, Armstrong DG, Harvey C, Harkless LB, Giurini JM, Veves A. Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial. Diabetes Care. 2000;23:606–611
  8. Sauseng S, Kastenbauer T, Sokol G, Irsigler K. Estimation of risk for plantar foot ulceration in diabetic patients with neuropathy. Diabetes Nutr Metab. 1999;12:189–193
  9. Shaw JE, Boulton AJM. Pressure time integrals may be more important than peak pressures in diabetic foot ulceration. Diabetes Med. 1996;13:S77;[Abstract]
  10. Stess RM, Jensen SR, Mirmiran R. The role of dynamic plantar pressures in diabetic foot ulcers. Diabetes Care. 1997;20:855–858
  11. Bus SA, Waaijman R. The additional value of reporting pressure–time integral results in foot pressure studies on the diabetic foot. In: Proceedings of the EMED Scientific Meeting 2008, 29–31 July 2008, Dundee, Scotland, UK. 2008;p. 36;[Abstract]
  12. Keijsers NL, Stolwijk NM, Pataky TC. Linear dependence of peak, mean, and pressure–time integral values in plantar pressure images. Gait Posture. 2010;31:140–142
  13. Arts ML, Bus SA. Twelve steps per foot are recommended for valid and reliable in-shoe plantar pressure data in neuropathic diabetic patients wearing custom made footwear. Clin Biomech (Bristol, Avon); doi:10.1016/j.clinbiomech.2011.05.001.
  14. Hsi WL, Chai HM, Lai JS. Comparison of pressure and time parameters in evaluating diabetic footwear. Am J Phys Med Rehabil. 2002;81:822–829
  15. Melai T, Lange de T. Foot loading during different walking speeds: is there a balance between peak pressures and pressure–time integrals?. In: Proceedings of the 17th IVO World Congress for Orthopedic Shoe Technicians, 13–14 November 2009, The Hague, The Netherlands. 2009;p. 67;[Abstract]
  16. Maluf KS, Mueller MJ. Novel Award 2002. Comparison of physical activity and cumulative plantar tissue stress among subjects with and without diabetes mellitus and a history of recurrent plantar ulcers. Clin Biomech (Bristol, Avon). 2003;18:567–575
  17. Giacomozzi C, Martelli F. Peak pressure curve: an effective parameter for early detection of foot functional impairments in diabetic patients. Gait Posture. 2006;23:464–470

PII: S0966-6362(11)00229-3

doi: 10.1016/j.gaitpost.2011.07.006

Gait & Posture
Volume 35, Issue 1 , Pages 1-5 , January 2012

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