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temperature in foot diabetes

R F M van Doremalen, J J van Netten, J G van Baal, M M R Vollenbroek-Hutten, F van der Heijden
AIMS: Infrared thermal imaging (IR) is not yet routinely implemented for early detection of diabetic foot ulcers (DFU), despite proven clinical effectiveness. Low-cost, smartphone-based IR-cameras are now available and may lower the threshold for implementation, but the quality of these cameras is unknown. We aim to validate a smartphone-based IR-camera against a high-end IR-camera for diabetic foot assessment. METHODS: We acquired plantar IR images of feet of 32 participants with a current or recently healed DFU with the smartphone-based FLIR-One and the high-end FLIR-SC305...
February 6, 2019: Diabetes Research and Clinical Practice
Lei Fan, Huan Luo, Bing Liu, Xianen Fa, Tao Liu, Chao Ma
RATIONALE: Diabetic foot ulcer is a severe complication of diabetes, and most patients with diabetic foot ulcer require amputation. The incidence of Budd-Chiari syndrome is low; it is relatively rare. Diabetic foot ulcer combined with Budd-Chiari syndrome has not been reported so far. PATIENT CONCERNS: A 52-year-old man presented with uncontrolled high body temperature, continued expansion of the lower leg and foot ulcer with increasing malodor. DIAGNOSIS: The patient was diagnosed with Wagner grade 4 diabetic foot ulcer combined with Budd-Chiari syndrome...
January 2019: Medicine (Baltimore)
Hongye Li, Jiaxing You, Chao Liu, Yan Ma
Objective: To evaluate the effectiveness of transverse tibial bone transport in treatment of diabetic foot ulcer. Methods: Between June 2014 and December 2017, 17 patients with diabetic foot ulcer were treated. There were 11 males and 6 females, with a median age of 57 years (range, 46-72 years). The duration of diabetes was 2.4-32.0 years (mean, 16.0 years). According to the Wagner grading criteria, 7 cases were rated as grade 2, 8 cases as grade 3, and 2 cases as grade 4...
January 1, 2019: Chinese Journal of Reparative and Reconstructive Surgery
Álvaro Astasio-Picado, Elena Escamilla Martínez, Beatriz Gómez-Martín
OBJECTIVE: The objective of the study is to analyze, through the use of infrared thermography, the variability of foot temperature in diabetic and non-diabetic patients by segmenting the sole of the foot in four study areas. METHOD: A cross-sectional study was proposed on a sample of 479 subjects divided into two groups, a group of people with diabetes and a group of people without diabetes. The diabetes group comprised a total of 277 people, with an average age of 63...
January 7, 2019: Enfermería Clínica
Puxiang Zhen, Yan Chen, Wei Gao, Zhenxun Lin, Zhaowei Zhong, Zhihai Teng, Lihuan He, Qikai Hua
Objective: To evaluate the effectiveness of Ilizarov technique-based transverse tibial bone transport on the treatment of severe diabetic foot ulcer (Wagner grades 3 to 5) complicated with systemic inflammatory response syndrome (SIRS). Methods: Between August 2014 and December 2017, 33 patients with severe diabetic foot and SIRS were treated with Ilizarov technique-based transverse tibial bone transport. There were 27 males and 6 females, with a mean age of 60...
October 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
Alexander M Reyzelman, Kristopher Koelewyn, Maryam Murphy, Xuening Shen, E Yu, Raji Pillai, Jie Fu, Henk Jan Scholten, Ran Ma
BACKGROUND: Over 30 million people in the United States (over 9%) have been diagnosed with diabetes. About 25% of people with diabetes will experience a diabetic foot ulcer (DFU) in their lifetime. Unresolved DFUs may lead to sepsis and are the leading cause of lower-limb amputations. DFU rates can be reduced by screening patients with diabetes to enable risk-based interventions. Skin temperature assessment has been shown to reduce the risk of foot ulceration. While several tools have been developed to measure plantar temperatures, they only measure temperature once a day or are designed for clinic use only...
December 17, 2018: Journal of Medical Internet Research
Uraiwan Chatchawan, Patsakorn Narkto, Tanchanok Damri, Junichiro Yamauchi
[Purpose] The current study aimed to investigate the reliability of infrared thermography as a method of determining foot skin temperature, and to determine the relationship between foot skin temperature and blood flow in type 2 diabetes mellitus (DM) patients. [Participants and Methods] Eighty-five patients were recruited and their foot skin temperature and the ankle brachial index (ABI) were measured using infrared thermography and an automated oscillometry, respectively. A correlation between foot skin temperature and blood flow was performed...
November 2018: Journal of Physical Therapy Science
L Cutajar, O Falzon, A Mizzi, I Swaine, K Springett, S Mizzi
Body temperature is one of the fundamental measures considered in the assessment of health and well-being, with various medical conditions known to give rise to abnormal changes in temperature. In particular, abnormal variations in dynamic temperature patterns during walking or exercise may be linked to a range of foot problems, which are of particular concern in diabetic patients.A number of studies have investigated normative temperature patterns of a population by considering data from multiple participants and averaging results after an acclimatisation interval...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
Metin Yavuz, Ali Ersen, Jessica Hartos, Lawrence A Lavery, Dane K Wukich, Gordon B Hirschman, David G Armstrong, Myla Q Quiben, Linda S Adams
BACKGROUND: Diabetic foot ulcers are a major burden to patients and to the healthcare systems of many countries. To prevent and/or treat ulcers more effectively, predictive biomarkers are needed. We examined temperature as a biomarker and as a causative factor in ulcer development. METHODS: 37 individuals with diabetes were enrolled in this observational case-control study: nine with diabetic neuropathy and ulcer history (DFU), 14 with diabetic neuropathy (DN), and 14 non-neuropathic participants (DC)...
November 14, 2018: Journal of the American Podiatric Medical Association
Yong Sun, Yao-Guang Xiao, He Wang
OBJECTIVE: To explore Ilizarov technique in treating diabetic foot ulcers with transverse tibial bone movement. METHODS: From July 2013 to March 2017, 20 patients with diabetic foot ulcers were treated by transverse tibial bone movement, including 14 males and 6 females aged from 46 years to 61 years with an average of (51.6±6.8) years old. According to Wagner's criteria, 5 patients were Grade III and 15 patients were Grade IV. Amputation level, ulcer healing time, VAS score, foot skin temperature before and after operation, vascular recanalization or reconstruction were observed by CTA of affected limb...
October 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Behzad Aliahmad, Aye Nyein Tint, Sridhar Poosapadi Arjunan, Priya Rani, Dinesh Kant Kumar, Julie Miller, Jeffrey D Zajac, Gayathiri Wang, Elif Ilhan Ekinci
INTRODUCTION: In clinical practice, both area and temperature of the ulcer have been shown to be effective in tracking the healing status of diabetes-related foot ulcer (DRFU). However, traditionally, the area of the DRFU is measured regardless of the temperature distribution. The current prospective, observational study used thermal imaging, as a more accurate tool, to measure both the area and the temperature of DRFU. We aimed to predict healing of DRFU using thermal imaging within the first 4 weeks of ulceration...
September 26, 2018: Journal of Diabetes Science and Technology
Gustav Jarl
Foot ulcers are a diabetic complication associated with significant morbidity, mortality, and amputation risk. Offloading devices prevent and heal foot ulcers, but adherence to using these devices is low. The reasons for nonadherence are unclear, and study results are difficult to compare due to methodological heterogeneity. This paper explores aspects of investigating adherence to using offloading devices among people with diabetes and provides recommendations for future studies, focusing on study designs, definitions of adherence, measurement methods, and conceptual frameworks...
2018: Patient Preference and Adherence
Wouter B Aan de Stegge, Nora Mejaiti, Jaap J van Netten, Marcel G W Dijkgraaf, Jeff G van Baal, Tessa E Busch-Westbroek, Sicco A Bus
BACKGROUND: Home monitoring of foot temperatures in high-risk diabetes patients proves to be a promising approach for early recognition and treatment of pre-signs of ulceration, and thereby ulcer prevention. Despite previous studies demonstrating its efficacy, it is currently not widely applied in (Dutch) health care. METHODS: In a multicenter, outcome-assessor-blinded, randomized controlled trial, 304 patients with diabetes mellitus types I or II, loss of protective sensation based on peripheral neuropathy, and a history of foot ulceration in the preceding 4 years or a diagnosis of Charcot neuro-osteoarthropathy will be included...
September 24, 2018: Trials
Natália C M Silva, Érika C L Chaves, Emília C Carvalho, Leonardo C Carvalho, Denise H Iunes
Objective: The purpose of this study was to assess the effect of foot reflexology on capillary blood glucose, feet tissue temperature, and plantar pressure of the feet of individuals with diabetes mellitus (type 2). Methods: Forty-five individuals with type 2 diabetes mellitus were stratified into 2 groups: treated (n = 21), which received orientation about foot self-care and received 12 foot reflexology sessions; and control (n = 24), which received only orientations about foot self-care...
September 2018: Journal of Chiropractic Medicine
Harsh Durgia, Jayaprakash Sahoo, Sadishkumar Kamalanathan, Rajan Palui, Kalyani Sridharan, Henith Raj
Diabetes mellitus is the most common cause of Charcot neuropathy affecting foot and ankle. Acute Charcot foot (CF) presents with a red and swollen foot in contrast to the painless deformed one of chronic CF. Enhanced osteoclastogenesis plays a central role in the pathogenesis of acute CF. Many studies have shown elevated levels of bone turnover markers in patients with acute CF confirming it. These findings have led clinicians to use anti-resorptive agents [bisphosphonates (BP), calcitonin, and denosumab] along with immobilization and offloading in acute CF patients...
July 15, 2018: World Journal of Diabetes
Yi-Ting Tzen, Eileen M Weinheimer-Haus, Thomas F Corbiere, Timothy J Koh
AIM: Investigate the immediate effect of low intensity vibration on skin blood flow and its underlying control mechanisms in healthy human participants. MATERIALS AND METHODS: One-group pre-post design in a university laboratory setting. Nine adults underwent two bouts of 10-minute vibration (30Hz, peak acceleration 0.4g). Outcome measures include skin blood flow, and skin temperature on the right foot. To examine the control mechanisms underlying the vibration-induced blood flow response, SHORT-TIME Fourier analyses were computed to obtain the spectral densities for three frequency bands: metabolic (0...
2018: PloS One
Alfred Gatt, Owen Falzon, Kevin Cassar, Kenneth P Camilleri, Jean Gauci, Christian Ellul, Stephen Mizzi, Anabelle Mizzi, Nikolaos Papanas, Cassandra Sturgeon, Nachiappan Chockalingam, Cynthia Formosa
This study aimed to determine whether thermal imaging can detect temperature differences between healthy feet, nonulcerated neuroischemic feet, and neuroischemic feet with toe ulcers in patients with type 2 diabetes mellitus (T2DM). Participants were prospectively divided into 3 groups: T2DM without foot problems; a healthy, nonulcerated neuroischemic group, and an ulcerated neuroischemic group. Thermal images of the feet were obtained with automated segmentation of regions of interest. Thermographic images from 43 neuroischemic feet, 21 healthy feet, and 12 neuroischemic feet with active ulcer in one of the toes were analyzed...
June 2018: International Journal of Lower Extremity Wounds
Qiqiang Dong, Guojun Gu, Lijun Wang, Keda Fu, Shuqiang Xie, Songjian Zhang, Huafeng Zhang, Zhaosen Wu
Objective: To investigate the application of modified adjustable skin stretching and secure wound-closure system in repairing of skin and soft tissue defect. Methods: Between March 2016 and April 2017, 21 cases of skin and soft tissue defects were repaired with the modified adjustable skin stretching and secure wound-closure system (the size of regulating pressure and the times of adjustment were determined according to the color, temperature, capillary response, and swelling degree of the skin edge)...
December 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Irina Mizeva, Elena Zharkikh, Viktor Dremin, Evgeny Zherebtsov, Irina Makovik, Elena Potapova, Andrey Dunaev
Timely diagnostics of microcirculatory system abnormalities, which are the most severe diabetic complications, is one of the major problems facing modern health care. Functional abnormalities manifest themselves earlier than the structural ones, and therefore their assessment is the issue of primary importance. In this study Laser Doppler flowmetry, a noninvasive technique for the cutaneous blood flow monitoring, was utilized together with local temperature tests and wavelet analysis. The study of the blood flow in the microvascular bed of toes was carried out in the control group of 40 healthy subjects and in two groups of 17 type 1 and 23 type 2 diabetic patients...
May 23, 2018: Microvascular Research
Alfred Gatt, Owen Falzon, Kevin Cassar, Christian Ellul, Kenneth P Camilleri, Jean Gauci, Stephen Mizzi, Anabelle Mizzi, Cassandra Sturgeon, Liberato Camilleri, Nachiappan Chockalingam, Cynthia Formosa
Aim: To evaluate the potential of thermography as an assessment tool for the detection of foot complications by understanding the variations in temperature that occur in type 2 diabetes mellitus (DM). Methods: Participants were categorized according to a medical examination, ankle brachial index, doppler waveform analysis, and 10-gram monofilament testing into five groups: healthy adult, DM with no complications, DM with peripheral neuropathy, DM with neuroischaemia, and DM with peripheral arterial disease (PAD) groups...
2018: International Journal of Endocrinology
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