Risk factors in the diabetic foot

Recognition and management

D. S. Sims, P. R. Cavanagh, J. S. Ulbrecht

Research output: Contribution to journalReview article

86 Citations (Scopus)

Abstract

The most frequently reported diabetic foot complication is plantar ulceration. Neuropathic fractures occur less than plantar ulcers but usually result in major structural deformities of the feet. The primary risk factors for plantar ulceration are believed to be loss of protective sensation and the pressence of high plantar pressures. Principal etiologic factors in the development of neuropathic fractures are hypothesized to be loss of protective sensation and bone demineralization. Major diabetic foot injuries are preventable by the use of comprehensive screening examinations and patient education. Patients at highest risk of injury should be seen more frequently and receive more extensive therapy. Successful management of plantar ulcerations is dependent on reduction of pressures under the foot and control of infection. Neuropathic fractures require long-term immobilization to promote healing followed by careful monitoring after removal of casts to prevent reinjury. Future research needs include prospective studies on risk factors and validation of treatment techniques.

Original languageEnglish (US)
Pages (from-to)1887-1902
Number of pages16
JournalPhysical Therapy
Volume68
Issue number12
StatePublished - 1988

Fingerprint

Diabetic Foot
Foot Injuries
Foot Ulcer
Foot Deformities
Pressure
Patient Education
Diabetes Complications
Infection Control
Immobilization
Foot
Prospective Studies
Bone and Bones
Wounds and Injuries
Therapeutics

All Science Journal Classification (ASJC) codes

  • Orthopedics and Sports Medicine
  • Health Professions(all)
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Sims, D. S., Cavanagh, P. R., & Ulbrecht, J. S. (1988). Risk factors in the diabetic foot: Recognition and management. Physical Therapy, 68(12), 1887-1902.
Sims, D. S. ; Cavanagh, P. R. ; Ulbrecht, J. S. / Risk factors in the diabetic foot : Recognition and management. In: Physical Therapy. 1988 ; Vol. 68, No. 12. pp. 1887-1902.
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Sims, DS, Cavanagh, PR & Ulbrecht, JS 1988, 'Risk factors in the diabetic foot: Recognition and management', Physical Therapy, vol. 68, no. 12, pp. 1887-1902.

Risk factors in the diabetic foot : Recognition and management. / Sims, D. S.; Cavanagh, P. R.; Ulbrecht, J. S.

In: Physical Therapy, Vol. 68, No. 12, 1988, p. 1887-1902.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Risk factors in the diabetic foot

T2 - Recognition and management

AU - Sims, D. S.

AU - Cavanagh, P. R.

AU - Ulbrecht, J. S.

PY - 1988

Y1 - 1988

N2 - The most frequently reported diabetic foot complication is plantar ulceration. Neuropathic fractures occur less than plantar ulcers but usually result in major structural deformities of the feet. The primary risk factors for plantar ulceration are believed to be loss of protective sensation and the pressence of high plantar pressures. Principal etiologic factors in the development of neuropathic fractures are hypothesized to be loss of protective sensation and bone demineralization. Major diabetic foot injuries are preventable by the use of comprehensive screening examinations and patient education. Patients at highest risk of injury should be seen more frequently and receive more extensive therapy. Successful management of plantar ulcerations is dependent on reduction of pressures under the foot and control of infection. Neuropathic fractures require long-term immobilization to promote healing followed by careful monitoring after removal of casts to prevent reinjury. Future research needs include prospective studies on risk factors and validation of treatment techniques.

AB - The most frequently reported diabetic foot complication is plantar ulceration. Neuropathic fractures occur less than plantar ulcers but usually result in major structural deformities of the feet. The primary risk factors for plantar ulceration are believed to be loss of protective sensation and the pressence of high plantar pressures. Principal etiologic factors in the development of neuropathic fractures are hypothesized to be loss of protective sensation and bone demineralization. Major diabetic foot injuries are preventable by the use of comprehensive screening examinations and patient education. Patients at highest risk of injury should be seen more frequently and receive more extensive therapy. Successful management of plantar ulcerations is dependent on reduction of pressures under the foot and control of infection. Neuropathic fractures require long-term immobilization to promote healing followed by careful monitoring after removal of casts to prevent reinjury. Future research needs include prospective studies on risk factors and validation of treatment techniques.

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M3 - Review article

VL - 68

SP - 1887

EP - 1902

JO - Physical Therapy

JF - Physical Therapy

SN - 0031-9023

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Sims DS, Cavanagh PR, Ulbrecht JS. Risk factors in the diabetic foot: Recognition and management. Physical Therapy. 1988;68(12):1887-1902.