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Advisor(s)
Abstract(s)
Objective: It is estimated that by 2035 the global prevalence of diabetes will rise to almost 600 million, and around 80% of these people will live in developing countries. Foot problems complicating diabetes are a source of a major patient suffering and societal costs. Foot ulcers are the most prevalent problem, with a yearly incidence of around 2-4% in developed countries. The aim of this study is to assess the effectiveness of footwear and foot orthoses (FO) on the main complications of the diabetic foot. Methods: It is a study of cross-sectional descriptive and correlational approach, with a sample selected by convenience. For this investigation, the need to build a form consisting of demographic data, clinical data, treatment data and complications was recognized. The parameter risk of falling was assessed by the Performance-Oriented Mobility Assessment tool (POMA). The study was developed in a sample comprising of 40 individuals with high level of foot complications. Results: The use of footwear and foot orthoses proved to be an important feature of foot protection (p = 0,024). Individuals with appropriate footwear and OF tended to have no ulcers (46,7%), while those without appropriate footwear and OF tended to have an ulcer at least at least once (88%). The risk of falling among users of footwear and OP was average, while subjects who did not use footwear and OP the risk of falling was high, verifying statistically significant differences (p = 0,034). Conclusion: In fact, the evidence found shows that the diabetic foot has important individual and social consequences and is predominantly linked to the epidemic DM, deserving special attention. It highlights the importance of more effective action for the prevention of complications of patients with diabetic foot, as well as education of the subject.
Description
Keywords
Diabetes Diabetic foot Orthotic Performance-Oriented Mobility Assessment tool
Citation
Briôa M, Matos J, Lima D, Ricardo D. Orthotic management of diabetic foot. In: 12th International Congress of the European Union Geriatric Medicine Society, Lisboa Congress Center (Portugal), 5-7 October 2016. Eur Geriatr Med. 2016;7 Suppl 1:S151.