Peter A Lazzarini|Ryan T. Crews|Jaap J. van Netten|Sicco A. Bus|Malindu E Fernando|Paul Chadwick|Bijan Najafi
Measuring Plantar Tissue Stress in People With Diabetic Peripheral Neuropathy: A Critical Concept in Diabetic Foot Management
Queensland University of Technology|Prince Charles Hospital|Rosalind Franklin University of Medicine and Science|University of Amsterdam|Amsterdam University Medical Centers|Ziekenhuis Groep Twente|Queensland University of Technology|University of Amsterdam|Amsterdam University Medical Centers|Queensland University of Technology|James Cook University|College of Podiatry|Baylor College of Medicine
excessive stress plantar tissue time one leading causes diabetic foot ulcers among people diabetic peripheral neuropathy plantar tissue stress pts concept attempts integrate several wellknown mechanical factors one measure including plantar pressure shear stress daily weightbearing activity time spent prescribed offloading interventions adherence despite international diabetic foot guidelines recommending measure individual mechanical factors people neuropathy recently technology enabled combined measurement determine pts article review concept pts mechanical factors involved findings pivotal articles reporting measures pts people neuropathy also discuss key existing gaps field including lack standards measure report pts lack practical solutions measure shear stress lack pts thresholds may indicate benefit detriment people neuropathy address gaps propose recommended clinical research standards measuring reporting pts people neuropathy last forecast future clinical research technological advancements may use pts highlight importance critical concept prevention management diabetic foot ulcers