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Table 1 Research on the pathogenesis of plantar ulceration utilizing plantar pressure or COP measurement in Hansen’s disease

From: Plantar pressure distribution and altered postural control in multibacillary leprosy patients

Reference, Year

Subject Number

Plantar Pressure measurements

COP measurements

Findings

Sabato et al., 1982 [5]

30 patients

Static balance pressure  6 areas

No

Association between presence of an ulcer and the foot ground pressure.

Greve et al., 1994 [17]

13 patients, 17 control

Static balance pressure  2 areas

No

Hemilateral asymmetry and increased pressure were associated with plantar ulcer

Bhatia & Patil, 1999 [18]

108 patients, 52 control

Dynamic peak pressure (walking) 10 areas

No

Hemilateral asymmetry and increased dynamic foot pressure were associated with plantar ulcer

Slim et al., 2012 [8]

39 patients

Dynamic peak pressure (walking) 4 areas

No

Highest pressure is associated with tactile sensitivity

van Schie et al., 2013 [19]

39 patients  (with/ without ulceration)

Dynamic peak pressure (walking)  Not divided in areas

No

Current and previous ulceration do not differ on barefoot pressure.

Condeiro et al., 2014 [20]

51 patients

20 controls

Static balance pressure  6 areas

 

Loss of protective sensitivity in multibacilar leprosy patients is predictive of plantar ulcers

Plantar pressure peaks seem to be of greater importance in paucibacilar leprosy patients in ulcer prediction

Cordeiro et al., 2014 [16]

21 patients

11 controls

Static balance pressure  6 areas

ML and AP displacement

No differences in plantar pressure or COP measurements

Viveiro et al., 2017 [21]

34 patients

34 controls

No

Area, ML and AP velocity

Greater oscillation and velocity of COP in individuals with leprosy.

Tashiro et al., 2020 [22]

20 patients

Dynamic peak pressure (walking)  12 areas

No

Neuropathic foot avoids weight bearing in the foot area with sensory loss