Effect of gait correction training on plantar pressure in elderly patients with diabetic at-risk foot
Objective To explore the intervention effect of gait correction training on plantar pressure in elderly patients with diabetic at-risk foot.Methods A total of 88 elderly patients with diabetic at-risk foot who visited 2 social health service centers in Shanghai from September to October 2022 were selected as the study subjects.Using a lot-tery method,43 patients from one community health service center were selected as the control group,while 45 pa-tients from the other community health service center were selected as the observation group.During the interven-tion,2 cases were lost to follow-up in the observation group and 1 case was lost to follow-up in the control group.A total of 85 patients were finally included in the analysis,including 42 cases in the control group and 43 cases in the observation group.The control group received community diabetes health education and community routine exercise,and the observation group received gait correction training on the basis of the control group,all of which were inter-vened for 3 months.The pressure related indexes(peak pressure,impulse,and max force)of left and right plantar pressure were compared between 2 groups of patients before and after intervention.Results After 3 months of inter-vention,the peak pressure,impulse,and max force of the left and right feet in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Gait correc-tion training can reduce plantar pressure related indicators,such as peak pressure,impulse and maximum force of left and right feet,improve lower limb function,and prevent and reduce the risk of foot ulcers in elderly patients with diabetic at-risk foot.