한센병 환자의 족저궤양과 최대 족저압력과의 관계

Relationship Between Plantar Foot Pressures and Plantar Ulceration in Patients with Hansen's Disease

Foot ulceration results in substantial morbidity in patients with peripheral neuropathy. The purpose this study was to find the relationship of planter foot pressures during walking to plantar ulceration in patients with Hansen's disease. The subjects were recuruited form two Welfare Clinic for Hansen's disease in Wonju and Uiwang city. Ten subjects (5 females, 5 males) with plantar ulceration and a mean age of 63 years were evaluated in this study. The mean duration of Hansen's disease in these subjects was 30 years. Planter pressures were measured during self-selected comfortable walking speed by using MatScan system. Three subjects had plantar ulceration under the first metatarsal head. Five subjects had plantar ulceration under the second and third metatarsal head. Two subjects had plantar ulcers under the fifth metatarsal head. Eight of 10 subjects had plantar ulceration at highest pressure point that measured during walking. This result suggests that the abnormal high plantar pressure could be related factor to plantar ulceration in patients with Hansen's disease. Also the foot pressure measurement may be useful to evaluate the risk of plantar ulceration in patient with Hansen's disease.