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Correlation of leg pain responses with ankle-brachial index and peripheral sensory responses in foot of type 2 diabetes mellitus

Authors :
Heri Kristianto
Tina Handayani Nasution
Endah Panca Lidya Fatma
Efris Kartika Sari
Ahmad Hasyim Wibisono
Haryadi Kurniawan
Firdausy Ratna
Ica Cristiningtyas
Endang Listyowati
Source :
Healthcare in Low-resource Settings, Vol 11, Iss s1 (2023)
Publication Year :
2023
Publisher :
PAGEPress Publications, 2023.

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is associated with changes that occur in the peripheral circulation that affect foot functions. Therefore, there is a need for a risk prediction test on foot abnormalities using the leg pain response parameters in T2DM patients with ankle-brachial index (ABI) and peripheral sensory changes as a preventive effort to manage foot care. Design and Methods: This study employed a cross-sectional design in which 63 T2DM patients in a Public Health Center (PHC) in Malang were investigated. The instruments used include visual analog scale (VAS), monofilament, and foot doppler. Results: The Pearson correlation test showed no relationship between the responses to leg pain and the ABI of the right and left feet (p-values = 0.217 and 0.692), but there was a significant relationship between the left foot ABI and sensory status (p-value 0.002; left foot r = 0.383). Meanwhile, the Pearson's correlation and linear regression test also showed a relationship between the right foot ABI and sensory status (p-value = 0.007; r = 0.338). Furthermore, a multiple linear regression test showed a relationship between the leg pain response and sensory perception of the right and left feet (p-value = 0.035; r = 0.325). Conclusions: The relationship between the sensory status of the right and left feet and the response to leg pain in T2DM patients were moderate with a negative direction. It, therefore, implies that a decrease in the sensory responses increased the leg pain. Meanwhile, the moderate relationship and positive direction between the ABI and sensory status of the feet of T2DM patients indicates that a higher ABI score led to an increase in the sensory status of the foot.

Details

Language :
English
ISSN :
22817824
Volume :
11
Issue :
s1
Database :
Directory of Open Access Journals
Journal :
Healthcare in Low-resource Settings
Publication Type :
Academic Journal
Accession number :
edsdoj.99799579eadd4fa0bcca469df56ecc70
Document Type :
article
Full Text :
https://doi.org/10.4081/hls.2023.11173