02504nas a2200361   4500000000100000008004100001260001200042653002300054653001800077653001100095653001200106653001300118653002600131653002900157653001500186653001000201100001400211700001200225700001000237700001300247700001500260700001300275700001200288700001300300700001200313700001200325700001200337245015100349856008200500490000700582520153900589022001402128       2020                            d  c12/202010aHansen’s disease10agait analysis10ainsole10aleprosy10aOrthosis10aperipheral neuropathy10aprecision rehabilitation10aprosthesis10awound1 aTashiro S1 aGotou N1 aOku Y1 aSugano T1 aNakamura T1 aSuzuki H1 aOtomo N1 aYamada S1 aTsuji T1 aAsato Y1 aIshii N00aRelationship between Plantar Pressure and Sensory Disturbance in Patients with Hansen's Disease-Preliminary Research and Review of the Literature.  uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7730212/pdf/sensors-20-06976.pdf0 v203 a<p>Orthoses and insoles are among the primary treatments and prevention methods of refractory plantar ulcers in patients with Hansen's disease. While dynamic plantar pressure and tactile sensory disturbance are the critical pathological factors, few studies have investigated whether a relationship exists between these two factors. In this study, dynamic pressure measured using F-scan system and tactile sensory threshold evaluated with monofilament testing were determined for 12 areas of 20 feet in patients with chronic Hansen's disease. The correlation between these two factors was calculated for each foot, for each clinical category of the foot (0-IV) and across all feet. A significant correlation was found between dynamic pressure and tactile sensation in Category II feet ( = 8,  = 0.016, r = 0.246, Spearman's rank test). In contrast, no significant correlation was detected for the entire foot or within the subgroups for the remainder of the clinical categories. However, the clinical manifestation of lesion areas showed high variability: (1) pressure concentrated, sensation lost; (2) margin of pressure concentration, sensation lost; (3) pressure concentrated, sensation severely disturbed but not lost; and (4) tip of the toe. These results may indicate that, even though there was a weak relationship between dynamic pressure and tactile sensation, it is important to assess both, in addition to the basics of orthotic treatment in patients with Hansen's disease presenting with refractory plantar ulceration.</p>  a1424-8220