Encouraging reduction of activity amongst patients with diabetic foot ulcers.

Promising work from our Darbyshire SALSAmigos.

• Source: Wounds UK . Jul2018, Vol. 14 Issue 3, p34-39. 5p.


• Abstract: Background: Recommendations published by the international working group of the diabetic foot (2015) advise that patients should limit standing and walking to facilitate optimal wound healing. Aims: To assess the feasibility and acceptability of wearing a pedometer to record step counts and daily walking patterns. To examine the relationship between step count and wound healing. Methods: Ten attendees of the diabetic foot clinic at Royal Derby Hospital were invited to use a pedometer (Omron HJ-203) for a 4-week period. Results: The majority of participants (n=9) wore the pedometer on a daily basis. A weak negative correlation was found between wound size reduction and mean daily step count (Spearman’s rank -0.057, p=0.0091). Reduced wound size was associated with smaller variations in daily step count (<6.75 fold). Conclusions: The pedometer was acceptable to participants and feasible to use as demonstrated by high uptake in daily use. Strategies may be needed to help achieve and sustain reductions in walking behaviour over time and in the context of competing health beliefs and the demands of work and family life.

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2 thoughts on “Encouraging reduction of activity amongst patients with diabetic foot ulcers.

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  1. I do not share this point of view, any more than having special shoes or whatever. I also do not share the restraints in the use of hot water on the feet. All this makes it possible to increase the strength and the thickness of the crusts of the hyperkeratosis and thus, put the foot at risk of multiplying the wounds and making them chronic. Yes that’s true, but it also allows you to be able to disolve all the mass of basal cells, so-called immature keratinocyte cells, on the outside of the skin so that we can help to recycle them, to support the effect of desquamation, to allow our glands to get rid of them and become flexible in their movement. Here is the summary of the treatment of immature keratinocytes which must put all diabetic complication KO. AND, live life, abas the amputations. What research brings here is similar to what literature has always said. This helps to accompany people to death, a little more gently. . I think it’s not ethical.

  2. I’m sure Dr. David G Armstrong is the best person to bring about profound and helpful changes in the treatment of diabetic wounds. The treatment of immature keratinocytes allows us to have a good oxygenation of the blood at the level of the feet, a good pressure without consuming ton of coversil, a good temperature at the level of the wound, without risk to see the nerves and the bones pourir. We can do better and I rely on DF and SALSAmigos. The treatment of immature keratinocytes is the ultimate solution. simple and easy but, how effective. There are no others

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