ACOMPANHAMENTO FISIOTERAPÊUTICO DOS PACIENTES COM LESÕES DE PÉS INSENSÍVEIS UTILIZANDO AS PALMILHAS PERSONALIZADAS PARA NEUROPATIAS PERIFÉRICAS.

Abstract

Diabetic or insensitive foot can lead from chronic wounds and infections to amputations of lower limbs. Situation that makes it necessary to evaluate and monitor the physiotherapist from promotion, prevention, awareness of complications and physical therapy intervention such as the prescription of insoles. The insoles help in improvement of muscle, joint and sensitivity changes and also reduce injuries of insensible feet. In this sense, the aim of the study was to follow up patients with insensitive foot injuries with the use of custom insoles. The volunteers were from the Municipal Center for Diabetes Education (CEMED) in Pouso Alegre. THE sample consisted of 5 volunteers, both genders, adults, with foot injuries insensitive. After CEP approval, the researchers evaluated the patients to obtain data for the manufacture of insoles. The evaluation consisted of the evaluation with the Semmes-Weinstein monofilament; the plantigraph, the pedigraph, the podograph; of the podoscope in acrylic; baropodometer, lesion measurements and image recording. You volunteers were followed for 20 days and reassessed. It was observed that reassessment there was a reduction in the dimensions of the lesions in 20 days of use. Of these results, the researchers consider that the physiotherapeutic prescription of insoles directed at lesions of insensitive feet contributed to the reduction of injuries in the majority.