Transient Thermal Behavior and Diabetic Foot
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 45
- 试验地点
- 2
- 主要终点
- Thermal signals measured on plantar foot
研究概览
简要总结
In our study, the investigators propose to analyze the transient thermal responses taken at the level of the sole of the foot, following the application of a cold stimulus. By combining a spatio-temporal analysis of these temperature fields and a thermal modeling of the heat transfer in the thickness of the foot, the investigators want to highlight differences between healthy feet vs. pathological feet. Therefore, the investigators will determine the transient thermal responses at the level of the sole of the foot and correlate them with the podological grade.
详细描述
Both plants of the patient's feet will be observed by a thermal camera. Static observations (taking a single image), or dynamic (taking a series of images) of the foot, will be made. In the latter case, the observation will be done after a brisk walk of 6 min. The instruction given to patients will be to go the furthest in 3 min and then come back in 3 min, all while walking. The observation will be made by cameras without contact. These thermal cameras are non-invasive and non-ionizing, there is no risk related to their use. The camera will be placed on a tripod, a few tens of centimeters from the foot, and connected to a laptop (for the images acquisition). A wooden box, painted black, will be placed around both feet to protect the scene from parasitic thermal radiation that can disturb temperature variations. Foam will protect the skin / wood interface. Electric resistances, fixed on the box, will be placed in the field of vision of the thermal camera to guarantee the good treatment of the images. These resistors will never be in contact with the patient. The area filmed by the camera will be limited to the sole arch and, sometimes, the hand of patients to see if a thermal anomaly is also present on this member.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diabetic subjects (type 1 and 2)
- •age above 18 years old
- •able to walk
- •affiliate to insurance regimen
排除标准
- •unable to stay motionless
- •pregnancy
- •subjects with feet wound
结局指标
主要结局
Thermal signals measured on plantar foot
时间窗: At the inclusion
Determine the transient thermal responses at the plantar foot
Correlation with podologic grade
时间窗: At the inclusion
The classification of foot risk, mentioned in 2007 in the HAS report, is as follows (\[HAS 2007\]) Diabetic Foot Report http://www.has-sante.fr/portail/upload/docs/application/pdf/_foot_diabetic.pdf, 2007 : * Grade 0: absence of sensitive neuropathy Grade 1: isolated sensitive neuropathy * Grade 2: sensitive neuropathy associated with arteriopathy of the lower limbs and/or foot deformities * Grade 3: history(s) of foot ulceration (grade3a) and/or lower limb amputation (grade 3b)
次要结局
未报告次要终点
