The Foot in Diabetes.The Foot in Diabetes Sammarco GJ. Philadelphia, PA 19355, Lea & Febiger, 1991, hardback, 235 pp, illus, $45. Though diabetes is a multisystem disease, this book focuses on the ramifications ramifications npl → Auswirkungen pl of the disease in the foot. The material in this book would he a useful reference to physical therapists who treat patients with diabetes. Several invited authors contribute to the text, and generally, the content is organized to produce a comprehensible transition between chapters and topics. In chapter 1, current information is provided about the disease that could provide a worthwhile review for interested practitioners. Specific informational chapters are included on vascular disease, neurologic problems, infections, and cutaneous cutaneous /cu·ta·ne·ous/ (ku-ta´ne-us) pertaining to the skin. cu·ta·ne·ous adj. Of, relating to, or affecting the skin. Cutaneous Pertaining to the skin. manifestations related to diabetes (chapters 6 through 9, respectively). These chapters provide a valuable understanding of the incidence, testing, prevention, and common medical treatment of each of these potential diabetic complications. Chapters 3, 4, 5, 10, 12, 13, and 14 may be of particular interest to physical therapists. Chapter 3 briefly outlines an examination of the diabetic foot diabetic foot A foot with a constellation of pathologic changes affecting the lower extremity in diabetics, often leading to amputation and/or death due to complications; the common initial lesion leading to amputation is a nonhealing skin ulcer, induced by . In chapter 4, there is concise, but eloquent, discussion of the diabetes-affected foot. included in this discussion are the topics of mobility and stability, force transmission, kinematics kinematics: see dynamics. kinematics Branch of physics concerned with the geometrically possible motion of a body or system of bodies, without consideration of the forces involved. , gait, and the biomechanical approach to treatment. Chapter 5 specifically addresses plantar plantar /plan·tar/ (plan´tar) pertaining to the sole of the foot. plan·tar adj. Of, relating to, or occurring on the sole. pressure in the diabetic foot by use of case presentations that represent common pressure-distribution problems. A "how to" approach to total contact casting is related in chapter 10. This chapter is efficient in outlining the indications, precautions, and procedures for applying a total contact cast. Chapters 12 and 13 discuss amputation amputation (ăm'pyətā`shən), removal of all or part of a limb or other body part. Although amputation has been practiced for centuries, the development of sophisticated techniques for treatment and prevention of infection has greatly and the patient with diabetes. The indications for amputation, as well as categories of surgical resections for the foot, are provided in chapter 12. Chapter 13 appropriately furnishes a succeeding discussion on the prosthetic pros·thet·ic adj. 1. Serving as or relating to a prosthesis. 2. Of or relating to prosthetics. prosthetic serving as a substitute; pertaining to prostheses or to prosthetics. management and rehabilitation of the patient with diabetes following amputation, including common complications that may occur. Consideration of orthotic orthotic /or·thot·ic/ (or-thot´ik) serving to protect or to restore or improve function; pertaining to the use or application of an orthosis. or·thot·ic adj. Of or relating to orthotics. management and the use of suitable footwear is addressed in chapter 14. Basic selection criteria, possible choices of material, and alteration of these treatment options are provided in this chapter. Useful outlines for follow-up assessment of the success of the appliance or shoe are also supplied. Bibliographies are provided at the termination of each chapter for readers who want to investigate a particular topic to a greater extent. There are ample helpful illustrations that effectively supplement the text. Throughout the book, there is relevant discussion of prevention and patient education issues. This book will provide a concise reference of pertinent information about the diabetic foot to clinicians who exclusively treat patients with diabetes and may be even more educational and useful to physical therapists who occasionally treat foot complications that result from diabetes. R Scott Ward, PT Unit, of Utah Salt Lake City, Utah For ships of the United States Navy of the same name, see . Salt Lake City is the capital and the most populous city of the U.S. state of Utah. The name of the city is often shortened to Salt Lake, or its initials, S.L.C. |
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