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The assessment of diabetic peripheral neuropathy and appropriate referral system for specialist medical team in Nathamtai primary care unit, Muang, Trang province

The research was conducted by Dr. Muna Useng, a resident physician in the third year of the Family Medicine Branch at Trang Hospital, with the guidance of Dr. Charuat Champa, an orthopedic physician and advisor to the Diabetic Foot Care Clinic at Trung Hospital.

A medical report has revealed that a significant 65.47% of diabetic patients did not receive a proper foot assessment at Na Tham Tai Hospital in 2020, posing a serious risk of developing foot complications that can lead to lower limb amputation. Despite equipment and physical examination limitations, the ankle-brachial index (ABI) meter can classify the risk level of foot ulcers. Advanced tools like the Surapodo scan and Surasole electronic insole can provide comprehensive foot assessment. To reduce the risk of lower limb amputation, healthcare professionals and patients need to collaborate and follow established foot care guidelines.

Measurement agreement between sensor embedded insole Surasole and laboratory-based gait analysis

The research project was conducted by Dr. Thanapoom Laddachayaporn, a third-year resident physician in Regenerative Medicine at King Chulalongkorn Memorial Hospital, Thai Red Cross Society, with Dr. Thimphon Witoonpong as advisor.

This study assessed the accuracy of Surasole electronic insole and force plate in measuring weight distribution and gait characteristics. The results showed that both instruments were reliable and consistent, and positively correlated, indicating their validity. The study supports the use of Surasole electronic insole as a preliminary tool for screening weight-bearing patterns during gait, with potential for further development in clinical and research settings.

The effects of Siriraj exercise protocol for diabetic neuropathic foot patients on plantar pressure load and balance

This study aimed to investigate the differences in plantar pressure, balance, and walking speed between the Siriraj Exercise Protocol (SEP) group and the control group in patients with diabetic neuropathic foot (DNF). Participants with DNF were randomly allocated to either the SEP group or the control group. The SEP group underwent an 8-week exercise program, while the control group did not participate in exercise sessions. Results showed that the SEP group achieved a lower plantar pressure and significant improvements in balance and walking speed compared to the control group. These findings suggest that the SEP via telerehabilitation is beneficial for individuals with DNF.

Electronic shoe and platform innovation prototype for tele-medicine in patients with mobility impairment and elderly

This project is funded by a research grant from the National Research Council of Thailand (NRCT) for the fiscal year 2021, with Assoc. Prof. Dr. Sudkhet Pojprapai serving as the project leader.

By a collaborative research team from the Faculty of Engineering at Suranaree University of Technology and the Faculty of Medicine at Khon Kaen University, to predict the risk of falling for elderly people at risk of falling, stroke patients, and Parkinson’s patients. The insole uses pressure sensors developed in-house in Thailand, which can replace imported sensors and be used as a primary weight-based motion measurement device. The team collected walking data of 1,100 elderly people to create an artificial intelligence model with a sensitivity and specificity of 82%. The Surasole has the potential to be used in health rehabilitation centers to design appropriate treatment and rehabilitation plans for fall prevention.

Surasole: Insole with Sensors for Patients with Diabetic Feet.

This project is funded by Thailand Science Research and Innovation (TSRI) under contract number RDG6250037, with Assoc. Prof. Dr. Sudkhet Pojprapai served as the project leader.

The study aimed to improve insole design and compare plantar pressure between people with and without diabetes. 174 participants were involved, and results showed that those with diabetes had more pressure on their toes and flatter feet. The study suggests using the Surasole tool for further research and diagnosis of weight-bearing characteristics.

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