Changes in the Thickness and Stiffness of Plantar Soft Tissues in People With Diabetic Peripheral Neuropathy  Jia-Hui Sun, MPhil, Benson K. Cheng, PhD, Yong-Ping Zheng, PhD, Yan-Ping Huang, MPhil, Jenny Y. Leung, MBBS, Gladys L. Cheing, PhD  Archives of Physical Medicine and Rehabilitation  Volume 92, Issue 9, Pages 1484-1489 (September 2011) DOI: 10.1016/j.apmr.2011.03.015 Copyright © 2011 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 (A) The user interface of the tissue ultrasound palpation system (TUPS) software shows the ultrasound echo train. The first echo is associated with the ultrasound transducer-skin interface while the second one represents the tissue-bone interface. The thickness of the heel pad is presented by the distance between the first and second echoes. (B) A typical ultrasound image shows the cross-section of the heel tissues. The tissue interfaces corresponding to the echoes obtained by TUPS for measuring thickness are indicated. Archives of Physical Medicine and Rehabilitation 2011 92, 1484-1489DOI: (10.1016/j.apmr.2011.03.015) Copyright © 2011 American Congress of Rehabilitation Medicine Terms and Conditions