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Titolo:
Pneumatic bracing and total contact casting have equivocal effects on plantar pressure relief
Autore:
Hartsell, HD; Fellner, C; Saltzman, CL;
Indirizzi:
Univ Iowa, Grad Program Phys Therapy, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 am Phys Therapy, Iowa City, IA 52242 USA Univ Iowa, Dept Orthoped, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 , Dept Orthoped, Iowa City, IA 52242 USA Univ Iowa, Dept Biomed Engn, Iowa City, IA 52242 USA Univ Iowa Iowa City IA USA 52242 ept Biomed Engn, Iowa City, IA 52242 USA
Titolo Testata:
FOOT & ANKLE INTERNATIONAL
fascicolo: 6, volume: 22, anno: 2001,
pagine: 502 - 506
SICI:
1071-1007(200106)22:6<502:PBATCC>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEUROPATHIC FOOT ULCERATIONS; DIABETIC SUBJECTS; WALKING BRACE; ULCERS; RISK;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Hartsell, HD Univ Iowa, Grad Program Phys Therapy, 2600 Steindler Bldg, Iowa City, IA 52242 USA Univ Iowa 2600 Steindler Bldg Iowa City IA USA 52242 2242 USA
Citazione:
H.D. Hartsell et al., "Pneumatic bracing and total contact casting have equivocal effects on plantar pressure relief", FOOT ANKL I, 22(6), 2001, pp. 502-506

Abstract

The purpose was to examine and compare plantar pressures produced in healthy subjects while wearing a running shoe (RS), total contact cast (TCC) and'customized' pneumatic pre-fabricated walking brace (PWB). A repeated measures design was used to compare the plantar pressures recorded for three footwear types (RS, TCC, PWB) in two body regions (forefoot, heel). Nine healthy subjects walked at a self-selected walking pace on a motorized treadmill while wearing the RS, TCC and PWB (ordered randomization). Following a five-minute acclimatization period on the treadmill with each footwear device, plantar pressures were recorded from 84 constant gait speed and step length steps using the Pedar system of in-shoe array of capacitive sensors embedded in an insert. Mean spatially averaged peak plantar pressures were recorded for the metatarsal heads and heel region for each footwear device wornby each subject. A two-way analysis of variance with repeated measures andpost-hoc Tukey tests analysed the data with a significance level of p=.05. The main effects of footwear (p=.005) and body region (p=.000), and interaction effect (body region x footwear device) (p=.000) were significant. Unloading of the forefoot was 63.72% and 58.77% for the TCC and PWB, respectively, whereas loading under the heel was increased 37.09% and 34.11% for thesame two devices, respectively. Patients who develop neuropathic plantar ulcers in the forefoot region, but not in the heel region, may benefit from a reduction in plantar pressures by using either the TCC or a 'customized' PWB. An alternative footwear device still needs to be found for those patients with heel ulceration.

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Documento generato il 06/04/20 alle ore 01:46:53