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Titolo:
Foot pressures during gait: A comparison of techniques for reducing pressure points
Autore:
Lawless, MW; Reveal, GT; Laughlin, RT;
Indirizzi:
Wright State Univ, Dept Orthopaed Surg, Dayton, OH 45409 USA Wright State Univ Dayton OH USA 45409 rthopaed Surg, Dayton, OH 45409 USA
Titolo Testata:
FOOT & ANKLE INTERNATIONAL
fascicolo: 7, volume: 22, anno: 2001,
pagine: 594 - 597
SICI:
1071-1007(200107)22:7<594:FPDGAC>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SHOE PLANTAR PRESSURES; MEASUREMENT SYSTEM; RELIABILITY; WALKING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Laughlin, RT Wright State Univ, Dept Orthopaed Surg, 30 E Apple St,Suite L200, Dayton, OH 45409 USA Wright State Univ 30 E Apple St,Suite L200 DaytonOH USA 45409
Citazione:
M.W. Lawless et al., "Foot pressures during gait: A comparison of techniques for reducing pressure points", FOOT ANKL I, 22(7), 2001, pp. 594-597

Abstract

Purpose: Various methods have been used to redistribute plantar surface foot pressure in patients with foot ulcers. This study was conducted to determine the effectiveness of four modalities (fracture walker, fracture walkerwith insert, and open and closed toe total contact casts) in reducing plantar foot pressure. Methods: Ten healthy, normal volunteer subjects had an F-scan sensor (ultra thin shoe insert pressure monitor) placed under the right foot. They thenambulated on a flat surface, maintaining their normal gait. Dynamic plantar pressures were averaged over 10 steps at four different sites (plantar surface of great toe, first metatarsal head, base of fifth metatarsal, and plantar heel). All subjects repeated this sequence under five different testing conditions (barefoot, with a fracture walker, fracture walker with arch support insert, open and closed toe total contact cast). Each subject's barefoot pressures were then compared with the pressures during the different modalities. Results: All four treatment modalities significantly reduced (p < 0.05) plantar pressure at the first metatarsal head (no method was superior). The fracture walker, fracture walker with insert, and open toe total contact cast significantly reduced pressure at the heel. Pressures at the base of the fifth metatarsal and great toe were not significantly reduced with any treatment form. Conclusion: The fracture walker, with and without arch support, and total contact cast can effectively reduce plantar pressure at the heel and first metatarsal head.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/03/20 alle ore 19:57:35