Offloading effects of a removable cast walker with and without modification for diabetes-related foot ulceration: a plantar pressure study.

IF 2.5 3区医学 Q1 ORTHOPEDICS

Journal of Foot and Ankle Research Pub Date : 2023-05-11 DOI:10.1186/s13047-023-00625-z

Rebekah V Withers, Byron M Perrin, Karl B Landorf, Anita Raspovic

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引用次数: 2

Abstract

Background: Removable cast walkers (RCWs), with or without modifications, are used to offload diabetes-related foot ulcers (DRFUs), however there is limited data relating to their offloading effects. This study aimed to quantify plantar pressure reductions with an RCW with and without modification for DRFUs.

Methods: This within-participant, repeated measures study included 16 participants with plantar neuropathic DRFUs. Walking peak plantar pressures at DRFU sites were measured for four conditions: post-operative boot (control condition), RCW alone, RCW with 20 mm of felt adhered to an orthosis, and RCW with 20 mm of felt adhered to the foot.

Results: Compared to the control condition, the greatest amount of peak plantar pressure reduction occurred with the RCW with felt adhered to the foot (83.1% reduction, p < .001). The RCW with felt adhered to the foot also offered greater peak plantar pressure reduction than the RCW alone (51.3%, p = .021) and the RCW with felt adhered to an orthosis (31.4%, p = .009).

Conclusion: The largest offloading effect recorded was with the RCW with felt adhered to the foot. High-quality randomised trials are now needed to evaluate the effectiveness of this device for healing DRFUs.

Abstract Image

查看原文本刊更多论文

可移动助行器对糖尿病相关足部溃疡的卸载效果:足底压力研究。

背景:可移动助行器(RCWs)，无论是否经过修改，都被用于卸载糖尿病相关性足溃疡(DRFUs)，然而，关于其卸载效果的数据有限。本研究的目的是量化RCW对drfu的压力降低。方法:这项参与者内重复测量研究包括16名足底神经性DRFUs患者。在四种情况下测量DRFU部位的行走峰值足底压力:术后靴子(对照条件)，单独RCW, RCW与20 mm毡粘在矫形器上，RCW与20 mm毡粘在脚上。结果:与对照组相比，毛毡贴足组足底压力峰值降低幅度最大(降低83.1%)。结论:以毛毡贴足组足底压力峰值降低幅度最大。现在需要高质量的随机试验来评估该装置治疗DRFUs的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.