Daily-life activities and in-shoe forefoot plantar pressure in patients with diabetes

Guldemond, Nick; Leffers, Pieter; Sanders, Antal P; Schaper, Nicolaas C.; Nieman, Fred; Walenkamp, G. H. I. M.

doi:10.1016/j.diabres.2006.11.006

Cited by 31 publications

(40 citation statements)

References 24 publications

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“…However, changes in regional plantar loading accompanying stair negotiation varied by foot region assessed [9][10][11]. Some studies have reported lower peak pressures at the heel with stair ascent and descent [9,10], while others have found lower peak pressures at the hallux (great toe region) [10,11]. The literature is contentious with regards to which region experiences highest plantar pressures during level walking and stair ascent and descent [9][10][11][12].…”

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 95%

“…Some studies have reported lower peak pressures at the heel with stair ascent and descent [9,10], while others have found lower peak pressures at the hallux (great toe region) [10,11]. The literature is contentious with regards to which region experiences highest plantar pressures during level walking and stair ascent and descent [9][10][11][12]. During level walking, the hallux [3,9,12], third metatarsal [11,13] and heel [10,14] have all been implicated as regions that experience the highest peak pressures; while in stair ascent and descent, the second metatarsal [11], third metatarsal [10] and hallux [9] have been the identified as regions sustaining highest peak pressures.…”

Section: Introductionmentioning

confidence: 98%

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Regional plantar pressure during walking, stair ascent and descent

Rao

Carter

2012

Gait & Posture

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 98%

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Regional plantar pressure during walking, stair ascent and descent

Rao

Carter

2012

Gait & Posture

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“…Plantar pressure was higher while walking up the stairs and ramp than while going down. In the thumb area, more pressure was registered while going down the stairs compared to going up [8].…”

Section: Introductionmentioning

confidence: 98%

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Rezaeian

Karimi

2017

PTJ

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Purpose: Today considering the high prevalence of diabetes and its associated pressure ulcers, also irreparable consequences such as amputation and death, the use of orthotic devices is increasing. A variety of devices have designed to prevent ulcers in the patients' feet, however other aspects of the treatment, especially the performance of these patients in standing and walking, which are their main daily activities, have not been considered in designing and use of orthotic devices. In addition, the differences between the available devices and their effects have not been described yet. Therefore the aim of this review article is to answer these issues. Methods:A comprehensive research was done in databases of PubMed, Google Scholar, and ISI Web of Knowledge. The keywords such as "diabetic neuropathy", "orthosis", "plantar pressure", "balance", "energy consumption", and "spatial-temporal parameters of gait" and their results were analyzed. The quality of articles were evaluated by Downs and Black tool.Results: After proper search, 245 English articles were found with the related keywords. Then, 184 articles were excluded because of a common title or incomplete text. Also, 25 articles were excluded from the study, because their contents did not relate highly to this study or have reasonable conclusion based on the findings of other articles. Eventually the results of 36 articles were examined and reported. Conclusion:This study has examined the various articles from randomized control trial to case report. Most studies emphasized on the reduction of plantar pressures and ulcer treatment with orthotic devices. A few studies are available on the effects of orthosis in standing balance and walking parameters. However, no study was found with regard to the effect of orthotic treatments on energy consumption in these patients. Because this topic is very important, it is suggested that future studies be focused on these issues.

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“…Rozema et al 69 and Guldemond et al 70 studied how these affect plantar pressure and demonstrated that level walking produced the highest forefoot pressures compared to a variety of other activities. Walking with a change of direction considerably increased plantar pressure compared to straight line walking.…”

Section: Rehabilitation Of Patients With Diabetic Neuropathymentioning

confidence: 99%