A Longitudinal Investigation into the Functional and Physical Durability of Insoles Used for the Preventive Management of Neuropathic Diabetic Feet
Autor: | Ray Jones, Graham Bruce, Joanne Paton, Elizabeth Stenhouse |
---|---|
Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Time Factors Heel Peak pressure Foot lesions Foot Orthoses medicine.disease_cause Weight-bearing law.invention Weight-Bearing Randomized controlled trial law Diabetes mellitus Outcome Assessment Health Care medicine Humans Longitudinal Studies Aged business.industry Significant difference Equipment Design General Medicine medicine.disease Diabetic Foot Shoes medicine.anatomical_structure Physical therapy Equipment Failure Female business Foot (unit) |
Zdroj: | Journal of the American Podiatric Medical Association. 104:50-57 |
ISSN: | 1930-8264 8750-7315 |
Popis: | BackgroundInsoles are commonly used to assist in the prevention of diabetic neuropathic foot ulceration. Insole replacement is often triggered only when foot lesions deteriorate, an indicator that functional performance is comprised and patients are exposed to unnecessary ulcer risk. We investigated the durability of insoles used for ulcer prevention in neuropathic diabetic feet over 12 months.MethodsSixty neuropathic individuals with diabetes were provided with insoles and footwear. Insole durability over 12 months was evaluated using an in-shoe pressure measurement device and through repeated measurement of material depth at the first metatarsal head and the heel seat. Analysis of variance was performed to assess change across time (at issue, 6 months, and 12 months).ResultsAnalyses were conducted using all available data (n = 43) and compliant data (n = 18). No significant difference was found in the reduction of mean peak pressure tested across time (P < .05). For both sites, significant differences in insole depth were identified between issue and 6 months and between issue and 12 months but not between 6 and 12 months (P < .05). Most insole compression occurred during the initial 6 months.ConclusionsVisual material compression does not seem to be a reliable indicator of insole usefulness. Frequency of insole replacement is best informed by a functional review of effect determined using an in-shoe pressure measurement system. These results suggest that insoles for diabetic neuropathic patients can be effective in maintaining peak pressure reduction for 12 months regardless of wear frequency. |
Databáze: | OpenAIRE |
Externí odkaz: |