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Barefoot pressure distribution of diabetic patients and non-diabetic volunteer subjects after sensorimotor training with an unstable shoe construction.
Maetzler, M; Bochdansky, T; Wang, W; Abboud, R J.
Afiliación
  • Maetzler M; Praxisgemeinschaft REHA-MED, Andelsbuch, Austria.
  • Bochdansky T; University of Applied Sciences, Technikum Wien, Vienna, Austria.
  • Wang W; TORT Centre, Ninewells Hospital Medical School, Institute of Motion Analysis & Research (IMAR), University of Dundee, United Kingdom.
  • Abboud RJ; Dean's Office, Faculty of Engineering, University of Balamand, Koura, Lebanon. Electronic address: rjabboud@balamand.edu.lb.
Foot (Edinb) ; 60: 102102, 2024 Sep.
Article en En | MEDLINE | ID: mdl-38852212
ABSTRACT

BACKGROUND:

Forty-three percent of all diabetic foot ulcers occur under the medial forefoot due to a medial deviation of elevated pressures and premature forefoot ground contact in neuropathic diabetic patients. A 6-week sensorimotor training period with an unstable shoe construction reduces in-shoe peak pressures and contact times under the medial aspect of the forefoot.

METHODS:

The study was designed as a Randomised Control Trial with two diabetic groups (one served as intervention group and one as control group) and one non-diabetic intervention group. Measurements for barefoot pressure distribution and contact times were taken by means of an Emed® pressure measurement platform (Novel GmbH, Munich) before and after 6 weeks. During this time the diabetic and the non-diabetic intervention groups were required to wear an unstable shoe construction (Masai Barefoot Technology, MBT®) for at least four hours per day.

FINDINGS:

Results for the non-diabetic intervention group showed significantly later contact times for the medial portion of the forefoot, resulting in shorter contact times. Peak pressure was also reduced under the medial aspect of the foot while it was increased under the lateral aspect of the foot. Changes for the diabetic intervention group followed the same pattern while the values of the diabetic control group shifted away from the reference values.

INTERPRETATION:

A 6-week sensorimotor training period with an unstable shoe construction can change barefoot peak pressures and contact times in non-diabetic subjects and in diabetic patients in the most endangered area, i.e. the medial forefoot.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión / Zapatos / Pie Diabético Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Presión / Zapatos / Pie Diabético Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Foot (Edinb) Asunto de la revista: ORTOPEDIA Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido