Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations

A comparison of treatments

Lawrence A. Lavery, Steven A. Vela, David C. Lavery, Terri L. Quebedeaux

Research output: Contribution to journalArticle

163 Citations (Scopus)

Abstract

OBJECTIVE - To compare the effectiveness of total contact casts, commercially available therapeutic shoes, and removable walking casts to reduce mean peak plantar foot pressures at the site of neutrophatic ulcerations in diabetic subjects. RESEARCH DESIGN AND METHODS - We compared the reduction in peak plantar pressures ulcer sites under the great (n = 5), first metatarsal (n = 10), and second through fifth metatarsals (n = 10) using six treatments; total contact casts (TCCs), DH Pressure Relief Walkers (DH), Aircast Pneumatic Walkers. Three D Dura-Steppers (3D), CAM Walkers, and P.W. Minor Xtra Depth shoes. A rubber sole canvas oxford was used to establish baseline pressure values. The canvas oxford could be viewed as a worse-case scenario for this patient population. With the EMED Pedar in- shoe pressure measurement system, data for 40 steps were collected for each treatment. We used Tukey's Studentized Range Test for simultaneous multiple comparisons to compare treatments. RESULTS - DH Pressure Relief Walkers reduced plantar pressures significantly better than other commercially available treatments for ulcers under the first metatarsal, second through fifth metatarsals, and great toe (P < 0.05). There was not a significant difference in mean peak plantar pressures between TCCs and DHs at any of the forefoot ulcer sites. CONCLUSIONS - DH Pressure Relief Walkers were as effective as total contact casts to reduce foot pressures at ulcer sites and may be an effective practical addition in the treatment of foot ulcers.

Original languageEnglish (US)
Pages (from-to)818-821
Number of pages4
JournalDiabetes Care
Volume19
Issue number8
StatePublished - Aug 1996

Fingerprint

Foot
Pressure
Metatarsal Bones
Shoes
Foot Ulcer
Pressure Ulcer
Therapeutics
Ulcer
Hallux
Rubber
Information Systems
Walking
Research Design
Population

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

Cite this

Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations : A comparison of treatments. / Lavery, Lawrence A.; Vela, Steven A.; Lavery, David C.; Quebedeaux, Terri L.

In: Diabetes Care, Vol. 19, No. 8, 08.1996, p. 818-821.

Research output: Contribution to journalArticle

Lavery, Lawrence A. ; Vela, Steven A. ; Lavery, David C. ; Quebedeaux, Terri L. / Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations : A comparison of treatments. In: Diabetes Care. 1996 ; Vol. 19, No. 8. pp. 818-821.
@article{0eefff7ffc2b40779a3cfa259bcc858f,
title = "Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations: A comparison of treatments",
abstract = "OBJECTIVE - To compare the effectiveness of total contact casts, commercially available therapeutic shoes, and removable walking casts to reduce mean peak plantar foot pressures at the site of neutrophatic ulcerations in diabetic subjects. RESEARCH DESIGN AND METHODS - We compared the reduction in peak plantar pressures ulcer sites under the great (n = 5), first metatarsal (n = 10), and second through fifth metatarsals (n = 10) using six treatments; total contact casts (TCCs), DH Pressure Relief Walkers (DH), Aircast Pneumatic Walkers. Three D Dura-Steppers (3D), CAM Walkers, and P.W. Minor Xtra Depth shoes. A rubber sole canvas oxford was used to establish baseline pressure values. The canvas oxford could be viewed as a worse-case scenario for this patient population. With the EMED Pedar in- shoe pressure measurement system, data for 40 steps were collected for each treatment. We used Tukey's Studentized Range Test for simultaneous multiple comparisons to compare treatments. RESULTS - DH Pressure Relief Walkers reduced plantar pressures significantly better than other commercially available treatments for ulcers under the first metatarsal, second through fifth metatarsals, and great toe (P < 0.05). There was not a significant difference in mean peak plantar pressures between TCCs and DHs at any of the forefoot ulcer sites. CONCLUSIONS - DH Pressure Relief Walkers were as effective as total contact casts to reduce foot pressures at ulcer sites and may be an effective practical addition in the treatment of foot ulcers.",
author = "Lavery, {Lawrence A.} and Vela, {Steven A.} and Lavery, {David C.} and Quebedeaux, {Terri L.}",
year = "1996",
month = "8",
language = "English (US)",
volume = "19",
pages = "818--821",
journal = "Diabetes Care",
issn = "1935-5548",
publisher = "American Diabetes Association Inc.",
number = "8",

}

TY - JOUR

T1 - Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations

T2 - A comparison of treatments

AU - Lavery, Lawrence A.

AU - Vela, Steven A.

AU - Lavery, David C.

AU - Quebedeaux, Terri L.

PY - 1996/8

Y1 - 1996/8

N2 - OBJECTIVE - To compare the effectiveness of total contact casts, commercially available therapeutic shoes, and removable walking casts to reduce mean peak plantar foot pressures at the site of neutrophatic ulcerations in diabetic subjects. RESEARCH DESIGN AND METHODS - We compared the reduction in peak plantar pressures ulcer sites under the great (n = 5), first metatarsal (n = 10), and second through fifth metatarsals (n = 10) using six treatments; total contact casts (TCCs), DH Pressure Relief Walkers (DH), Aircast Pneumatic Walkers. Three D Dura-Steppers (3D), CAM Walkers, and P.W. Minor Xtra Depth shoes. A rubber sole canvas oxford was used to establish baseline pressure values. The canvas oxford could be viewed as a worse-case scenario for this patient population. With the EMED Pedar in- shoe pressure measurement system, data for 40 steps were collected for each treatment. We used Tukey's Studentized Range Test for simultaneous multiple comparisons to compare treatments. RESULTS - DH Pressure Relief Walkers reduced plantar pressures significantly better than other commercially available treatments for ulcers under the first metatarsal, second through fifth metatarsals, and great toe (P < 0.05). There was not a significant difference in mean peak plantar pressures between TCCs and DHs at any of the forefoot ulcer sites. CONCLUSIONS - DH Pressure Relief Walkers were as effective as total contact casts to reduce foot pressures at ulcer sites and may be an effective practical addition in the treatment of foot ulcers.

AB - OBJECTIVE - To compare the effectiveness of total contact casts, commercially available therapeutic shoes, and removable walking casts to reduce mean peak plantar foot pressures at the site of neutrophatic ulcerations in diabetic subjects. RESEARCH DESIGN AND METHODS - We compared the reduction in peak plantar pressures ulcer sites under the great (n = 5), first metatarsal (n = 10), and second through fifth metatarsals (n = 10) using six treatments; total contact casts (TCCs), DH Pressure Relief Walkers (DH), Aircast Pneumatic Walkers. Three D Dura-Steppers (3D), CAM Walkers, and P.W. Minor Xtra Depth shoes. A rubber sole canvas oxford was used to establish baseline pressure values. The canvas oxford could be viewed as a worse-case scenario for this patient population. With the EMED Pedar in- shoe pressure measurement system, data for 40 steps were collected for each treatment. We used Tukey's Studentized Range Test for simultaneous multiple comparisons to compare treatments. RESULTS - DH Pressure Relief Walkers reduced plantar pressures significantly better than other commercially available treatments for ulcers under the first metatarsal, second through fifth metatarsals, and great toe (P < 0.05). There was not a significant difference in mean peak plantar pressures between TCCs and DHs at any of the forefoot ulcer sites. CONCLUSIONS - DH Pressure Relief Walkers were as effective as total contact casts to reduce foot pressures at ulcer sites and may be an effective practical addition in the treatment of foot ulcers.

UR - http://www.scopus.com/inward/record.url?scp=0029848506&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029848506&partnerID=8YFLogxK

M3 - Article

VL - 19

SP - 818

EP - 821

JO - Diabetes Care

JF - Diabetes Care

SN - 1935-5548

IS - 8

ER -