advertising
-
1
Boulton AJ: Pressure and the diabetic foot: clinical science and offloading techniques. Am J Surg 187: 17S, 2004.
-
2
Foley L: Pressure point offloading in the diabetic foot. Primary Intention 7: 102, 1999.
-
3
Pham H, Armstrong DG, Harvey C, et al: Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial. Diabetes Care 23: 606, 2000.
-
4
Caselli A, Pham H, Giurini JM, et al: The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration. Diabetes Care 25: 1066, 2002.
-
5
Lavery LA, Armstrong DG, Boulton AJ; Diabetex Research Group: Ankle equinus deformity and its relationship to high plantar pressure in a large population with diabetes mellitus. JAPMA 92: 479, 2002.
-
6
Kang JH, Chen MD, Chen SC, et al: Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study. BMC Musculoskelet Disord 7: 95, 2006.
-
7
Wu SC, Jensen JL, Weber AK, et al: Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach? Diabetes Care 31: 2118, 2008.
-
8
Paton J, Bruce G, Jones R, et al: Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review. J Diabetes Complications 25: 52, 2011.
-
9
Nubé VL, Molyneaux L, Bolton T, et al: The use of felt deflective padding in the management of plantar hallux and forefoot ulcers in patients with diabetes. The Foot 16: 38, 2006.
-
10
Birke JA, Pavich MA, Patout CA Jr, et al: Comparison of forefoot ulcer healing using alternative off-loading methods in patients with diabetes mellitus. Adv Skin Wound Care 15: 210, 2002.
-
11
Lee PY, Landorf KB, Bonanno DR, et al: Comparison of the pressure-relieving properties of various types of forefoot pads in older people with forefoot pain. J Foot Ankle Res 7: 18, 2014.
-
12
Fleischli JG, Lavery LA, Vela SA, et al: 1997 William J. Stickel Bronze Award: comparison of strategies for reducing pressure at the site of neuropathic ulcers. JAPMA 87: 466, 1997.
-
13
Zimny S, Schatz H, Pfohl U: The effects of applied felted foam on wound healing and healing times in the therapy of neuropathic diabetic foot ulcers. Diabet Med 20: 622, 2003.
-
14
Nordsiden L, Van Lunen BL, Walker ML, et al: The effect of 3 foot pads on plantar pressure of pes planus foot type. J Sport Rehabil 19: 71, 2010.
-
15
Oladeji O, Stackhouse C, Gracely E, et al: Comparison of the two-step and midgait methods of plantar pressure measurement in children. JAPMA 98: 268, 2008.
-
16
Hafer JF, Lenhoff MW, Song J, et al: Reliability of plantar pressure platforms. Gait Posture 38: 544, 2013.
-
17
Bus SA, de Lange A: A comparison of the 1-step, 2-step, and 3-step protocols for obtaining barefoot plantar pressure data in the diabetic neuropathic foot. Clin Biomech (Bristol, Avon). 20: 892, 2005.
-
18
Zimny S, Reinsch B, Schatz H: Effects of felted foam on plantar pressures in the treatment of neuropathic diabetic foot ulcers. Diabetes Care 24: 2153, 2001.
-
19
Tong JW, Ng EY: Preliminary investigation on the reduction of plantar loading pressure with different insole materials (SRP–Slow Recovery Poron, P–Poron, PPF–Poron+Plastazote, firm and PPS–Poron+Plastazote, soft). Foot 20: 1, 2010.
The Applicability of Plantar Padding in Reducing Peak Plantar Pressure in the Forefeet of Healthy Adults
Implications for the Foot at Risk
Search for other papers by Alfred Gatt in
Current site
Google Scholar
PubMed
Search for other papers by Andrea Briffa in
Current site
Google Scholar
PubMed
Search for other papers by Nachiappan Chockalingam in
Current site
Google Scholar
PubMed
Search for other papers by Cynthia Formosa in
Current site
Google Scholar
PubMed
Background: We investigated the effectiveness and durability of two types of plantar padding, the plantar metatarsal pad and the single wing plantar cover, which are commonly used for reducing forefoot plantar pressures.
Methods: Mean peak plantar pressure and impulse at the hallux and at the first, second, third, and fourth metatarsophalangeal joints across both feet were recorded using the two-step method in 18 individuals with normal asymptomatic feet. Plantar paddings were retained for 5 days, and their durability and effectiveness were assessed by repeating the foot plantar measurement at baseline and after 3 and 5 days.
Results: The single wing plantar cover devised from 5-mm felt adhesive padding was effective and durable in reducing peak plantar pressure and impulse at the first metatarsophalangeal joint (P = .001 and P = .015, respectively); however, it was not found to be effective in reducing peak plantar pressure and impulse at the hallux (P = .782 and P = .845, respectively). The plantar metatarsal pad was not effective in reducing plantar forefoot pressure and impulse at the second, third, and fourth metatarsophalangeal joints (P = .310 and P = .174, respectively).
Conclusions: These results imply limited applicability of the single wing plantar cover and the plantar metatarsal pad in reducing hallux pressure and second through fourth metatarsophalangeal joint pressure, respectively. However, the single wing plantar cover remained durable for the 5 days of the trial and was effective in reducing the peak plantar pressure and impulse underneath the first metatarsophalangeal joint.
advertising
