advertising
-
1
Duffin AC, Donaghue KC, Potter M, et al: Limited joint mobility in the hands and feet of adolescents with type 1 diabetes mellitus. .Diabet Med 16::125. ,1999. .
-
2
Delbridge L, Perry P, Marr S, et al: Limited joint mobility in the diabetic foot: relationship to neuropathic ulceration. .Diabet Med 5::333. ,1988. .
-
3
Mueller MJ, Diamond JE, Delitto A, et al: Insensitivity, limited joint mobility, and plantar ulcers in patients with diabetes mellitus. .Phys Ther 69::453. ,1989. .
-
4
Veves A, Murray HJ, Young MJ, et al: The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study. .Diabetologia 35::660. ,1992. .
-
5
Caputo GM, Cavanagh PR, Ulbrecht JS, et al: Assessment and management of foot disease in patients with diabetes. .N Engl J Med 331::854. ,1994. .
-
6
Katoulis EC, Boulton AJ, Raptis SA: The role of diabetic neuropathy and high plantar pressures in the pathogenesis of foot ulceration. .Horm Metab Res 28::159. ,1996. .
-
7
Stess RM, Jensen SR, Mirmiran R: The role of dynamic plantar pressures in diabetic foot ulcers. .Diabetes Care 20::855. ,1997. .
-
8
Young MJ, Cavanagh PR, Thomas G, et al: The effect of callus removal on dynamic plantar foot pressures in diabetic patients. .Diabet Med 9::55. ,1992. .
-
9
Murray HJ, Young MJ, Hollis S, et al: The association between callus formation, high pressures and neuropathy in diabetic foot ulceration. .Diabet Med 13::979. ,1996. .
-
10
Boulton AJ, Franks CI, Betts RP, et al: Reduction of abnormal foot pressures in diabetic neuropathy using a new polymer insole material. .Diabetes Care 7::42. ,1984. .
-
11
McPoil TG, Cornwall MW: Effect of insole material on force and plantar pressures during walking. .JAPMA 82::412. ,1992. .
-
12
Albert S, Rinoie C: Effect of custom orthotics on plantar pressure distribution in the pronated diabetic foot. .J Foot Ankle Surg 33::598. ,1994. .
-
13
Kato H, Takada T, Kawamura T, et al: The reduction and redistribution of plantar pressures using foot orthoses in diabetic patients. .Diabetes Res Clin Pract 31::115. ,1996. .
-
14
Colagiuri S, Marsden LL, Naidu V, et al: The use of orthotic devices to correct plantar callus in people with diabetes. .Diabetes Res Clin Pract 28::29. ,1995. .
-
15
Cavanagh PR, Ulbrecht JS: Clinical plantar pressure measurements in diabetes: rational and methodology. .The Foot 4::123. ,1994. .
-
16
Young M: Foot pressure measurement: the need for standardisation of methodology. (Harmonisation of the feline furrier trade). .Foot Pressure Interest Newsletter 8::8. ,1998. .
-
17
Root ML, Weed JH, Orion WP: Neutral Position Casting Techniques, Clinical Biomechanics Corp, Los Angeles, 1971..
-
18
Ross A, Jones L: Non-weightbearing negative cast evaluation. .JAPA 12::634. ,1982. .
-
19
Bevans JS, Bowker P: Foot structure and function: aetiological risk factors for callus formation in diabetic and non-diabetic subjects. .The Foot 9::120. ,1999. .
-
20
Stacoff A, Reinschmidt C, Nigg B, et al: Effects of foot orthoses on skeletal motion during running. .Clin Biomechanics 15::54. ,2000. .
-
21
Kernozek T, LaMott E, Dancisak M: Reliability of an in-shoe measurement system during treadmill walking. .Foot Ankle Int 17::204. ,1996. .
-
22
Cavanagh PR, Hewitt FG, Perry JE: In-shoe plantar pressure measurements: a review. .The Foot 2::185. ,1992. .
High Plantar Pressure and Callus in Diabetic Adolescents
Incidence and Treatment
The Children’s Hospital at Westmead, Sydney, New South Wales, Australia.
Search for other papers by Anthony C. Duffin in
Current site
Google Scholar
PubMed
Search for other papers by Robert Kidd in
Current site
Google Scholar
PubMed
Search for other papers by Albert Chan in
Current site
Google Scholar
PubMed
University of Sydney, Sydney, New South Wales, Australia.
Search for other papers by Kim C. Donaghue in
Current site
Google Scholar
PubMed
This study examined the incidence of high peak plantar pressure and plantar callus in 211 adolescents with diabetes mellitus and 57 nondiabetic controls. The percentage of subjects with these anomalies was the same in both groups. Although diabetic subjects were no more likely than nondiabetic controls to have high peak plantar pressure and callus, these anomalies place individuals with diabetes at greater risk of future foot problems. The effects of orthoses, cushioning, and both in combination were monitored in 17 diabetic subjects with high peak plantar pressure and in 17 diabetic subjects with plantar callus; reductions of up to 63% were achieved. Twelve-month follow-up of diabetic subjects fitted with orthoses showed a significant reduction in peak plantar pressure even when the orthoses were removed. The diabetic subjects who had not received any interventions during the same 12-month period showed no significant change in peak plantar pressure. (J Am Podiatr Med Assoc 93(3): 214-220, 2003)
advertising
