• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Foot and Ankle Research >Optimisation of rocker sole footwear for prevention of first plantar ulcer: comparison of group-optimised and individually-selected footwear designs
【24h】

Optimisation of rocker sole footwear for prevention of first plantar ulcer: comparison of group-optimised and individually-selected footwear designs

机译：优化摇杆鞋底鞋以预防第一次足底溃疡：组优化鞋和个人选择鞋的设计比较

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BackgroundAppropriate footwear for individuals with diabetes but no ulceration history could reduce the risk of first ulceration. However, individuals who deem themselves at low risk are unlikely to seek out bespoke footwear which is personalised. Therefore, our primary aim was to investigate whether group-optimised footwear designs, which could be prefabricated and delivered in a retail setting, could achieve appropriate pressure reduction, or whether footwear selection must be on a patient-by-patient basis. A second aim was to compare responses to footwear design between healthy participants and people with diabetes in order to understand the transferability of previous footwear research, performed in healthy populations. MethodsPlantar pressures were recorded from 102 individuals with diabetes, considered at low risk of ulceration. This cohort included 17 individuals with peripheral neuropathy. We also collected data from 66 healthy controls. Each participant walked in 8 rocker shoe designs (4 apex positions × 2 rocker angles). ANOVA analysis was then used to understand the effect of two design features and descriptive statistics used to identify the group-optimised design. Using 200?kPa as a target, this group-optimised design was then compared to the design identified as the best for each participant (using plantar pressure data). ResultsPeak plantar pressure increased significantly as apex position was moved distally and rocker angle reduced ( p ConclusionsThis is the first study demonstrating that a group-optimised, generic rocker shoe might perform almost as well as footwear selected on a patient by patient basis in a low risk patient group. This work provides a starting point for clinical evaluation of generic versus personalised pressure reducing footwear.
机译：背景技术适合糖尿病但无溃疡史的人穿鞋可以减少初次溃疡的风险。但是，认为自己处于低风险中的个人不太可能寻找个性化的定制鞋。因此，我们的主要目的是调查是否可以预制并在零售环境中交付的针对群体优化的鞋类设计能够实现适当的降压效果，或者是否必须根据患者的不同来选择鞋类。第二个目的是比较健康参与者和糖尿病患者对鞋类设计的反应，以了解以前在健康人群中进行的鞋类研究的可移植性。方法记录102例糖尿病患者的足底压力，认为其发生溃疡的风险较低。该队列包括17例周围神经病患者。我们还从66个健康对照中收集了数据。每个参与者都参加了8种摇杆鞋设计（4个顶点位置×2个摇杆角度）。然后，使用ANOVA分析来了解两个设计功能的影响以及用于确定组优化设计的描述性统计数据。然后以200？kPa为目标，将此群体优化设计与确定为每个参与者最佳的设计进行比较（使用足底压力数据）。结果随着足尖位置向远侧移动和翘板角度减小，足底压力显着增加（p结论）这是第一项研究，表明在低风险下，群体优化的通用翘板鞋的表现几乎与按患者选择的鞋差不多病人群体：这项工作为仿制和个性化减压鞋的临床评估提供了起点。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号