This paper is only available as a PDF. To read, Please Download here.
The purpose of this study was to determine if increased weight contributes to increased
mean peak plantar foot pressures when foot function, deformity, and structure are
controlled. Ten male and nine female volunteers without sensory neuropathy or other
systemic disease were evaluated in the study. Using a repeated measures design, peak
plantar foot pressures were compared using the Novel Pedar in-shoe pressure measurement
system under three conditions. Baseline measurements were made while volunteers wore
the standard test footwear, a thin-soled rubber oxford sneaker. The second and third
test conditions involved pressure measurements with an additional 9.1 kg (20 lb) and
18.2 kg (401b), respectively, of weight evenly distributed in pockets on the front
and back of a workout vest. There was a significant increase in mean peak plantar
foot pressures under the metatarsal heads, heel, and midfoot for each incremental
increase of weight (baseline vs. 9.1 kg, p < .05; 9.1 kg vs. 18.2 kg, p < .05). The
authors conclude that increases in weight increased plantar foot pressures for the
first metatarsal, lesser metatarsal, midfoot, and heel regions in both men and women.
Key words:
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of Foot and Ankle SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Who's at risk for diabetic foot ulceration?.Clin. Podiatr. Med. Surg. 1998; 15: 11-19
- Practical criteria for screening high risk patients for diabetic foot ulceration.Arch. Intern. Med. 1998; 158: 157-162
- Choosing a practical screening instrument to identify patients at risk for diabetic foot ulceration.Arch. Intern. Med. 1998; 158: 289-292
- The insensitive foot (including leprosy).in: Jahss M. Disorders of the Foot and Ankle. 2nd ed. W. B. Saunders, Philadelphia1991: 2170-2175
- The diabetic foot.in: Ellenberg M. Rifkin H. Diabetes Mellitus: Theory and Practice. 3rd ed. Medical Examination Publishing, New York1983: 803-828
- Etiology of decubitus ulcers.Arch. Phys. Med. Rehabil. 1961; 42: 19-22
- Etiology and pathology of ischemic ulceration.Arch. Phys. Med. Rehabil. 1959; 40: 62-67
- Relationship of limited joint mobility to abnormal foot pressures and diabetic foot ulceration.Diabetes Care. 1991; 14: 8-11
- Relationship of foot deformity to ulcer location in patients with diabetes mellitus.Phys. Ther. 1990; 70: 356-362
- The development of foot deformity and ulcers after great toe amputation in diabetes.Diabetes Care. 1996; 19: 165-167
- Reducing plantar pressure in the neuropathic foot: a comparison of footwear.Diabetes Care. 1997; 20: 1706-1710
- The total contact cast, a therapy for plantar ulceration on insensitive feet.J. Am. Podiatr. Med. Assoc. 1984; 74: 548-552
- Effect of rocker sole design on plantar forefoot pressures.J. Am. Podiatr. Med. Assoc. 1988; 78: 450-455
- Reducing dynamic foot pressures in high risk diabetics with foot ulcerations: a comparison of treatments.Diabetes Care. 1996; 19: 818-821
- A quantitative assessment of healing sandals and postoperative shoes in offloading diabetic foot.J. Foot Ankle Surg. 1997; 36: 28-30
- Manufactured shoes in the prevention of diabetic foot ulcers.Diabetes Care. 1995; 18: 1376-1378
- How effective is cushioned therapeutic footwear in protecting diabetic feet? A clinical study.Diabetic Med. 1990; 7: 335-339
- Body mass is a poor predictor of peak plantar pressure in men.Diabetes Care. 1991; 14: 750-755
- Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy.Diabetes Care. 1983; 6: 26-33
- Nonenzymatic glycosylation of keratin from the stratum corneum of the diabetic foot.Br. J. Dermatol. 1985; 112: 547-554
- The EMed system of foot pressure analysis.Clin. Podlatr. Med. Surg. 1993; 10: 445-454
- A comparison of two in-shoe plantar pressure measurement systems.Lower Extremity. 1995; 2: 95-103
- Blackwell, Oxford1988 Essentials of Medical Statistics.
- Peak foot pressures influence healing time of diabetic ulcers treated with total contact casting.J. Rehabil. Res. Dev. 1998; 35: 1-5
- First ray joint limitation, pressure, and ulceration of the first metatarsal head in diabetes mellitus.Foot Ankle. 1995; 16: 277-284
- Relationship between hallux limitus and ulceration of the great toe.Sports Phys. Ther. J. Orthop. 1988; 10: 172-176
- The independent contributions of diabetic neuropathy and vasculopathy in foot ulceration.Diabetes Care. 1995; 18: 216-219
Article info
Publication history
Accepted:
July 1998
Received:
April 1998
Identification
Copyright
© 1998 American College of Foot and Ankle Surgeons. All rights reserved. Published by Elsevier Inc. All rights reserved.