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Mechanical loading and off-loading of the plantar surface of the diabetic foot

Van Deursen, Robert William Martin 2004. Mechanical loading and off-loading of the plantar surface of the diabetic foot. Clinical Infectious Diseases 39 (S2) , S87-S91. 10.1086/383268

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During weight-bearing activities, the feet are exposed to large forces, particularly when the activity is dynamic, such as walking. The pressure under the plantar surface during walking varies per foot area because of a number of factors related to the normal rollover during the stance phase of gait. Diabetes mellitus often results in loss of protective sensation and in structural changes that make the feet more susceptible to injury. Increased plantar pressure is an important factor in the development and maintenance of diabetic foot ulceration. Increased plantar pressures and associated ulcers need to be treated by off-loading of the plantar surface. Useful off-loading mechanisms include reduction of walking speed, alteration of foot rollover during gait, and transfer of load from affected areas to other areas of the foot or the lower leg. These plantar off-loading mechanisms could result in an optimization of treatment, but clinical effectiveness must be demonstrated.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Subjects: R Medicine > R Medicine (General)
Publisher: University of Chicago Press
ISSN: 1058-4838
Last Modified: 04 Jun 2017 03:57

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