STUDIES OF EXPERIMENTAL HOSIERY IN DIABETIC NEUROPATHIC PATIENTS WITH HIGH FOOT PRESSURES

被引:33
作者
VEVES, A [1 ]
MASSON, EA [1 ]
FERNANDO, DJS [1 ]
BOULTON, AJM [1 ]
机构
[1] MANCHESTER ROYAL INFIRM,DEPT MED,OXFORD RD,MANCHESTER M13 9WL,LANCS,ENGLAND
关键词
Diabetic foot; Foot pressure; Foot ulcers; Footwear;
D O I
10.1111/j.1464-5491.1990.tb01398.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
High plantar pressures and painless trauma are associated with the development of foot ulcers in diabetic patients. Padded hosiery has been reported to reduce plantar pressures in patients at risk of ulceration. Using the optical pedobarograph we have studied 10 patients who regularly wore experimental padded hosiery for 6 months. The hosiery continued to provide substantial and significant reduction in peak forefoot pressures at 3 months (mean reduction 15.5 %, p < 0.01) and 6 months (17.6 %, p < 0.01), although the level of reduction was less than that seen at baseline (31.3 %, p < 0.05). In addition, commercially available hosiery designed as sportswear has been tested, and compared with experimental hosiery. Although these socks (with high or medium density padding) provided significant pressure reduction versus barefoot (mean 17.4 % and 10.4 %, p < 0.01), this was not as great as that seen with experimental hosiery (27 %, p < 0.05). Thus the use of socks designed to reduce pressure stress on diabetic neuropathic feet is effective, and continues to be so for a considerable period of time. Commercially available sports socks may also have a place in the management of the diabetic insensitive foot. 1990 Diabetes UK
引用
收藏
页码:324 / 326
页数:3
相关论文
共 14 条
[1]  
Day JL., Patient education—how may recurrence be prevented?, The Foot in Diabetes, pp. 135-144, (1987)
[2]  
Boulton AJM., The diabetic foot, Med Clin N Amer, 72, pp. 1513-1530, (1988)
[3]  
Smith L., Plehwe W., Yue DK, Turtle JR., Electrodynogram in objective assessment of bearing pressures in the feet of diabetic patients (Abstract), Diabetes Res Clin Pract, 5, (1988)
[4]  
The Diabetic Foot, (1988)
[5]  
Herring KM, Richie DH., Friction blisters and fiber composition of padded socks, J Am Pod Med Assoc, (1990)
[6]  
Veves A., Masson EA, Fernando DJS, Boulton AJM., The use of experimental padded hosiery to reduce abnormal foot pressures in diabetic neuropathy, Diabetes Care, 12, pp. 653-655, (1989)
[7]  
Boulton AJM, Hardisty CA, Betts RP, Et al., Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy, Diabetes Care, 6, pp. 26-33, (1983)
[8]  
Betts RP, Franks CI, Duckworth T., Analysis of pressures and loads under the foot. Part 1: Quantification of the static distribution using the PET computer. Part 2: Quantification of the dynamic distribution, Clin Phys Physiol Meas, 1, pp. 101-124, (1980)
[9]  
Boulton AJM, Betts RP, Franks CI, Ward JD, Duckworth T., The natural history of foot pressure abnormalities in neuropathic diabetic subjects, Diabetes Res, 5, pp. 73-77, (1987)
[10]  
Boulton AJM, Connor H., The diabetic foot 1988, Diabetic Med, 5, pp. 796-798, (1988)