Removable cast walker boots yield greater forefoot off-loading than total contact casts

Clinical Biomechanics

Volumn 26, Issue 6, 2011, Pages 649-654

  Gutekunst, David J ^a   Hastings, Mary K ^a   Bohnert, Kathryn L ^a   Strube, Michael J ^b   Sinacore, David R ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b WASHINGTON UNIVERSITY   (United States)

Author keywords

Diabetes mellitus; Off loading; Peripheral neuropathy; Plantar pressure; Plantar ulcer; Removable cast walker boot; Total contact cast

Indexed keywords

DIABETES MELLITUS; OFF-LOADING; PERIPHERAL NEUROPATHY; PLANTAR PRESSURES; PLANTAR ULCERS; REMOVABLE CAST WALKER BOOT; TOTAL CONTACT CAST;

DERMATOLOGY; DISEASES; GAIT ANALYSIS; JOINTS (ANATOMY); LOADING; REGRESSION ANALYSIS;

LOADS (FORCES);

ADULT; ANALYSIS OF COVARIANCE; ARTICLE; CAST APPLICATION; CLINICAL ARTICLE; CLINICAL ASSESSMENT; CONTACT CAST; DIABETES MELLITUS; FEMALE; FORCE; FOREFOOT; HUMAN; LOADING TEST; MALE; PERIPHERAL NEUROPATHY; PLANTAR ULCER; PRESSURE; PRIORITY JOURNAL; REMOVABLE CAST WALKER BOOT; SHOE; ULCER HEALING; VELOCITY; WALKING AID;

ADULT; AGED; BIOMECHANICS; DIABETES COMPLICATIONS; DIABETES MELLITUS; DIABETIC FOOT; DIABETIC NEUROPATHIES; FEMALE; FOREFOOT, HUMAN; HUMANS; MALE; MIDDLE AGED; RANDOM ALLOCATION; SHOES; WALKING;

EID: 79959358176     PISSN: 02680033     EISSN: 18791271     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2011.03.010     Document Type: Article

References (29)

1. Armstrong, D.G., Peters, E.J.G., Athanasiou, K.A., Lavery, L.A., 1998a. Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration? The Journal of Foot and Ankle Surgery 37, 303-307.
2. Armstrong, D.G., Lavery, L.A., Bushman, T.R., 1998b. Peak foot pressures influence the healing time of diabetic foot ulcers treated with total contact casts. J. Rehab. Res. Dev. 35, 1-5.
3. Armstrong, D.G., Nguyen, H.C., Lavery, L.A., van Schie, C.H., Boulton, A.J.M., Harkless, L.B., 2001. Offloading the diabetic foot wound: a randomized clinical trial. Diabetes Care 24, 1019-1022. (Pubitemid 33716369)
4. Armstrong, D.G., Lavery, L.A., Holtz-Neiderer, K., Mohler, M.J., Wendel, C.S., Nixon, B.P., Boulton, A.J.M., 2004. Variability in activity may precede diabetic foot ulceration. Diabetes Care 27, 1980-1984. (Pubitemid 38989242)
5. Armstrong, D.G., Lavery, L.A., Wu, S., Boulton, A.J.W., 2005. Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial. Diabetes Care 28, 551-554. (Pubitemid 40326230)
6. Boulton, A.J., Hardisty, C.A., Betts, R.P., Franks, C.I., Worth, R.C., Ward, J.D., Duckworth, T., 1983. Dynamic foot pressure and other studies as diagnostic and management aids in diabetic neuropathy. Diabetes Care 6 (1), 26-33.
7. Bus, S.A., de Lange, A., 2005. A comparison of the 1-step, 2-step, and 3-step protocols for obtaining barefoot plantar pressure data in the diabetic neuropathic foot. Clinical Biomechanics 20, 892-899. (Pubitemid 41376506)
8. Field, A., 2009. Discovering Statistics Using SPSS, 3rd ed. Sage Publications, Thousand Oaks, CA, USA.
9. Katz, I.A., Harlan, A., Miranda-Palma, B., Prieto-Sanchez, L., Armstrong, D.G., Bowker, J.H., Mizel, M.S., Boulton, A.J.M., 2005. A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers. Diabetes Care 28, 555-559. (Pubitemid 40315312)
10. Kernozek, T.W., LaMott, E.E., Dancisak, M.J., 1996. Reliability of an in-shoe pressure measurement system during treadmill walking. Foot & Ankle International 17, 204-209. (Pubitemid 26124160)
11. Lavery, L.A., Armstrong, D.G., Harkless, L.B., 1996a. Classification of diabetic foot wounds. The Journal of Foot and Ankle Surgery 35 (6), 528-531. (Pubitemid 27023854)
12. Lavery, L.A., Vela, S.A., Lavery, D.C., Quebedeaux, T.L., 1996b. Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations: a comparison of treatments. Diabetes Care 19, 818-821. (Pubitemid 26286985)
13. Lavery, L.A., Vela, S.A., Fleischli, J.G., Armstrong, D.G., Lavery, D.C., 1997a. Reducing plantar pressure in the neuropathic foot: a comparison of footwear. Diabetes Care 20, 1706-1710.
14. Lavery, L.A., Vela, S.A., Lavery, D.C., Quebedeaux, T.L., 1997b. Total contact casts: pressure reduction at ulcer sites and the effect on the contralateral foot. Archives of Physical Medicine and Rehabilitation 78, 1268-1271. (Pubitemid 27494645)
15. Lavery, L.A., Armstrong, D.G., Wunderlich, R.P., Tredwell, J., Boulton, A.J.M., 2003. Predictive value of foot pressure assessment as part of a population-based diabetes disease management program. Diabetes Care 26 (4), 1069-1073. (Pubitemid 36929250)
16. Lott, D.J., Maluf, K.S., Sinacore, D.R., Mueller, M.J., 2005. Relationship between changes in activity and plantar ulcer recurrence in a patient with diabetes mellitus. Physical Therapy 85 (6), 579-588. (Pubitemid 40734731)
17. Margolis, D.J., Allen-Taylor, L., Hoffstad, O., Berlin, J.A., 2005. Diabetic neuropathic foot ulcers and amputation. Wound Repair and Regeneration 13, 230-236. (Pubitemid 40848014)
18. McPoil, T.G., Cornwall, M.W., Dupuis, L., Cornwell, M., 1999. Variability of plantar pressure data. A comparison of two-step and mid-gait methods. Journal of the American Podiatric Medical Association 89, 495-501.
19. Meyers-Rice, B., Sugars, L., McPoil, T., Cornwall, M.W., 1994. Comparison of three methods for obtaining plantar pressures in non-pathologic subjects. Journal of the American Podiatric Medical Association 84, 499-504.
20. Mueller, M.J., Diamond, J.E., Sinacore, D.R., Delitto, A., Blair, V.P., Drury, D.A., Rose, S.J., 1989. Total contact casting in treatment of diabetic plantar ulcers. Diabetes Care 12 (6), 384-388. (Pubitemid 19140657)
21. Pecoraro, R.E., Reiber, G.E., Burgess, E.M., 1990. Pathways to diabetic limb amputation: basis for prevention. Diabetes Care 13, 513-521. (Pubitemid 20145956)
22. Rosenbaum, D., Hautmann, S., Gold, M., Claes, L., 1994. Effects of walking speed on plantar pressure patterns and hindfoot angular motion. Gait & Posture 2, 191-197.
23. Sinacore, D.R., 1998. Healing times of diabetic ulcers in the presence of fixed foot deformity using total contact casting. Foot & Ankle International 19, 613-618. (Pubitemid 28432509)
24. Sinacore, D.R., Mueller, M.J., Diamond, J.E., Blair, V.P., Drury, D.A., Rose, S.J., 1987. Diabetic plantar ulcers treated by total contact casting. Physical Therapy 67, 1543-1547.
25. Sinacore, D.R., Bohnert, K.L., Hastings, M.K., Johnson, J.E., 2008. Mid foot kinetics characterize structural polymorphism in diabetic foot disease. Clinical Biomechanics 23, 653-661. (Pubitemid 351734494)
26. Stokes, I.A.F., Faris, I.B., Hutton, W.C., 1975. The neuropathic ulcer and loads on the foot in diabetic patients. Acta Orthopaedica Scandinavica 46, 839-847.
27. Veves, A., Murray, H.J., Young, M.J., Boulton, A.J.M., 1992. The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study. Diabetologia 35, 660-663.
28. Wagner, F.W., 1981. The dysvascular foot: a system for diagnosis and treatment. Foot & Ankle 2 (2), 64-122.
29. Wichmann, B.A., Hill, I.D., 2006. Generating good pseudo-random numbers. Computational Statistics & Data Analysis 51, 1614-1622.