Efficacy of diabetic off-loading devices measuring peak plantar pressure

Material Information

Title:
Efficacy of diabetic off-loading devices measuring peak plantar pressure
Series Title:
Barry University Theses -- School of Human Performance and Leisure Sciences
Creator:
Homer, Von M.
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
87 leaves : illustrations, portraits ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Sports sciences

Subjects

Subjects / Keywords:
Foot -- Ulcers ( lcsh )
Diabetes -- Complications ( lcsh )
Foot -- Wounds and injuries ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Decreasing forefoot plantar pressure is an important factor in the prevention and treatment of diabetic ulcerations. Although offloading devices have been shown to mitigate plantar pressure, there is currently little research comparing the directly comparing the efficacy of these offloading devices. The purpose of this study was to compare the forefoot plantar pressure between four of the most commonly used off-loading devices (TCC EZ, Medi-Kast, BSN Cutimed cast systems, Extra-depth Diabetic Shoe [DS]). Twenty healthy participants’ forefoot plantar pressure was measured while walking in each device. One podiatrist applied the device around the Tekscan f-scan Versa Tek Wireless mapping plantar pressure sensor. Data collection was randomized between each device as plantar pressure was collected during a 3-minute walk on a treadmill at a pace of 1.8 mph. A Repeated Measures ANOVA was conducted to compare the peak pressures between each device. In this direct comparison of popular off-loading methods, all TCC devices significantly lowered peak forefoot plantar pressure as compared to the DS. Additionally, the peak plantar pressure in the TCCEZ and Cutimed casts was significantly lower than that of the Medicast, however, there was no difference in peak forefoot plantar pressure between the TCCEZ and Cutimed. Therefore, since there is a greater correlation in the reduction of peak forefoot pressure in these TCC devices compared to DS as well as the TCC devices compared to one another, we can begin to draw positive trends for best practice in the treatment of Diabetic Foot Ulcers.
Thesis:
Thesis (M.S.)--Barry University, 2015.
Bibliography:
Includes bibliographical references (leaves 53-59).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Von M. Homer. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RD563.H66 2015_HomerVon ( BU-Local )
Classification:
RD563.H66 2015 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations