This study was conducted to determine whether the re-ulceration rate in patients with diabetic neuropathic foot ulcers could be addressed with a personalised orthopodologic regimen based on the plantar pressures and biomechanics of the individual foot.
Neuropathy was diagnosed by examining ten sites on the foot using a Semmes-Weinstein monofilament 5.07/10 g and a neurotensiometer.
In each foot, the factors assessed were joint mobility, goniometry and biomechanics.
Plantar pressures while walking were recorded, using a 2m-long Footscan 7.x gait interface system at a recording speed of 500 photograms per second.
In patients re-ulcerating during orthotic treatment, a significant reduction in mean peak plantar pressures was observed.
No significant differences emerged between mean peak plantar impulses, with and without orthotic treatment.
Hence, a personalised biomechanical treatment targeted at diminishing plantar pressures, can reduce the risk of foot ulceration in high-risk patients with neuropathic ulcers.
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