مقایسه تأثیر استفاده از کفی در سه حالت کفیسرتاسری، ایجاد پلاگ همراه با قراردادن سیلیکون و ایجاد پلاگ بدون قرار دادن سیلیکون بر میزان فشار کف پا در بیماران دیابت نوع دو
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Compare the effect of using insoles in creating plug both with and without placing a silicone on reducing plantar pressure in pationts with diabetes
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علوم بهزیستی و توانبخشی University of Social Welfare and Rehabilitation Science))
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اعضاء مصنوعی و وسایل کمکی Orthotics & Prosthetics
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علوم بهزیستی و توانبخشی University of Social Welfare and Rehabilitation Science))
SUMMARY OR ABSTRACT
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نek P, et al. The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review. Diabetes/metabolism research and reviews. 2008;24(S1):S162-S80. 35.Paton J, Bruce G, Jones R, Stenhouse E. Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review. Journal of Diabetes and its Complications. 2011;25(1):52-62. 36.Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice. 2010;87(1):4-14. 37.Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Research and Clinical Practice. 2014;103(2):137-49. 38.Felea MG, Covrig M, Mircea I, Naghi L. Socioeconomic Status and Risk of Type 2 Diabetes Mellitus among an Elderly Group Population in Romania. Procedia Economics and Finance. 2014;10:61-7. 39.Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. Jama. 2005;293(2):217-28. 40.Boulton AJ, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers. New England Journal of Medicine. 2004;351(1):48-55. 41.Tallis A, Motley TA, Wunderlich RP, Dickerson Jr JE, Waycaster C, Slade HB. Clinical and Economic Assessment of Diabetic Foot Ulcer Debridement with Collagenase: Results of a Randomized Controlled Study. Clinical Therapeutics. 2013;35(11):1805-20. 42.Abbott C, Carrington A, Ashe H, Bath S, Every L, Griffiths J, et al. The NorthWest Diabetes Foot Care Study: incidence of, and risk factors for,isk foot. Diabetes Care. 2004;27(4):942-6. 63.Tang UH, Z
Text of Note
in-shoe pressure measuring system. Foot and Ankle Surgery. 2010;16(2):70-3. 75.Brodsky JW, Pollo FE, Cheleuitte D, Baum BS. Physical properties, durability, and energy-dissipation function of dual-density orthotic materials used in insoles for diabetic patients. Foot & ankle international. 2007;28(8):880-9. 76.Queen RM, Mall NA, Nunley JA, Chuckpaiwong B. Differences in plantar loading between flat and normal feet during different athletic tasks. Gait & posture. 2009;29(4):582-6. 77.Brodsky JW, Brajtbord J, Coleman SC, Raut S, Polo FE. Effect of heating on the mechanical properties of insole materials. Foot & ankle international. 2012;33(9):772-8. 78.Frykberg RG, Lavery LA, Pham H, Harvey C, Harkless L, Veves A. Role of neuropathy and high foot pressures in diabetic foot ulceration. Diabetes Care. 1998;21(10):1714-9. Abstract Introduction: Diabetes mellitus is a disease, characterized by high blood sugar caused by absolute or relative deficiency of insulin. Increased plantar pressure in diabetic patients is an important factor in the development of foot ulcers. The aim of this study was to investigate the effect of insoles plug with silicone on reducing plantar pressure, in areas with high plantar pressure and its effects on the area surrounding the created cavity. Methods: This study is a clinical trial in which recruited 21 patients with type II diabetes who diagnosed and referred by an Endocrinologist. Information on plantar pressure were collected by Pedar-X. The test was done in four condition including walking without insole, total insole, silicone in plug, and the plug insole and Mean maximum pressure, maximum force and the contact surface in four areas, including the thumb, first metatarsal, metatarsal second-third and fourth-fifth metatarsal respectively were analyzed. Repeated Measurement Anova test was used for statistical analysis. Results: Regarding mean maximum pressure variable, plug insole in the second-third metatarsal area, was the most effective insole in reducing plantar pressure (0.05> pv), but caused plantar pressure increase in the area around cavity. Silicone insole decreased the mean plantar pressure significantly at the plug (0.05> pv), but no significant decrease around cavity (0.05> pv). All insoles caused significant decrease in the maximum force in comparing with non-insole state (0.05> pv). Using insoles caused no significant difference than non-insole state regarding contact area variable in forefoot (0.05> pv). Conclusion: Results showed that using silicon insole in plug could cause plantar pressure decrease in high plantar pressure regions and also uniform pressure distribution around plug. key word: diabets, plantar pressure, plug insole ضin-shoe system: Repeatability and normal pressure values. Gait & posture. 2007;25(3):401-5. 74.Ramanathan A, Kiran P, Arnold G, Wang W, Abboud R. Repeatability of the Pedar-X ضPlastazote, soft). The Foot. 2010;20(1):1-6. 67.Scire V, Leporati E, Teobaldi I, Nobili LA, Rizzo L, Piaggesi A. Effectiveness and safety of using Podikon digital silicone padding in the primary prevention of neuropathic lesions in the forefoot of diabetic patients. Journal of the American Podiatric Medical Association. 2009;99(1):28-34. 68.Slater R, Hershkowitz I, Ramot Y, Buchs A, Rapoport M. Reduction of digital plantar pressure by debridement and silicone orthosis. Diabetes research and clinical practice. 2006;74(3):263-6. 69.Viswanathan V, Madhavan S, Gnanasundaram S, Gopalakrishna G, Das BN, Rajasekar S, et al. Effectiveness of different types of footwear insoles for the diabetic neuropathic foot A follow-up study. Diabetes care. 2004;27(2):474-7. 70.Van Schie C, Whalley A, Vileikyte L, Wignall T, Hollis S, Boulton A. Efficacy of injected liquid silicone in the diabetic foot to reduce risk factors for ulceration: a randomized double-blind placebo-controlled trial. Diabetes Care. 2000;23(5):634-8. 71.Boyd LA, Bontrager EL, Mulroy SJ, Perry J. The reliability and validity of the novel Pedar system of in-shoe pressure measurement during free ambulation. Gait & Posture. 1997;5(2):165. 72.Murphy DF, Beynnon BD, Michelson JD, Vacek PM. Efficacy of plantar loading parameters during gait in terms of reliability, variability, effect of gender and relationship between contact area and plantar pressure. Foot & ankle international. 2005;26(2):171-9. 73.Putti A, Arnold G, Cochrane L, Abboud R. The Pedar +ضPlastazote, firm and PPSPoron +ضPPFPoron ,ضPPoron ,ضgner R, Lisovskaja V, Karlsson J, Hagberg K, Tranberg R. Comparison of plantar pressure in three types of insole given to patients with diabetes at risk of developing foot ulcersa two-year, randomized trial. Journal of Clinical & Translational Endocrinology. 2014;1(4):121-32. 64.Lott DJ, Hastings MK, Commean PK, Smith KE, Mueller MJ. Effect of footwear and orthotic devices on stress reduction and soft tissue strain of the neuropathic foot. Clinical biomechanics. 2007;22(3):352-9. 65.Bus SA, van Deursen RW, Kanade RV, Wissink M, Manning EA, van Baal JG, et al. Plantar pressure relief in the diabetic foot using forefoot offloading shoes. Gait & posture. 2009;29(4):618-22. 66.Tong JW, Ng EY. 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Compare the effect of using insoles in creating plug both with and without placing a silicone on reducing plantar pressure in pationts with diabetes