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Lin TL, Sheen HM, Chung CT, et al. The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy. J Foot Ankle Res. 2013;6(1):29doi: 10.1186/1757-1146-6-29.
Lin, T. L., Sheen, H. M., Chung, C. T., Yang, S. W., Lin, S. Y., Luo, H. J., Chen, C. Y., Chan, I. C., Shih, H. S., & Sheu, W. H. (2013). The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy. Journal of foot and ankle research, 6(1), 29. https://doi.org/10.1186/1757-1146-6-29
Lin, Tung-Liang, et al. "The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy." Journal of foot and ankle research vol. 6,1 (2013): 29. doi: https://doi.org/10.1186/1757-1146-6-29
Lin TL, Sheen HM, Chung CT, Yang SW, Lin SY, Luo HJ, Chen CY, Chan IC, Shih HS, Sheu WH. The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy. J Foot Ankle Res. 2013 Jul 29;6(1):29. doi: 10.1186/1757-1146-6-29. PMID: 23895323; PMCID: PMC3750449.
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J Foot Ankle Res. 2013 Jul 29;6(1):29. doi: 10.1186/1757-1146-6-29.

The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy.

Journal of foot and ankle research

Tung-Liang Lin, Huey-Min Sheen, Chin-Teng Chung, Sai-Wei Yang, Shih-Yi Lin, Hong-Ji Luo, Chung-Yu Chen, I-Cheng Chan, Hsu-Sheng Shih, Wayne Huey-Herng Sheu

Affiliations

  1. Department of Physical Medicine & Rehabilitation, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sec. 4, Taichung 407, Taiwan, Republic of China.
  2. Institute of Biomedical Engineering, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan, Republic of China.
  3. Division of Endocrinology and Metabolism, Department of Internal Medicine, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sec. 4, Taichung 407, Taiwan, Republic of China.
  4. School and Graduate Institute of Physical Therapy and Assistive Technology, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan, Republic of China.
  5. Graduate School of Physical Education, National Taiwan University of Physical Education and Sport, No. 16, Sec. 1, Shuang-Shih Rd, Taichung 404, Taiwan, Republic of China.
  6. Department of Physical Therapy, Fooyin University, 1 Jinxue Rd., Daliao Dist, Kaohsiung 83102, Taiwan, Republic of China.
  7. College of Medicine, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 112, Taiwan, Republic of China.
  8. Institute of Medical Technology, National Chung-Hsing University, 250 Kuo Kuang Rd, Taichung 402, Taiwan, Republic of China.

PMID: 23895323 PMCID: PMC3750449 DOI: 10.1186/1757-1146-6-29

Abstract

BACKGROUND: Removable plug insoles appear to be beneficial for patients with diabetic neuropathic feet to offload local plantar pressure. However, quantitative evidence of pressure reduction by means of plug removal is limited. The value of additional insole accessories, such as arch additions, has not been tested. The purpose of this study was to evaluate the effect of removing plugs from foam based insoles, and subsequently adding extra arch support, on plantar pressures.

METHODS: In-shoe plantar pressure measurements were performed on 26 patients with diabetic neuropathic feet at a baseline condition, in order to identify the forefoot region with the highest mean peak pressure (MPP). This was defined as the region of interest (ROI) for plug removal.The primary outcome was measurement of MPP using the pedar® system in the baseline and another three insole conditions (pre-plug removal, post-plug removal, and post-plug removal plus arch support).

RESULTS: Among the 26 ROIs, a significant reduction in MPP (32.3%, P<0.001) was found after removing the insole plugs. With an arch support added, the pressure was further reduced (9.5%, P<0.001). There were no significant differences in MPP at non-ROIs between pre- and post-plug removal conditions.

CONCLUSIONS: These findings suggest that forefoot plantar pressure can be reduced by removing plugs and adding arch support to foam-based insoles. This style of insole may therefore be clinically useful in managing patients with diabetic peripheral neuropathy.

References

  1. Lancet. 2003 May 3;361(9368):1545-51 - PubMed
  2. J Foot Ankle Res. 2012 Oct 01;5(1):24 - PubMed
  3. J Foot Ankle Res. 2012 Oct 01;5(1):25 - PubMed
  4. Foot Ankle Int. 2005 Feb;26(2):171-9 - PubMed
  5. J Foot Ankle Res. 2012 Dec 13;5(1):32 - PubMed
  6. Diabetes Care. 1996 Aug;19(8):818-21 - PubMed
  7. Gait Posture. 2011 Mar;33(3):385-9 - PubMed
  8. J Rehabil Res Dev. 2004 Nov-Dec;41(6A):767-74 - PubMed
  9. J Biomech. 2007;40(4):883-90 - PubMed
  10. Diabetes Care. 2011 Jul;34(7):1595-600 - PubMed
  11. J Foot Ankle Res. 2009 Jun 16;2:20 - PubMed
  12. J Rehabil Res Dev. 2001 May-Jun;38(3):309-17 - PubMed
  13. J Foot Ankle Res. 2008 Sep 11;1(1):9 - PubMed
  14. Diabetologia. 1992 Jul;35(7):660-3 - PubMed
  15. Diabetes Metab Res Rev. 2012 Feb;28 Suppl 1:54-9 - PubMed
  16. Diabetes Care. 1997 May;20(5):855-8 - PubMed
  17. Clin Biomech (Bristol, Avon). 2007 Jan;22(1):81-7 - PubMed
  18. Diabetes Care. 2001 Feb;24(2):250-6 - PubMed
  19. Diabetes Care. 2000 Jun;23(6):750-3 - PubMed
  20. Gait Posture. 2011 Oct;34(4):553-7 - PubMed
  21. J Foot Ankle Res. 2011 Jun 21;4(1):18 - PubMed
  22. J Foot Ankle Res. 2012 Dec 05;5(1):31 - PubMed
  23. Clin Biomech (Bristol, Avon). 2009 Jun;24(5):459-64 - PubMed
  24. Plast Reconstr Surg. 2011 Jan;127 Suppl 1:248S-256S - PubMed
  25. J Rehabil Res Dev. 1998 Jan;35(1):1-5 - PubMed
  26. Clin Biomech (Bristol, Avon). 2012 Aug;27(7):725-30 - PubMed
  27. Diabetes Care. 2008 May;31(5):839-44 - PubMed
  28. Diabetes Care. 2005 Apr;28(4):929-30 - PubMed
  29. Microcirculation. 1998;5(2-3):227-33 - PubMed

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