Abstract:
BACKGROUND:Conservative pedorthic management of the diabetic foot has been shown to be an effective method to prevent ulcers, amputations, and re-amputations. This article exhibits why and how pedorthics plays such an important role via modalities such as footwear, shoe modifications, custom foot orthoses, and partial foot prostheses. OBJECTIVE:The objective of this article is to demonstrate how pedorthics has been shown to be an integral part of conservative diabetic foot care. The authors' goal was to educate the reader about the different modalities that are available for use. STUDY DESIGN:This article is based largely on review of previously published research and scholarly articles, augmented by the more than 60 years of pedorthic and orthotic clinical experience of the authors. METHODS:Approximately 60 journal articles and book chapters were reviewed by the authors. Articles were located via online resources such as PubMed as well as the authors' own libraries. RESULTS:It was repeatedly noted that pedorthic modalities such as shoes, foot orthoses, and shoe modifications may be utilized in the treatment and prevention of diabetic foot wounds and other complications. CONCLUSION:Pedorthic devices may be successfully integrated into a comprehensive treatment plan for patients with diabetes and foot ulcers. CLINICAL RELEVANCE:This information is of special interest to those who treat patients with diabetes. The article demonstrates the efficacy of pedorthic intervention through the compilation and review of relevant previously published data.
journal_name
Prosthet Orthot Intjournal_title
Prosthetics and orthotics internationalauthors
Janisse D,Janisse Edoi
10.1177/0309364614535233subject
Has Abstractpub_date
2015-02-01 00:00:00pages
40-7issue
1eissn
0309-3646issn
1746-1553pii
39/1/40journal_volume
39pub_type
杂志文章,评审abstract::This paper reviews the literature comparing the results obtained in applying regimes involving motion with those involving rest following injury or surgery. The deleterious effects of immobilisation are compared to those obtained under conditions of passive motion and intermittent passive motion. It is concluded that ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.3109/03093649309164369
更新日期:1993-08-01 00:00:00
abstract::This study served as a pilot to develop the methodology for a larger number of clinical trials. Ten trans-tibial amputees compared sockets made by conventional methods with sockets made using computer aided socket design (CASD). Prosthetists, paired for experience, fitted each subject with one prosthesis using each me...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648609164519
更新日期:1986-12-01 00:00:00
abstract::Transfer of Musculus Latissimus dorsi/M. Teres major to the rotator cuff with or without M. Subscapularis/M. Pectoralis release is a widely used procedure for restoring shoulder abduction and external rotation in squeal of obstetric brachial plexus palsy. After the operation a shoulder abduction orthosis in maximal ex...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802015755
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Until recently, no study had compared the quality of life of persons with transfemoral amputation treated with osseointegration to socket prosthesis users. OBJECTIVES:Comparison of quality of life in two types of prostheses users: a cohort of patients with osseointegration and patients equipped with a socke...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620948649
更新日期:2020-08-25 00:00:00
abstract:BACKGROUND:The devastating earthquake in Sichuan in 2008 has left many adolescent amputees. However, little research has been focused on the adolescent amputees who have high potential to return to premorbid activity level. OBJECTIVES:To investigate daily step activities and prosthesis-related quality of life of the a...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364614556837
更新日期:2016-02-01 00:00:00
abstract::A cheap and fast method of providing long term accommodating insoles is described. Room temperature vulcanizing (RTV) silicone rubber is used, with suitable coverings, to provide pain relief and support for feet and ankles. The combination of physical properties of the finished item provides a useful balance between s...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648409145347
更新日期:1984-04-01 00:00:00
abstract::If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647909164695
更新日期:1979-04-01 00:00:00
abstract:BACKGROUND AND AIM:DEKA Integrated Solutions Corp. (DEKA) was charged by the Defense Advanced Research Project Agency to design a prosthetic arm system that would be a dramatic improvement compared with the existing state of the art. The purpose of this article is to describe the two DEKA Arm prototypes (Gen 2 and Gen ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364613506913
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND AND AIM:Partial hand amputations are common in developing countries and have a negative impact on patients and their families' quality of life. The uniqueness of each partial hand amputation, coupled with the relatively high costs of prostheses, makes it challenging to provide suitable prosthetic solutions i...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364620905220
更新日期:2020-04-01 00:00:00
abstract::In a prospective, controlled study, 186 prosthetic rubber feet of different designs were fitted to amputees with trans-tibial prostheses. There were 158 amputees available for follow-up. The amputee compliance was good and 89% were satisfied with their device. After 18 months of use one VI-Solid rubber foot from VVAF ...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1080/03093640600794692
更新日期:2006-08-01 00:00:00
abstract::This review presents an analytical and comparative survey of upper limb prosthesis acceptance and abandonment as documented over the past 25 years, detailing areas of consumer dissatisfaction and ongoing technological advancements. English-language articles were identified in a search of Ovid, PubMed, and ISI Web of S...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.1080/03093640600994581
更新日期:2007-09-01 00:00:00
abstract::This paper describes functional outcome of a population of lower limb amputees five months after amputation compared with their preoperative functional abilities and studies the relationship between potential determinants and functional outcome. Twenty out of 26 patients who underwent a lower limb amputation between D...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649609164423
更新日期:1996-08-01 00:00:00
abstract:BACKGROUND:Reduced-stiffness components are often prescribed in lower-limb prostheses, but their efficacy in augmenting shock absorption has been inconclusive. OBJECTIVES:To perform a systematic variation of longitudinal prosthetic stiffness over a wide range of values and to evaluate its effect on shock absorption du...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364616640945
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Good suspension lessens the pistoning (vertical displacement) of the residual limb inside the prosthetic socket. Several methods are used for measuring the pistoning. STUDY DESIGN:Clinical trial. OBJECTIVES:To introduce and evaluate a new simple method for measuring the pistoning between the soft liner and...
journal_title:Prosthetics and orthotics international
pub_type: 临床试验,杂志文章
doi:10.1177/0309364611423130
更新日期:2011-12-01 00:00:00
abstract::Foot complications in diabetes can be decreased by preventive measures. The authors evaluated the current diabetic foot screening and prevention programme of the diabetes outpatient clinic of their university hospital, by assessing the presence of risk factors for the development of foot disorders and the preventive m...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640108726586
更新日期:2001-08-01 00:00:00
abstract::Clinically applied multichannel stimulation was visualized in the very beginnings of FES. A short survey of existing multichannel systems was taken and compared to initial expectations. While much still remains to be done to get multichannel stimulation out of the research environment and into the clinical routine, th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093647709164605
更新日期:1977-04-01 00:00:00
abstract::To get an acceptable standard of prostheses and orthoses in Sweden, the Swedish Institute for the Handicapped is testing this group of aids. One important part of the work is to draw up test instructions. In response to a request from the Swedish Institute for the Handicapped, the Laboratory of Rehabilitation Engineer...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093648209167739
更新日期:1982-04-01 00:00:00
abstract::In a prospective study of polypropylene (PP) prostheses for trans-tibial amputees four different modified SACH feet were used. These are identified as: 1. BAVI from the national manufacturer of componentry in BaVi; 2. HCMC a design initiated by the International Committee of the Red Cross (ICRC) together with the Army...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071641
更新日期:1999-12-01 00:00:00
abstract::Patients with osteoarthritis of the hip were treated with a conservative therapy of heel lifting. Orthoses were applied on 35 hips in 33 subjects and the cases were followed for 23 months on average. Dramatic pain relief was reported, but the time required to reduce or completely relieve pain increased according to th...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649709164544
更新日期:1997-08-01 00:00:00
abstract::This paper reviews and summarizes the evidence for important observations of normal and pathological gait and presents an approach to rehabilitation and orthotic management, which is based on the significance of shank and thigh kinematics for standing and gait. It discusses normal gait biomechanics, challenging some t...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章,评审
doi:10.3109/03093646.2010.485597
更新日期:2010-09-01 00:00:00
abstract::Interface pressures and shear stresses at different sagittal plane angular alignment settings were measured on 3 trans-tibial amputee subjects ambulating with patellar-tendon-bearing total contact prostheses. Substantial socket-shank angular alignment modifications in the sagittal plane had minimal effect on stance ph...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649909071607
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND:The International Classification of Functioning, Disability and Health is a classification of human functioning and disability and is based on a biopsychosocial model of health. As such, International Classification of Functioning, Disability and Health seems suitable as a basis for constructing models defin...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364617729925
更新日期:2018-10-01 00:00:00
abstract::This study examines the evidence which supports the importance of maintaining relative abduction for effective reciprocal walking in high level paraplegic patients. In comparisons of orthoses, where this can only be achieved mechanically, those with higher lateral rigidity consistently showed greater levels of walking...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509080352
更新日期:1995-08-01 00:00:00
abstract::Gains in stump volume have been documented in trans-tibial amputees while walking in custom made under-sized, total surface-bearing, vacuum-assisted sockets (Board et al., 2001). These gains raised doubts as to whether the sockets were truly under-sized and concerns that using an over-sized socket with vacuum-assist c...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640308726666
更新日期:2003-08-01 00:00:00
abstract::A keen skier who is a trans-tibial and trans-radial quadrilateral amputee sought an improved adaptation for skiing from the Rehabilitation Engineering Service in Edinburgh. The unpredictable nature of the bending moments and loads that can be imposed on the prostheses during skiing raised concern about the suitability...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093640409167927
更新日期:2004-04-01 00:00:00
abstract::The objective of this study was to develop guidelines for the prescription of ankle-foot, knee, wrist-hand and elbow orthoses for patients with neurological disorders. The study is part of a more comprehensive study focusing on the development of clinical guidelines for the prescription of these orthoses in a wider pa...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640500533232
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:During functional wheelchair movement there are several types of stroke pattern that a manual wheelchair user (MWCU) can utilize in order to propel. OBJECTIVES:To examine the biomechanical differences between disabled (WCU) and able-bodied (NWCU) children whilst taking part in functional activities at the C...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1177/0309364612448807
更新日期:2012-09-01 00:00:00
abstract::An anterior bending posture of the trunk during walking is often seen among the elderly commonly due to weakened thoraco-lumbar and gluteal muscles. For the management of this debilitating condition, the authors have developed a modified design of thoraco-lumbosacral orthosis (TLSO). Incorporated in this device are po...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649509078233
更新日期:1995-04-01 00:00:00
abstract::We present a case report of a patient, affected by post-polio syndrome and cuff tear arthropathy of his right shoulder, who underwent reverse shoulder arthroplasty. A previous radial deficiency was unmasked in the post-operative follow-up, with passive elbow bending when the forearm was put in an antigravitational pos...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.1080/03093640802425459
更新日期:2009-06-01 00:00:00
abstract::The swing-phase motion of the shank of an above-knee prosthesis has been modelled mathematically. An inexpensive endoskeletal prosthesis was designed using the Jaipur foot and conduit pipes with a hinge joint for the knee. Results of field trials and the modelling indicate that a very simple above-knee prosthesis can ...
journal_title:Prosthetics and orthotics international
pub_type: 杂志文章
doi:10.3109/03093649209164323
更新日期:1992-08-01 00:00:00