Document Detail

Plantar pressure and daily cumulative stress in persons affected by leprosy with current, previous and no previous foot ulceration.
MedLine Citation:
PMID:  22947998     Owner:  NLM     Status:  Publisher    
Not only plantar pressure but also weight-bearing activity affects accumulated mechanical stress to the foot and may be related to foot ulceration. To date, activity has not been accounted for in leprosy. The purpose was to compare barefoot pressure, in-shoe pressure and daily cumulative stress between persons affected by leprosy with and without previous or current foot ulceration. Nine persons with current plantar ulceration were compared to 15 with previous and 15 without previous ulceration. Barefoot peak pressure (EMED-X), in-shoe peak pressure (Pedar-X) and daily cumulative stress (in-shoe forefoot pressure time integral×mean daily strides (Stepwatch™ Activity Monitor)) were measured. Barefoot peak pressure was increased in persons with current and previous compared to no previous foot ulceration (mean±SD=888±222 and 763±335 vs 465±262kPa, p<0.05). In-shoe peak pressure was only increased in persons with current compared to without previous ulceration (mean±SD=412±145 vs 269±70kPa, p<0.05). Daily cumulative stress was not different between groups, although persons with current and previous foot ulceration were less active. Although barefoot peak pressure was increased in people with current and previous plantar ulceration, it did not discriminate between these groups. While in-shoe peak pressure was increased in persons with current ulceration, they were less active, resulting in no difference in daily cumulative stress. Increased in-shoe peak pressure suggests insufficient pressure reducing footwear in persons with current ulceration, highlighting the importance of pressure reducing qualities of footwear.
Carine H M van Schie; Frederik J Slim; Renske Keukenkamp; William R Faber; Frans Nollet
Related Documents :
11998 - A comparison of the actions of ici66082 and propranolol on cardiac and peripheral beta-...
1346558 - Safety of pyridostigmine in hypertensive patients receiving beta blockers.
22425338 - [hemodynamic and antipyretic effects of paracetamol, metamizol and dexketoprofen in cri...
16003788 - Enhancing myocardial plasmid expression by retrograde coronary venous delivery.
17215648 - Resistant hypertension: prevalence and evolving concepts.
16467498 - How does salt retention raise blood pressure?
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-1
Journal Detail:
Title:  Gait & posture     Volume:  -     ISSN:  1879-2219     ISO Abbreviation:  Gait Posture     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9416830     Medline TA:  Gait Posture     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 Elsevier B.V. All rights reserved.
Department of Rehabilitation, Academic Medical Center, Amsterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  More men run relatively fast in U.S. road races, 1981-2006: a stable sex difference in non-elite run...
Next Document:  The effects of muscle fatigue on dynamic standing balance in people with and without patellofemoral ...