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CASE REPORTS
Year : 2020  |  Volume : 11  |  Issue : 3  |  Page : 204-208

Plantar pressure analysis and customized insoles in diabetic foot ulcer management: Case series


1 BPT, MPT (Ortho & Sports), Consulting Physiotherapist, Deenanath Mangeshkar Hospital, Pune, India
2 BPTh, Assistant physiotherapist to Avijan Sinha, Independent clinical physiotherapy practitioner, Pune, India
3 BPTh, MPTh (Musculoskeletal Sciences), Observer, Deenanath Mangeshkar Hospital, Pune, India

Correspondence Address:
Dr. Avijan Sinha
Advanced Wound Care, Annex Building, Phase I, Deenanath Mangeshkar Hospital, Near Mhatre Bridge, Erandwane, Pune, Maharashtra.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JOD.JOD_24_19

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Nonhealing diabetic foot ulcers are a major health concern, reducing the quality of life of individuals and families. It is well-known that reduction and redistribution of plantar pressure prevents ulceration or its recurrence. However, studies regarding the use of customized insoles to off-load existing ulcers are limited. This case series highlights the potential of customized insoles in improving outcomes of diabetic plantar foot ulcers in three patients. Functional Ambulation Performance Score (FAPS) and plantar pressure readings obtained from barefooted gait analysis were noted. Customized insoles were crafted using fully customized insole (Boyner insole) technology at Advanced Wound Care Department, Deenanath Mangeshkar Hospital, Maharashtra, India for every subject as necessary. Gait analysis, wearing footwear with customized insoles, was performed immediately and repeated after 2 months for comparison. All three cases presented with improved FAPS, reduced plantar pressure at wound site, and accelerated healing after 4 months.


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