Issue 579

Subscribers: 21,846

Nov 9, 2023

This Just In...
Plantar Pressure Analysis in the Insensate Foot

PRESENT Podiatry News Flash   November 9, 2023

The majority of plantar ulcerations in the insensate foot are precipitated, perpetuated or aggravated by mechanical dysfunction of the foot and ankle. Peak pressures, shear forces and hypermobile pedal segments all contribute to this pathology and result in stresses that are especially damaging to integumentary tissue. Since these forces are occurring under the foot inside the shoe while the patient is standing and walking it is only prudent that they be identified and addressed. Observational or Video Gait Analysis is not capable of revealing plantar pressures or measuring temporal parameters, both of which are critical components that must be assessed and addressed in the production and management of pedal ulcerations. In-shoe pressure testing is a practical, repeatable, relevant and reliable method of identifying and neutralizing these predisposing factors thereby improving not only improving patient outcomes but preventing them from occurring in the first place.

CME (Credits: 0.5) CEU (Credits: 0.75) 

Joseph D'Amico, DPM, DSc
Board Certified Foot and Ankle Orthopedics
New York, NY
[email protected]

Click the image below to view this lecture.

Learning Objectives:

  1. To understand the significance and clinical value of the objective assessment of plantar pressure and temporal parameter analysis in the insensate foot.
  2. To appreciate and be able to clinically apply the essential, objectively derived information that is acquired.
  3. To gain a knowledge of force data collection systems and methodology for its application in a clinical setting.
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