The Influences Of A Kind Of Diabetic Shoes On Diabetes Patients’ Foot Pressure Distribution During Walking

OBJECTIVES:The abnormal plantar pressure distribution of diabetic patients will increase the risk of foot ulcers. To Improve the plantar pressure distribution and reduce the risk of ulcers, patients should wear suitable shoes. In this study, by comparing the dynamic plantar pressure changes when wearing the diabetic shoes and the patients’own shoes,we evaluated the influence of the diabetic shoes on plantar pressure distribution for diabetic patients.METHODS:Subjects:39male subjects which devided into three groups: patients with diabetic neuropathies (n=11), patients without diabeticneuropathies(n=13), control group(n=15).Study design:Plantar pressure of3groups during barefoot walking were measured using footscan plantar pressure plate to investigate the characteristics of plantar pressure distribution by patients with and without diabetic neuropathies. Shoe pressure and sole-pressure were measured when patients with and without diabetic neuropathies wore diabetic shoes and their own shoes respectively (random testing sequence). Novel-Pedar and footscan were used to measure in-shoe pressure and sole-pressure respectively. The plantar pressure data during barefoot walking was analysed with Independent-Samples T Test.A two-way repeated-measures analysis of variance (ANOVA) was performed on variables related to in-shoe pressure and sole-pressure (P<0.05). All the tests we’re conducted using SPSSsoftware.RESULTS:The stance phase in T1area and heel area are much longer when wearing diabetic shoes, this provided the protection for the plantar and increased the buffer time after the high-pressure occured. All the subjects’in-shoe pressure were more inclined to medial exertion. There was no significant difference between diabetic shoes and the patients’ own shoes in balance control. CONCLUSIONS:1. Diabetic shoes improved the plantar pressure distribution and reduced the shoe pressure in forefoot and heel region.2. Diabetes shoes did not significantly better than patients’own shoes in balance control.3. Diabetic neuropathy patients metatarsal area inside the shoe standardization of plantar pressure is significantly higher than the pressure of time integral diabetes patients with neuropathy. Wear shoes with diabetes foot when the two groups in the middle of peak pressure and pressure time points are greater than the wear ordinary shoes, and metatarsal area and heel area impulse to wear normal shoes when there was no significant difference.4. The standardization of subjects in diabetes shoes arches pressure is greater than the time integral wear ordinary shoes.5. Shoe sole pressure, diabetes and normal pressure center, absolutely on time and subtalar joint angles were no significant difference.