DOI QR코드

DOI QR Code

The Effect of Protective Socks Combined with Functional Insole on Plantar Foot Pressure in Healthy Adults: A Pilot Study

정상인 대상으로 기능성 인솔과 결합한 보호형 양말이 발바닥 압력에 미치는 영향: 예비 실험 연구

  • Jung, Do-Young (Dept. of Physical Therapy, Kinesiopathologic Institute, Joongbu University)
  • 정도영 (중부대학교 물리치료학과, 운동병리과학연구소)
  • Received : 2018.01.17
  • Accepted : 2018.01.30
  • Published : 2018.02.28

Abstract

PURPOSE: This study examined the ability of experimental socks combined with a functional insole to reduce plantar foot pressure in healthy subjects. METHODS: The study enrolled 15 subjects. An in-shoe measurement device was used to measure the peak plantar pressure while walking. The peak forefoot, midfoot, and hindfoot plantar pressure data were collected under two conditions: the subjects were wearing their own socks and while they were wearing the experimental socks. The paired t-test was used to determine the differences in peak plantar pressure between the two conditions at all three positions. RESULTS: Wearing the experimental socks resulted in a significantly higher peak plantar pressure in the medial forefoot and midfoot areas than wearing one's own socks (p<.05), and also in significantly lower peak plantar pressure in the medial and lateral hindfoot (p<.05). However, there were no significant differences of peak plantar pressure between experimental and own socks in middle and lateral forefoot (p>.05). CONCLUSION: The experimental socks combined with a functional insole decreased plantar pressure in the hindfoot and supported the medial longitudinal arch. However, it is necessary to change the design and material of the forefoot area in the functional insole to prevent foot ulcer at that location in people with diabetes mellitus.

Keywords

References

  1. Armstrong DG, Nguyen HC, Lavery LA, et al. Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care. 2001;24:1019-22. https://doi.org/10.2337/diacare.24.6.1019
  2. Banchellini E, Maccharini S, Valentia D, et al. Use of nanotechnology-designed foot sock in the management of pre-ulcerative conditions in the diabetic foot: results of a single blind randomized study. Int J Low Extrem Wounds. 2008;7(2):82-7. https://doi.org/10.1177/1534734608318138
  3. Blackwell B, Aldridge R, Jacob S. A comparison of plantar pressure in patients with diabetic foot ulcers using different hosiery. Int J Low Extrem Wounds. 2002;1:174-8. https://doi.org/10.1177/153473460200100305
  4. Boulton AJM, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers. N Engl J Med. 2004;351:48-55. https://doi.org/10.1056/NEJMcp032966
  5. Bus SA, van Deursen RW, Armstrong DG, et al. Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review. Diabetes Metab Res Rev. 2016;32(1):99-118. https://doi.org/10.1002/dmrr.2702
  6. Bus SA, Waaijman R, Arts M, et al. Effect of custom-made footwear on foot ulcer recurrence in diabetes: a multicenter randomized controlled trial. Diabetes Care. 2013;36(12):4109-16. https://doi.org/10.2337/dc13-0996
  7. Ctercteko GC, Dhanendran M, Hutton WC et al. Vertical forces acting on the feet of diabetic patients with neuropathic ulceration. Br J Surg. 1981;68(9):608-14. https://doi.org/10.1002/bjs.1800680904
  8. Farzadi M, Safaeepour Z, Mousavi ME, et al. Effect of medial arch support foot orthosis on plantar pressure distribution in females with mild-to-moderate hallux valgus after one month of follow-up. Prosthet Orthot Int. 2015;39(2):134-9. https://doi.org/10.1177/0309364613518229
  9. Frykberg RG, Lavery LA, Pham H, et al. Role of neuropathy and high foot pressures in diabetic foot ulceration. Diabetes Care. 1998;21:1714-9. https://doi.org/10.2337/diacare.21.10.1714
  10. Han SH, Park YC Amputation in diabetic foot ulcer and infection, J Korean Foot Ankle Soc. 2014;18:8-13.
  11. Garrow AP, van Schie CH, Boulton AJ. Efficacy of multilayered hosiery in reducing in-shoe plantar foot pressure in high-risk patients with diabetes. Diabetes Care. 2005;28(8):2001-6. https://doi.org/10.2337/diacare.28.8.2001
  12. Goo BO. The effect of height increase elevator shoes insole on gait and foot pressure. J Korean Soc Phys Med. 2011;6(2):199-205.
  13. Hayda R, Tremaine M, Tremaine K, et al. Effect of metatarsal pads and their positioning: a quantitative assessment. Foot Ankle Int. 1994;15(10):561-6. https://doi.org/10.1177/107110079401501008
  14. Herring K, Richie D. Friction blisters and sock fiber composition. A double-blind study. J Am Podiatr Med Assoc. 1990;80:63-71. https://doi.org/10.7547/87507315-80-2-63
  15. Hsi WL, Kang JH, Lee XX. Optimum position of metatarsal pad in metatarsalgia for pressure relief. Am J Phys Med Rehabil. 2005;84(7):514-20. https://doi.org/10.1097/01.phm.0000167680.70092.29
  16. Kim SG, Ryu YU, Kim HD. The effects of insole supporting medial longitudinal arch while walking in spastic cerebral palsy with pes planus. J Korean Soc Phys Med. 2012;7(4):471-80. https://doi.org/10.13066/kspm.2012.7.4.471
  17. Kim TH, Koh EK, Jung DY. The effect of arch support taping on plantar pressure and navicular drop height in subjects with excessive pronated foot during 6 weeks. J Korean Soc Phys Med. 2011;6(4):489-96.
  18. Kim YM, Cho DG, Kang SH. An empirical analysis on geographic variations in the prevalence of diabetes. Health Soc Welf Rev. 2014;34:82-105. https://doi.org/10.15709/hswr.2014.34.3.82
  19. Lord M, Hosein R: A study of in-shoe plantar shear in patients with diabetic neuropathy. Clin Biomech. 2000;15: 278-83. https://doi.org/10.1016/S0268-0033(99)00076-5
  20. Macfarlane RM, Jeffcoate WJ: Factors contributing to the presentation of diabetic foot ulcers. Diabet Med. 1997;14:867-70. https://doi.org/10.1002/(SICI)1096-9136(199710)14:10<867::AID-DIA475>3.0.CO;2-L
  21. Mayfield JA, Reiber GE, Sanders LJ, et al. Preventive foot care in diabetes. Diabetes Care. 2004;27(Suppl 1): S63-4. https://doi.org/10.2337/diacare.27.2007.S63
  22. McInnes A, Jeffcoate W, Vileikyte L, et al. Foot care education in patients with diabetes at low risk of complications: a consensus statement. Diabet Med. 2011;28(2):162-7. https://doi.org/10.1111/j.1464-5491.2010.03206.x
  23. Nordsiden L, Van Lunen BL, Walker ML, et al. The effect of 3 foot pads on plantar pressure of pes planus foot type. J Sport Rehabil. 2010;19(1):71-85.
  24. Reiber GE, Vileikyte L, Boyko EJ, et al. Causal pathways for incident lower-extremity ulcers in patients with diabetes from two settings. Diabetes Care. 1999;22: 157-62. https://doi.org/10.2337/diacare.22.1.157
  25. Ulbrecht JS, Hurley T, Mauger DT, et al. Prevention of recurrent foot ulcers with plantar-pressure based in-shoe orthoses: The Careful prevention multicenter randomized controlled trial. Diabetes Care. 2014; 37(7):1982-9. https://doi.org/10.2337/dc13-2956
  26. Veves A, Boulton AJM, Hay EM: The use of specially padded hosiery in the painful rheumatoid foot. Foot. 1992; 1:175-7. https://doi.org/10.1016/0958-2592(92)90002-7
  27. Veves A, Masson E, Fernando D, et al. Use of experimental padded hosiery to reduce abnormal foot pressures in diabetic neuropathy. Diabetes Care. 1989;12:653-5.
  28. Veves AME, Fernando DJ, Boulton AJ. Studies of experimental hosiery in diabetic neuropathic patients with high foot pressures. Diabet Med. 1990;7:324-6. https://doi.org/10.1111/j.1464-5491.1990.tb01398.x
  29. Whittle MW: Generation and attenuation of transient impulsive forces beneath the foot: a review.Gait Posture. 1999; 10:264-75. https://doi.org/10.1016/S0966-6362(99)00041-7
  30. Yick KL, Cheung NC, Leung KY, et al. Effects of different types of socks on plantar pressures, in-shoe temperature and humidity in diabetic patients. J Donghua Univ. 2013;30(5):397-400.

Cited by

  1. The Effect of Protective Socks with Functional Insoles on Plantar Foot Pressure in Diabetes Patients vol.30, pp.6, 2018, https://doi.org/10.18857/jkpt.2018.30.6.224
  2. Dynamic analysis on the functional relationship of pressure, displacement and angle for the top part of men's socks using FEM vol.110, pp.8, 2019, https://doi.org/10.1080/00405000.2018.1552414