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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(3):433-437.
The Comparison of the Plantar Peak Pressure in Diabetic Shoes of Normal Subjects to Diabetic Patients.
Han, Seung Jin , Jang, Sung Ho , Lee, Gyu Hun , Jung, Jae Sun , Han, Ki Hun , Park, Si Bog
1Department of Rehabilitation Medicine, Hanyang University College of Medicine, Korea. sibopark@hanyang.ac.kr
2Physical Education of Inha University College of Education, Korea.
당뇨신발 착용 후 정상인과 당뇨인의 발바닥 압력 비교
한승진, 장성호, 이규훈, 정제순, 한기훈1, 박시복
한양대학교 의과대학 재활의학교실, 1인하대학교 체육교육학과
Abstract
Objective
To compare the plantar peak pressure of diabetic patients without neuropathic and ischemic symptoms to normal subject wearing diabetic shoes and to compare the plantar peak pressures of P.W. minor (B) shoes to Apex (A) shoes.


Method
Thirty three normal subjects and fourteen diabetic patients were participated. Plantar peak pressures in shoes were measured by pedarduring a comfortable gait wearing two types of diabetic shoes, respectively. A shoes and B shoes were used in this study. Plantar pressure was analyzed by pedar C-expert program at T0 (whole foot), M1 (heel), M2 (midfoot), M3 (1st, 2nd metatarsal area), M4 (3rd, 4th, 5th metatarsal area), M5 (great toe), M6 (2nd, 3rd toe area) and M7 (4th, 5th toe area) zones respectively.


Results
Plantar peak pressures of diabetic patients without neuropathic and ischemic symptom were not different from normal subjects. In normal subjects, plantar peak pressure of B shoes were lower than A shoes at both T0, M3 and M5 zones and left M6 and M7 zones. Plantar peak pressures of A shoes was lower than B shoes at both M2 zones. In diabetic patients plantar peak pressures of B shoes was lower than A shoes at right M4 and left M5 zones.


Conclusion
There was no sgnificant difference between plantar peak pressures of normal subjects and diabetic patients without neuproathic and ischemic symptom. B shoes were better than A shoes to reduce plantar peak pressure. (J Korean Acad Rehab Med 2003; 27: 433-437)

Key Words: Diabetes mellitus, Peak plantar pressure, P.W. minor shoes, Apex shoes


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