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http://dx.doi.org/10.13066/kspm.2018.13.1.147

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

Jung, Do-Young (Dept. of Physical Therapy, Kinesiopathologic Institute, Joongbu University)
Publication Information
Journal of the Korean Society of Physical Medicine / v.13, no.1, 2018 , pp. 147-154 More about this Journal
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
Diabetes mellitus; Insole; Peak plantar pressures; Socks; Ulcer;
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Times Cited By KSCI : 1  (Citation Analysis)
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1 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.
2 Veves AME, Fernando DJ, Boulton AJ. Studies of experimental hosiery in diabetic neuropathic patients with high foot pressures. Diabet Med. 1990;7:324-6.   DOI
3 Whittle MW: Generation and attenuation of transient impulsive forces beneath the foot: a review.Gait Posture. 1999; 10:264-75.   DOI
4 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.
5 Armstrong DG, Nguyen HC, Lavery LA, et al. Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care. 2001;24:1019-22.   DOI
6 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.   DOI
7 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.   DOI
8 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.   DOI
9 Boulton AJM, Kirsner RS, Vileikyte L. Neuropathic diabetic foot ulcers. N Engl J Med. 2004;351:48-55.   DOI
10 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.   DOI
11 Macfarlane RM, Jeffcoate WJ: Factors contributing to the presentation of diabetic foot ulcers. Diabet Med. 1997;14:867-70.   DOI
12 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.
13 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.   DOI
14 Lord M, Hosein R: A study of in-shoe plantar shear in patients with diabetic neuropathy. Clin Biomech. 2000;15: 278-83.   DOI
15 Mayfield JA, Reiber GE, Sanders LJ, et al. Preventive foot care in diabetes. Diabetes Care. 2004;27(Suppl 1): S63-4.   DOI
16 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.   DOI
17 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.
18 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.   DOI
19 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.   DOI
20 Veves A, Boulton AJM, Hay EM: The use of specially padded hosiery in the painful rheumatoid foot. Foot. 1992; 1:175-7.   DOI
21 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.
22 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.   DOI
23 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.   DOI
24 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.   DOI
25 Han SH, Park YC Amputation in diabetic foot ulcer and infection, J Korean Foot Ankle Soc. 2014;18:8-13.
26 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.   DOI
27 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.   DOI
28 Herring K, Richie D. Friction blisters and sock fiber composition. A double-blind study. J Am Podiatr Med Assoc. 1990;80:63-71.   DOI
29 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.   DOI
30 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.   DOI