Cargando…
Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations
The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs) which remains an important risk factor. The effectiveness of current offloading footwear is opposed in...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352841/ https://www.ncbi.nlm.nih.gov/pubmed/37469988 http://dx.doi.org/10.3389/fendo.2023.1166513 |
_version_ | 1785074596720934912 |
---|---|
author | Hemler, Sarah L. Ntella, Sofia Lydia Jeanmonod, Kenny Köchli, Christian Tiwari, Bhawnath Civet, Yoan Perriard, Yves Pataky, Zoltan |
author_facet | Hemler, Sarah L. Ntella, Sofia Lydia Jeanmonod, Kenny Köchli, Christian Tiwari, Bhawnath Civet, Yoan Perriard, Yves Pataky, Zoltan |
author_sort | Hemler, Sarah L. |
collection | PubMed |
description | The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs) which remains an important risk factor. The effectiveness of current offloading footwear is opposed in part by poor patient adherence to these interventions which have an impact on everyday living activities of patients. Moreover, the offloading devices currently available utilize primarily passive techniques, whereas PP distribution is a dynamically changing process with frequent shifts of high PP areas under different areas of the foot. Thus, there is a need for pressure offloading footwear capable of regularly and autonomously adapting to PPs of people with diabetes. The aim of this article is to summarize the concepts of intelligent pressure offloading footwear under development which will regulate PPs in people with diabetes to prevent and treat diabetic foot ulcers. Our team is creating this intelligent footwear with an auto-contouring insole which will continuously read PPs and adapt its shape in the forefoot and heel regions to redistribute high PP areas. The PP-redistribution process is to be performed consistently while the footwear is being worn. To improve adherence, the footwear is designed to resemble a conventional shoe worn by patients in everyday life. Preliminary pressure offloading and user perceptions assessments in people without and with diabetes, respectively, exhibit encouraging results for the future directions of the footwear. Overall, this intelligent footwear is designed to prevent and treat diabetic foot ulcers while enhancing patient usability for the ultimate prevention of lower limb amputations. |
format | Online Article Text |
id | pubmed-10352841 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-103528412023-07-19 Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations Hemler, Sarah L. Ntella, Sofia Lydia Jeanmonod, Kenny Köchli, Christian Tiwari, Bhawnath Civet, Yoan Perriard, Yves Pataky, Zoltan Front Endocrinol (Lausanne) Endocrinology The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs) which remains an important risk factor. The effectiveness of current offloading footwear is opposed in part by poor patient adherence to these interventions which have an impact on everyday living activities of patients. Moreover, the offloading devices currently available utilize primarily passive techniques, whereas PP distribution is a dynamically changing process with frequent shifts of high PP areas under different areas of the foot. Thus, there is a need for pressure offloading footwear capable of regularly and autonomously adapting to PPs of people with diabetes. The aim of this article is to summarize the concepts of intelligent pressure offloading footwear under development which will regulate PPs in people with diabetes to prevent and treat diabetic foot ulcers. Our team is creating this intelligent footwear with an auto-contouring insole which will continuously read PPs and adapt its shape in the forefoot and heel regions to redistribute high PP areas. The PP-redistribution process is to be performed consistently while the footwear is being worn. To improve adherence, the footwear is designed to resemble a conventional shoe worn by patients in everyday life. Preliminary pressure offloading and user perceptions assessments in people without and with diabetes, respectively, exhibit encouraging results for the future directions of the footwear. Overall, this intelligent footwear is designed to prevent and treat diabetic foot ulcers while enhancing patient usability for the ultimate prevention of lower limb amputations. Frontiers Media S.A. 2023-07-04 /pmc/articles/PMC10352841/ /pubmed/37469988 http://dx.doi.org/10.3389/fendo.2023.1166513 Text en Copyright © 2023 Hemler, Ntella, Jeanmonod, Köchli, Tiwari, Civet, Perriard and Pataky https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Endocrinology Hemler, Sarah L. Ntella, Sofia Lydia Jeanmonod, Kenny Köchli, Christian Tiwari, Bhawnath Civet, Yoan Perriard, Yves Pataky, Zoltan Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title | Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title_full | Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title_fullStr | Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title_full_unstemmed | Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title_short | Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
title_sort | intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations |
topic | Endocrinology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10352841/ https://www.ncbi.nlm.nih.gov/pubmed/37469988 http://dx.doi.org/10.3389/fendo.2023.1166513 |
work_keys_str_mv | AT hemlersarahl intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT ntellasofialydia intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT jeanmonodkenny intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT kochlichristian intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT tiwaribhawnath intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT civetyoan intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT perriardyves intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations AT patakyzoltan intelligentplantarpressureoffloadingforthepreventionofdiabeticfootulcersandamputations |