Strategies for preventing recurrence of foot ulceration by optimizing plantar loading
| Project/Area Number |
24700594
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| Research Category |
Grant-in-Aid for Young Scientists (B)
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| Allocation Type | Multi-year Fund |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Seijoh University |
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Principal Investigator |
HAYASHI HISAE 星城大学, リハビリテーション学部, 准教授 (80444404)
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| Research Collaborator |
DRIVER Vickie R Brown University School of Medicine, Professor of Orthopedic Surgery(clinical)
PARK Nanjin Outside In, Clinical physician
河辺 信秀 茅ヶ崎リハビリテーション専門学校, 講師
品川 充生 岡崎市民病院, リハビリテーション室, 室長
近藤 恵理子 名古屋共立病院, リハビリテーション部
伊藤 真也 名古屋共立病院, リハビリテーション部
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| Project Period (FY) |
2012-04-01 – 2015-03-31
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| Project Status |
Completed (Fiscal Year 2014)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2014: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2013: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
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| Keywords | off-loading / 介護予防 / 再現性 / 国際研究者交流（米国） / 潰瘍再発予防 / 糖尿病足病変 / 足底剪断力 / 足底潰瘍 / off loading / off loaing |
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| Outline of Final Research Achievements |
The device was developed to quantify the amount of load applied to the plantar aspect of the foot during walking and performing daily activities.
First, the reproducibility of measurements (pressure and shear force) was confirmed. Second, strategies for load optimization were examined by performing measurement of the plantar load of walking and climbing stairs, as well as while wearing post-operative shoes (with shaped outsoles / plug-removed insoles).
Reflecting these findings, customized footwear was made to provide adequate off-loading for the prevention of reulceration. Observation of the course of cases in which plantar ulcers had healed confirmed that reulceration occurred following sharply elevated levels of activity and plantar loading and that, to prevent reulceration, the footwear was necessary, coupled with the control of the loading magnitude.
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Report
(4 results)
Research Products
(28 results)
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[Presentation] 糖尿病患者における歩行特性と足底にかかる力学的負荷量の検討2012
Author(s)
佐々木 陽平, 林 久恵, 小中 真由美, 太田 進, 伊藤 真也, 鬼頭 麻有, 近藤 恵理子, 伊藤 沙夜香, 渡井 陽子, 森山 善文, 古橋 究一, 熊田 佳孝
Organizer
第47回日本理学療法学術大会
Place of Presentation
神戸
Related Report
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[Presentation] 歩行時足底圧と活動量から算出した糖尿病患者の積算足底圧についての検討2012
Author(s)
小中 真由美, 林 久恵, 佐々木 陽, 鬼頭 麻有, 伊藤 真也, 近藤 恵理子, 伊藤 沙夜香, 渡井 陽子, 森山 善文, 古橋 究一, 熊田 佳孝
Organizer
第47回日本理学療法学術大会
Place of Presentation
神戸
Related Report
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