Plantar pressure controlled training for preventing diabetic ulcer

2017 Fiscal Year Final Research Report

• Project/Area Number: 15K01486
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Rehabilitation science/Welfare engineering
• Research Institution: Seijoh University
• Principal Investigator: HAYASHI HISAE 星城大学, リハビリテーション学部, 准教授 (80444404)
• Co-Investigator(Kenkyū-buntansha): 山崎 一徳 藤田保健衛生大学, 医療科学部, 助教 (30733399)
• Research Collaborator: Kawabe Nobuhide 城西国際大学, 福祉総合学部, 助教 (60804250) ; Driver Vickie R. Brown University, Orthopedic Surgery, Professor ; Park Nanjin Outside In Clinic ; Cowan Linda Center of Innovation Research & Rehabilitation (CINDRR) in Tampa ; Allen Latricia Center of Innovation Research & Rehabilitation (CINDRR) in Tampa
• Project Period (FY): 2015-04-01 – 2018-03-31
• Keywords: 足底負荷量 / 足圧分布異常 / 糖尿病足病変 / 潰瘍再発予防 / 体幹加速度 / 歩行練習 / 国際共同研究

Outline of Final Research Achievements

Diabetic foot ulcer (DFU) increases the risk of lower limb loss and leads to dependence on nursing care. It has been pointed out that it is important to correct the abnormal distribution of plantar pressure (PP) for DFU prevention, and the problem is being handled clinically by using footwear or insoles for off-loading. However, PP optimization has been insufficiently carried out.
In this study, we investigated a simple and quantitative evaluation method for abnormal PP distribution and indicated that plantar pressure optimization training resulted in a 28.0 - 60.5% reduction in the region of interest. To adapt this finding in the clinical treatment of DFU, it is necessary to consider the safety of patients with severe peripheral neuropathy or minor amputation history.

Free Research Field

理学療法学