Novel Rocker Shoes for Offloading Diabetic Feet

用于减轻糖尿病足负担的新型摇鞋

• 批准号: 8981104
• 负责人: Timothy Hurley
• 金额: $ 25万
• 依托单位: DIAPEDIA, LLC
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-17 至 2017-03-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8981104
• 关键词: Address; Amputation; Appearance; Attenuated; Centers for Disease Control and Prevention (U.S.); Data; Diabetes Mellitus; Diabetic Foot; Diabetic Foot Ulcer; Diabetic Neuropathies; Equilibrium; Foot Ulcer; Geometry; Hallux structure; Head; Height; Intervention; Lead; Left; Literature; Lower Extremity; Measurement; Mechanics; Metatarsal bone structure; Modification; Neuropathy; Patients; Peripheral Nervous System Diseases; Persons; Positioning Attribute; Prevalence; Prevention; Reporting; Research; Risk; Secondary to; Shoes; Site; Surface; Testing; Ulcer; Weight; base; cost; design; diabetic; foot; men; novel; pressure; prevent; public health relevance; response; user-friendly

 DESCRIPTION (provided by applicant): Diabetes related foot ulcers are common and their prevalence is likely to increase as the prevalence of diabetes increases. The cost of treating of diabetic foot ulcers is estimated at over $10 billion annually in the US (Gordois 2003). It has als been established that the majority of the ~60-70,000 (CDC) annual diabetes related lower extremity amputations are preceded by a foot ulcer (Pecoraro et al. 1990). Since plantar neuropathic foot ulcers are related to high plantar pressure, plantar mechanical offloading is essential to successful prevention. Rigid rocker and roller shoes have been shown to be one of the most successful footwear interventions for the reduction of plantar pressure under the metatarsal heads. However, certain aspects of current rocker shoe designs (e.g., shoe height, weight and appearance) have prevented more widespread use in diabetic neuropathic patients. In this study, we propose to develop novel patient-specific rocker and roller shoes in which the offloading is facilitated by surface geometry that is both external and internal to the shoe. The resulting shoe will not have the extreme external angle typical of previous rockers and, together with personalization based on plantar pressure distribution, it should overcome the first three of the drawbacks of traditional rocker shoes mentioned above. No prior research has specifically attempted to address modifications that may enhance hallux offloading. We propose the following specific aims: Specific Aim #1: To design and test rocker and roller shoes with a two-layer construction - where one of the layers is inside the shoe. Specific Aim #2: To incorporate rocker/roller apex placement, internal rocker placement, and insole design based on plantar pressure distribution. Specific Aim #3: To examine options for offloading the hallux.

 描述（由申请人提供）：糖尿病相关的脚溃疡很常见，随着糖尿病足溃疡的治疗成本，它们的患病率可能会增加是否已经确定了约60-70,000（CDC）与下肢相关的糖尿病（CDC）是ER（Pecoraro等人，1990年）。然而，降低质量的压力。由鞋子的表面几何形状促进了鞋子的典型字体，而ibution的典型是造成的，这是上面提到的传统摇滚鞋的前三个遵循特定的目标 - 鞋子中的一个层是特定的目标：在足底压力分布上融合摇滚乐/滚子顶点的位置和鞋垫。