The use of running shoes to reduce plantar pressures in patients who have diabetes

J. E. Perry, J. S. Ulbrecth, J. A. Derr, P. R. Cavanagh

Research output: Contribution to journalArticle

96 Scopus citations

Abstract

We compared the plantar pressures generated by walking in leather-soled Oxford-style shoes and by walking in inexpensive running shoes with those generated by walking in thin socks on a hard surface for thirty-nine individuals (thirteen who had diabetes and neuropathy, thirteen who had diabetes without neuropathy, and thirteen who had neither diabetes nor neuropathy [controls]). Except for two anatomical regions, the plantar pressures associated with the Oxford-style shoes were not different from those associated with walking without shoes. In comparison, the inexpensive running shoes relieved plantar pressures in the forefoot and heel by a mean (and standard deviation) of 31 ± 9.1 per cent, with the most relief occurring in the feet that had the highest pressures when they were unshod. There were significant reductions in pressure in all regions of the foot except for the midfoot (p < 0.01), and there were no significant differences between the groups. Individuals who have insensate feet should be discouraged from wearing leather-soled Oxford-style shoes because of the risk of ulceration due to elevated plantar pressures. Inexpensive running shoes should be viewed as the very minimally acceptable choice for footwear for these individuals if the feet are free of deformity.

Original languageEnglish (US)
Pages (from-to)1819-1828
Number of pages10
JournalJournal of Bone and Joint Surgery - Series A
Volume77
Issue number12
DOIs
StatePublished - 1995

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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