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Contralateral peak plantar pressures with a postoperative boot: a preliminary study.

Jamie N Mieras¹, Tanya J Singleton, Stephen L Barrett

¹Scripps Mercy-Kaiser Residency Program, San Diego, CA 92103, USA. jmieras@gmail.com

Journal of the American Podiatric Medical Association

|March 17, 2011

Summary

Wearing an athletic shoe opposite a walking boot significantly reduces heel pressure. A specialized walking boot shoe offers no additional benefit over an athletic shoe for pressure reduction.

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Area of Science:

Podiatric Medicine
Biomechanics
Orthopedics

Background:

Walking boots in podiatry can cause patient discomfort due to limb-length discrepancy.
This study investigates pressure reduction in the contralateral foot when using different footwear with a walking boot.

Purpose of the Study:

To determine if an athletic shoe reduces peak plantar pressures opposite a walking boot.
To compare the effectiveness of an athletic shoe versus a specialized surgical shoe in reducing these pressures.

Main Methods:

Participants walked on a treadmill in various footwear combinations, including a high-calf rocker-bottom (HCRB) walking boot paired with either a barefoot, athletic shoe, or modified walking boot shoe.
Peak plantar calcaneal pressures were measured while participants wore socks.

Related Experiment Videos

Main Results:

Wearing an athletic shoe or a modified walking boot shoe significantly reduced peak plantar pressures under the heel compared to barefoot.
No significant difference in pressure reduction was found between the athletic shoe and the modified walking boot shoe.

Conclusions:

An athletic shoe effectively reduces heel pressures when worn opposite a walking boot.
A modified walking boot shoe does not offer superior pressure reduction compared to a standard athletic shoe.