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Walking casts: effect on plantar foot pressures.

J A Birke, D S Sims, W L Buford

    Journal of Rehabilitation Research and Development
    |July 1, 1985
    PubMed
    Summary
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    Walking casts effectively reduce foot pressure, especially at the metatarsal heads, aiding in plantar ulcer management. Padding technique did not impact the cast's pressure-reducing effectiveness.

    Area of Science:

    • Biomechanics
    • Orthopedics
    • Podiatry

    Background:

    • Plantar ulcers require effective pressure reduction strategies.
    • Walking casts are a common intervention for managing foot conditions.

    Purpose of the Study:

    • To compare plantar pressure distribution between standard shoes and walking casts.
    • To evaluate the impact of padding technique on cast effectiveness.

    Main Methods:

    • Plantar pressure was measured at four sites on the right foot in six healthy subjects.
    • Subjects walked in a standard shoe, padded cast, total contact cast, and a shoe.

    Main Results:

    • No significant pressure difference was observed between padded and total contact casts.

    Related Experiment Videos

  • Walking casts significantly reduced mean relative pressure at the first and third metatarsal heads compared to standard shoes.

    • Conclusions:

    • Walking casts are effective in reducing plantar pressure, supporting their use in managing plantar ulcers.
    • The effectiveness of walking casts is independent of the padding technique used.