Dealing with diabetes and going through a transmetatarsal amputation (TMA) can bring about a multitude of obstacles, particularly when it comes to taking care of your feet and ensuring they remain functional. In a study, the incredible benefits of therapeutic footwear for individuals dealing with this particular health situation have been revealed.
1. Reducing Peak Plantar Pressure (PPP)
One of the main discoveries of the study highlights the impressive decrease in Peak Plantar Pressure (PPP) that can be achieved with therapeutic footwear. In this study, researchers found that using full-length shoes with a total-contact insert and a rocker bottom sole (RRB) had a significant impact on reducing pressure on the distal residuum of the TMA when compared to regular shoes.
2. Bearing Surface Area
A key factor in the effectiveness of therapeutic footwear was the inclusion of a custom-made plastazote insert that provided complete contact. This factor not only played a role in decreasing PPP, but it also improved the surface area that bears weight, resulting in better support and stability.
3. Protecting the Other Foot
In addition to their main purpose of supporting the residual limb, therapeutic full-length shoes also provide a protective effect for the forefoot of the other foot. It's important to address this issue in order to reduce the risk of bilateral amputation following a lower extremity amputation.
4. Improved Gait Performance
Patients who used the suggested combination of a full-length shoe, total-contact insert, and RRB sole noticed enhanced gait performance. It's interesting to note that walking speed has increased, suggesting a beneficial effect on mobility and overall functionality.
7. Preventing Skin Breakdown Issues
The inclusion of an RRB sole proved to be essential in preventing skin breakdown issues. Significant reduction in friction-related problems on the anterior surface of the residuum or at the heel was achieved by effectively preventing slippage of the residuum inside the shoe.
8. Taking Individual Needs into Account
Acknowledging the distinctiveness of each patient, the study recognises that personal characteristics may impact the selection of therapeutic footwear. While the suggested combination has been found to be effective for many individuals, it is important to take into account personal factors in order to achieve the best possible results.
Therapeutic footwear offers a glimmer of hope for people with diabetes who have undergone transmetatarsal amputation. The wide range of advantages, including decreased PPP, enhanced gait performance, and minimal rejection rates, highlights the significance of customised solutions in promoting the overall health and well-being of these individuals. Exploring the world of personalised healthcare, therapeutic footwear emerges as a promising path towards enhanced mobility and a higher quality of life for individuals dealing with diabetes and amputation.
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