title: Use of an in-shoe pressure measurement system in the management of patients with neuropathic ulcers or metatarsalgia.
abstract: Many injuries to the foot appear to be caused by repeated, excessive plantar pressures. In-shoe pressure systems are capable of measuring pressures at the interface between the shoe or orthotic and the plantar foot during a given functional activity. The purpose of this article is to describe the use of an in-shoe pressure system as a tool to aid physical therapists in the management of patients with foot problems as a result of excessive plantar pressures. Case histories are provided that describe the application of an in-shoe pressure device in the management of one patient with a neuropathic ulcer and one patient with metatarsalgia. A discussion of the primary clinical and equipment considerations of using this type of device is included.
authors.affiliation: Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO 63110, USA.
authors.forename: M J
authors.initials: MJ
authors.lastname: Mueller
mesh_terms: D000368:Aged; D001696:Biomechanical Phenomena; D017719:Diabetic Foot / Q000534:rehabilitation* / Q000628:therapy; D005260:Female; D005531:Foot Deformities, Acquired / Q000503:physiopathology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008684:Metatarsus / Q000503:physiopathology; D008875:Middle Aged; D009989:Orthotic Devices; D010146:Pain / Q000209:etiology / Q000534:rehabilitation; D011312:Pressure; D012775:Shoes; D016896:Treatment Outcome