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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v22.i1-4.30
pages 29-47

Biomechanics of Foot Ulcer Rehabilitation and an In-Shoe−Based Clinical Prevention Methodology

Daniel J. Wilson
Ozarks Public Health Institute, 121C McDonald Arena, Missouri State University, Springfield, MO 65897
Jeryl G. Fullen
Logansport Memorial Hospital, 1201 Michigan Avenue, Suite 70, Logansport, IN 46947
Alex Reyzelman
California School of Podiatric Medicine at Samuel Merritt University 3100, Telegraph Ave, Oakland, CA, 94609

ABSTRACT

This paper reviews the current scientific information available regarding the relationships between biomechanical measurement, plantar skin ulceration, and rehabilitation decision making. Particular attention is given to the association of peripheral neuropathy in diabetic patients and biomechanical correlates of plantar ulceration. Rehabilitation and therapeutic treatment including orthotic prescription and fabrication are presented using a case study, including a clinical methodology shown to reduce plantar foot surface pressure and the associated breakdown of skin on the plantar surface.


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