Footwear and the Prevention of Ulcers in Leprosy

Ross, W

doi:10.5935/0305-7518.19620023

Cited by 5 publications

(2 citation statements)

References 2 publications

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“…4,5 In the late 1950s, both Ross and Price described the importance of protective footwear and recommended a hard clog outer sole with a soft sponge rubber insole to protect the foot from developing ulcers due to direct injury and friction. 6,7 In the early 1960s, Ward described the effectiveness of MCR footwear in preventing ulcers. 8 Since then, MCR footwear has been the choice of footwear in leprosy.…”

Section: Introductionmentioning

confidence: 99%

Computer assisted customized footwear and traditional micro-cellular rubber (MCR) footwear to reduce recurrence of ulcer for patients with loss of sensation due to leprosy

Govindasamy¹,

Raja²,

Gupta³

et al. 2020

LEPROSY

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To compare the effectiveness of customized protective footwear made using computer assisted designing/manufacturing (CAD/CAM) technology and current standard micro-cellular rubber (MCR) footwear in the prevention of ulcers. Methods: A quasi-experimental study was carried at two hospitals of The Leprosy Mission Trust India, where patients with loss of sensation in the foot due to leprosy were included in the intervention (customized insole using CAD/CAM technology) or control (current standard MCR footwear with orthosis) groups. Data were collected using a structured questionnaire at baseline and at 6 and 12 months. The primary outcome was the incidence of ulcer. Results: A total of 178 patients were included in the final analysis, 81 in the intervention and 97 in the control groups. At the end of follow-up, 10 (12.3%) patients in the intervention group and 25 (25.8%) patients in the control group developed an ulcer (relative risk, 0.48, [95% CI, 0.24-0.93], p-value < 0.05). The patients' perceived rating of compliance to footwear, comfort, usefulness, participation, and activity level were higher in the intervention group as compared to the control group. Conclusion:The insole customized using CAD/CAM technology is more effective in preventing recurrent ulcers of the foot due to leprosy as compared to footwear using MCR, with increased compliance and patient perceived comfort, usefulness, participation, and activity level. The new technology used to customize the footwear is feasible.

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Section: Introductionmentioning

confidence: 99%

Computer assisted customized footwear and traditional micro-cellular rubber (MCR) footwear to reduce recurrence of ulcer for patients with loss of sensation due to leprosy

Govindasamy¹,

Raja²,

Gupta³

et al. 2020

LEPROSY

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“…Various de signs of footwear have bee n deve loped that have partially followed the PoP de sign . This footwear has usually included a ridged sole, moulding of the inner sole, and some form of roll (Price, 1960;Ross 1962;Ward, 1964;Girling et aI., 1967). None of the de signs has included a proje ction up the le g to immobilize the ankle.…”

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confidence: 99%

Orthopaedic Appliances for Leprosy Patients The Fixed Ankle Brace Walker

Wollstein¹,

Girling²

1971

Leprosy Review

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The authors describe an appliance, the FAB walker, that has been developed to confirm the proposition that if a plaster-of-Paris walking cast will heal a plantar ulcer, then an appliance that follows the principles of a PoP cast will prevent re-ulceration. The weight distribution principles of the PoP cast are described and how these principles are built into the FAB walker. Details are given of the specially shaped sole which allows the patient to walk with a normal gait, even though the ankle is fully immobilized. The step-by-step measurement taking and the procedures of making the walker are described. The types of foot deformities that benefit from the appliance are listed, as well as other advantages and disadvantages.The main ob stacle in the re habilitation of le prosy patients with badly de forme d fe et is the continual re currence of their plantar ulcers. The ulcers he al in a below-knee walking cast of plaster-of-Paris (PoP). Footwear is then given, but in mo st cases the patient re turns to the clinic within I to 3 months with re -ulceration. This can be re ferre d to as the "e te rnal circle of re -ulceration". If the patient's fo ot could be ke pt pe rmane ntly in a PoP cast the re -ulceration would not occur. This was first stated by Price (1961), who wrote : "The re ce nt ob servations of the effe ct of plaster casts does [sic 1, however, sugge st an effective me thod of preventing re curre nce of ulceration. It is base d on the de duction that as the ulcer has he aled while the cast was in position, it would re main he aled if the cast was left on the limb indefi nitely." Various de signs of footwear have bee n deve loped that have partially followed the PoP de sign . This footwear has usually included a ridged sole, moulding of the inner sole, and some form of roll (

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A shapeable foot-pressure measuring device

Derbyshire

Platts²

1989

Journal of Biomedical Engineering

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Footwear and the Prevention of Ulcers in Leprosy

Cited by 5 publications

References 2 publications

Computer assisted customized footwear and traditional micro-cellular rubber (MCR) footwear to reduce recurrence of ulcer for patients with loss of sensation due to leprosy

Computer assisted customized footwear and traditional micro-cellular rubber (MCR) footwear to reduce recurrence of ulcer for patients with loss of sensation due to leprosy

Orthopaedic Appliances for Leprosy Patients The Fixed Ankle Brace Walker

A shapeable foot-pressure measuring device

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