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I would have thought the negative heels of MBT's would make them dangerous in those with Charcots.
__________________ Craig Payne
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We use Rocker bottoms for our diabetic population on shoes but they are custom additions, so the rocker is in the correct place for the foot, and usually accompanied by an appropriate FO.
__________________ Stephen Tucker Calvary Health Care
I would have thought the negative heels of MBT's would make them dangerous in those with Charcots.
Yes, but removable cast walkers widely used for Charcot's foot treatment also create a negative heel. Although, removable cast walker produce a gait pattern far different from rocker bottom shoes because they are applied to one extremity, they create a limb length discrepancy and they have a rigid long leg arm.
Quote:
Originally Posted by Tuckersm
We use Rocker bottoms for our diabetic population on shoes but they are custom additions, so the rocker is in the correct place for the foot, and usually accompanied by an appropriate FO.
Thanks for your input. Of course, appropriate FO are fundamental.
The last thing you want to do in any NIDDM patient is increase pressure in a loading area. This advice and their constant advertising as 'good for diabetics' is very very dangerous. IMHO.
__________________
''The bottom line is too many people prescribe devices who haven't got the faintest idea of what they are doing. There are certain unscrupulous labs supporting this. There are too many people in it for the money.'' paraphrasing Simon Spooner
The last thing you want to do in any NIDDM patient is increase pressure in a loading area. This advice and their constant advertising as 'good for diabetics' is very very dangerous. IMHO.
MBT shoes reduce midfoot peak pressure by 22% (good for Charcot's foot) but increased forefoot peak pressure by 76% (definitely not good neither for Charcot's foot or non-Charcot's diabetic foot). Although, common rocker bottom shoes increased midfoot peak pressure !
If someone knows about other studies due to vertical forces assessment comparing different shoes design for diabetic population, I would appreciate it.
Regards,
Last edited by javier : 29th March 2007 at 07:51 AM.