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Rocker bottom shoes for diabetics

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Old 28th March 2007, 10:16 AM
javier javier is offline
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Default Rocker bottom shoes for diabetics

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Dear all,

I would like to hear experiences due to rocker bottom shoes (such as MBT's) for diabetics, mainly Charcot's foot.

Regards,
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Old 28th March 2007, 03:57 PM
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Default Re: Rocker bottom shoes for diabetics

I would have thought the negative heels of MBT's would make them dangerous in those with Charcots.
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Old 28th March 2007, 05:38 PM
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Default Re: Rocker bottom shoes for diabetics

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.
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Old 29th March 2007, 01:48 AM
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Default Re: Rocker bottom shoes for diabetics

Quote:
Originally Posted by Craig Payne
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.

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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.

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Old 29th March 2007, 06:59 AM
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Default Re: Rocker bottom shoes for diabetics

From the horses mouth:


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.
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Old 29th March 2007, 07:34 AM
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Default Re: Rocker bottom shoes for diabetics

Quote:
Originally Posted by LCBL
From the horses mouth:


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.
It is worth to read the full report at http://www.bstore.com.au/pdf/in_shoe...tudy_final.pdf

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.

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Last edited by javier : 29th March 2007 at 07:51 AM.
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