Pedorthic and orthotic management of the diabetic foot.

Foot Ankle Clin

Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, 7283 West Appleton Avenue, Milwaukee, WI 53216, USA.

Published: December 2006

Research as well as clinical experience has shown that pedorthic and orthotic modalities can be valuable tools in the care of the diabetic foot. The team approach is probably more beneficial to the successful treatment of the diabetic foot than nearly any other problem the physician encounters. Understanding pedorthic and orthotic principles and how to include and use the appropriate clinicians on the team can simplify the patient care process while decreasing complications such as ulcerations and amputations.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.fcl.2006.06.005DOI Listing

Publication Analysis

Top Keywords

pedorthic orthotic
12
diabetic foot
12
orthotic management
4
management diabetic
4
foot well
4
well clinical
4
clinical experience
4
experience pedorthic
4
orthotic modalities
4
modalities valuable
4

Similar Publications

Dermatologic Conditions Following Limb Loss.

Phys Med Rehabil Clin N Am

November 2024

Dermatology Department, US Department of Veterans Affairs, James A. Haley Veterans' Hospital, 12210 Bruce B Downs Boulevard, Building 111H, Tampa, FL 33612, USA. Electronic address:

Article Synopsis
  • The use of prostheses for limb loss patients can lead to skin injuries like maceration and friction due to the fit of the socket and the vulnerability of the residual limb.
  • Issues are worsened for individuals with certain health conditions, making proper fitting and skin care critical for preventing skin pathologies.
  • The review discusses existing skin issues at the limb site and outlines strategies for prevention and management.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to explore how different physical therapy methods (active, passive, and manual) impacted the need for escalated care among veterans with low back pain (LBP).
  • It analyzed data from 3,618 veterans between 2015 and 2018, linking types of physical therapy received to outcomes like opioid prescriptions and other medical services using statistical methods.
  • Findings revealed that adding manual therapy to active interventions significantly reduced opioid prescriptions, but using certain passive treatments increased the likelihood of requiring additional medical care.
View Article and Find Full Text PDF

Introduction: Many military service members and civilians suffer from lower extremity trauma. Despite recent advancements in lower limb bracing technology, it remains unclear whether these newer advanced braces offer improved comfort and functionality compared to conventional options. The IDEO (Intrepid Dynamic Exoskeletal Orthosis), a type of "advanced" orthosis was developed to assist in maintaining high functional performance in patients who have experienced high-energy lower extremity trauma and underwent limb salvage surgeries.

View Article and Find Full Text PDF

Custom foot orthoses are used to treat a variety of foot pathologies. However, orthotic production requires significant hands-on fabrication time and expertise to produce orthoses that are both comfortable and effective. This paper introduces a novel 3D printed orthosis and fabrication method that utilizes custom architectures to produce variable-hardness regions.

View Article and Find Full Text PDF

Management of Upper Limb Amputation Rehabilitation: Synopsis of the 2022 US Department of Veterans Affairs and US Department of Defense Clinical Practice Guideline for Acquired Amputation.

Am J Phys Med Rehabil

March 2023

From the Extremity Trauma and Amputation Center of Excellence, Department of the Army, Office of the Surgeon General, Falls Church, Virginia (AC); Department of Veterans Affairs Texas Valley Coastal Bend Health Care System, Harlington, Texas (EA); Department of Psychiatry, Dell Medical School, University of Texas at Austin, Austin, Texas (EA); Department of Veterans Affairs Orthotic, Prosthetic and Pedorthic Clinical Services, Rehabilitation and Prosthetics Service, Washington, DC (CF, MJH); University of South Florida, Morsani College of Medicine, School of Physical Therapy and Rehabilitation Sciences, Tampa, Florida (MJH); Physical Medicine and Rehabilitation Service, Center for the Intrepid, Brooke Army Medical Center, San Antonio, Texas (ML); Extremity Trauma and Amputation Center of Excellence, Department of Veterans Affairs Rehabilitation and Prosthetic Services, Washington, DC (BR); Evidence Based Practice, Quality and Patient Safety, Veterans Administration Central Office, Washington, DC (JS); Department of Physical Medicine and Rehabilitation, School of Medicine at Virginia Commonwealth University, Richmond, Virginia (JW); and Physical Medicine and Rehabilitation, Central Virginia Veterans Affairs Healthcare System, Richmond, Virginia (JW).

Upper limb amputation can result in significant functional impairment necessitating a comprehensive rehabilitation approach throughout the continuum of care. In 2022, the Departments of Veteran Affairs and Defense completed an updated clinical practice guideline for the management of upper limb amputation rehabilitation. This practice guideline was developed by a workgroup of subject-matter experts from a variety of disciplines.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!