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|Title:||Wear and biomechanical characteristics of a novel shear-reducing insole with implications for high-risk persons with diabetes||Authors:||Constantinides, Georgios
Lavery, Lawrence A.
Lanctot, Dan R.
Zamorano, Ruben G.
Athanasiou, Kyriacos A.
Agrawal, Mauli Mauli
|Keywords:||Polyethylene;Vinyl acetate;Biomechanics;Viscoelasticity||Issue Date:||2005||Publisher:||Mary Ann Liebert Inc.||Source:||Diabetes Technology and Therapeutics,2005, Volume 7, Issue 4, Pages 638-646||Abstract:||Objective: This study was designed to measure pressure and shear reduction of a novel insole design. Methods: We compared three multilayer viscoelastic insoles to a novel insole design (GlideSoft®, Xilas Medical, Inc., San Antonio, TX). The bottom pad of each insole was fabricated from firm-density Plastazote® [Apex Foot Products (now Aetrex), South Hackensack, NJ] with an upper of Plastazote, ethyl vinyl acetate, or PORON® (Langer Biomechanics Group, Inc., Deer Park, NY). The GlideSoft design used the same materials with two intervening thin sheets of a low friction material. We measured foot pressures, shear, and material stiffness prospectively as the insoles aged during daily usage in 30 healthy adults. We used the F-Scan® (Tekscan, Inc., Boston, MA) to determine in-shoe foot pressures and the Automated Stress-relaxation Creep Indenter System (Xilas Medical) to measure material stiffness. To evaluate shear force, the insole was placed on the slide assembly of a custom-designed shear tester equipped with a reciprocating mechanism and force transducers. Results: The GlideSoft exhibited 57% less peak shear force than the standard insole (P < 0.05) in laboratory testing under simulated conditions. Ethyl vinyl acetate had higher compressive stiffness values than Plastazote and PORON at all test intervals (P < 0.05). There were no statistical differences between any of the insoles for peak in-shoe pressure measurements (P > 0.05). Conclusions: The GlideSoft design demonstrated a significant reduction in shear while maintaining equivalent pressure reduction compared with standard insole designs with three different material combinations for up to 320,000 steps.||URI:||http://ktisis.cut.ac.cy/handle/10488/7794||ISSN:||1520-9156||DOI:||10.1089/dia.2005.7.638||Rights:||© Mary Ann Liebert, Inc.||Type:||Article|
|Appears in Collections:||Άρθρα/Articles|
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