The foot is constituted from a series of small bones making a segmented structure with multiple joints, likened to a dome, in contact with the ground in three points: posteriorly the calcanear tuberosity; anteriorly and medially the head of 1st metatarsum, and anteriorly and laterally the head of 5th metatarsum. In fact, each foot presents a semi-arch whose base is represented by the lateral bo...

Purpose of Work . The aim of this project was to describe the progression of healing of foot wounds using total contact casting and to evaluate potential factors that might prolong that healing . Subjects/ Procedures . We enrolled 25 persons with foot wounds and casted them until healing using the total contact cast, which is a special type of casting that uses minimal padding in an effort to s...

OBJECTIVE To determine the efficacy and safety of short-contact administration of topical tretinoin on foot ulcers in patients with diabetes. DESIGN Randomized, double-blind, placebo-controlled trial. SETTING Outpatient clinic at a Veterans Affairs medical center. PATIENTS Twenty-four volunteers with diabetic foot ulcers but without evidence of peripheral arterial disease or infection. ...

BACKGROUND Clinically, plantar fasciitis (PF) is believed to be a result and/or prolonged by overpronation and excessive loading, but there is little biomechanical data to support this assertion. The purpose of this study was to determine the differences between healthy individuals and those with PF in (1) rearfoot motion, (2) medial forefoot motion, (3) first metatarsal phalangeal joint (FMPJ)...

BACKGROUND The total contact cast (TCC) is an effective intervention to reduce plantar pressure in patients with diabetes and a plantar forefoot ulcer. The walls of the TCC have been indirectly shown to bear approximately 30 % of the plantar load. A new direct method to measure inside the TCC walls with capacitance sensors has shown that the anterodistal and posterolateral-distal regions of the...

The purpose of the study was to describe the relationship between foot placement angle, arch type, and rearfoot motion during running. Twenty women were filmed in the frontal plane at 100 fps. Subjects displaying a variety of foot placement angles were chosen. Before data collection, arch indices were calculated. Each subject ran five trials at a pace of 3.5 m/sec. All subjects wore the same ty...

The purpose of this study was to assess kinematic lower extremity motion patterns (hip flexion, knee flexion, knee valgus, and ankle dorsiflexion) during various foot-landing techniques (self-preferred, forefoot, and rear foot) between genders. 3-D kinematics were collected on 50 (25 male and 25 female) college-age recreational athletes selected from a sample of convenience. Separate repeated-m...

Stepping on ground can be evoked in human neonates, though it is rather irregular and stereotyped heel-to-toe roll-over pattern is lacking. Such investigations can provide insights into the role of contact- or load-related proprioceptive feedback during early development of locomotion. However, the detailed characteristics of foot placements and their association with motor patterns are still i...

The purpose of this article is to describe the progression of ulcer healing using total contact casts (TCC) and to examine explanatory variables that may influence ulcer healing. We prospectively studied 25 diabetics with grade I (Meggitt-Wagner) plantar ulcers. All subjects received weekly contact cast changes with wound assessment. Following healing, all subjects were fitted with prescription...