EFFECT OF WEARING INSOLE WITH DIFFERENT DENSITY ON STANDING AND WALKING PLANTAR PRESSURE DISTRIBUTION
Abstract
Diabetic ulcers can lead to infection and amputation. Using insole can help to reduce and prevent foot ulceration and amputation in a diabetic patient. The aim of this study was to analyze the effect of wearing an insole with different density on standing and walking plantar pressure distribution. Methods: A group of 10 diabetic patients participated in this one-grouped before-after trial. Plantar pressure distribution was measured during walking and standing. Repeated Measure was used to test differences. Results: Repeated measure test showed that use of insole decreased foot pressure while walking significantly (P=0.023). Pairwise comparison showed that wearing shoe insole with shore 30 decreased pressure compared to wearing shoe insole with shore 50 (P=0.004) and walking without insole respectively (P=0.06). Conclusion: The insole has more effect on plantar pressure during walking than standing, it also concluded that insole with shore 30 decreased pressure during walking more than that of the insole with shore 50. It could be said that patients who suffer from pain and discomfort on hind and forefoot may benefit insole with shore 30 to relieve from plantar pressure on the hindfoot and forefoot regions during standing and walking.