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Rocker bottom footwear, wheres the evidence base

Discussion in 'Diabetic Foot & Wound Management' started by DrJo, Nov 20, 2008.

  1. DrJo

    DrJo Welcome New Poster

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    Dear Pods,
    I am at present a third year undergraduate in the midst of his dissertation.
    I am reviewing the evidence base for the use of footwear and orthoses to reduce PPP in diabetic pts. I consistently find reference to the use of rocker bottom shoes and modifications to offload the diabetic foot, however I cannot find any strong evidence base for this.Please if any one knows of any papers that could guide me on this topic I would be eternally grateful.
    Thankseverso Jo
  2. You need to look harder! ;)These are all returned from a japma search.

    Eric Fuller, Stephen Schroeder, and Jenifer Edwards
    Reduction of Peak Pressure on the Forefoot with a Rigid Rocker-Bottom Postoperative Shoe
    J Am Podiatr Med Assoc 2001 91: 501-507.

    DA Nawoczenski, JA Birke, and WC Coleman
    Effect of rocker sole design on plantar forefoot pressures
    J Am Podiatr Med Assoc 1988 78: 455-460.

    Robert G. Frykberg, LaWanda F. Bailey, Amanda Matz, Lisa A. Panthel, and Gina Ruesch
    Offloading Properties of a Rocker Insole: A Preliminary Study
    J Am Podiatr Med Assoc 2002 92: 48-53.

    Good luck with your dissertation
  3. efuller

    efuller MVP

    Check the cites in my paper above. Peter Cavanagh was involved with some of those.
  4. David Smith

    David Smith Well-Known Member


    Robert wrote
    I think I would have to agree. except that in this case its not that hard to find.

    There is a huge amount of literature out there refering to plantar pressure, rocker shoes, orthoses and prostheses that reduce forefoot pressure. It is important that you refine your data searching skills since this is one of the staples of research.

    I know there is a lot of literature available as a few years ago I started a project on TMA in Diabetic subjects and found lots of papers on techniques for reducing forefoot pressure that took many many hours of reading.

    Besides journals like JAPMA, Gait and Posture, Foot and Ankle International, Journal od Prosthetics and Orthotics, BMJ and specialised internet search engines like Google Scholar, and Pub Med and Wiley and Data Trace and Elsevier and science direct, there are hundreds of UK and international libraries where you can use your Athens account, besides your own library service that will even do searches for you.

    Your University web site will likely have a section on refining literature search skills. If not try a search using those key words to find info on literature searches.
    Here's a link or two. http://library.ulster.ac.uk/skills/infoskills/infobrowse.php?expand=m1 - http://www.lc.unsw.edu.au/onlib/litrev.html.

    Just so I'm not being to harsh here's a reference to add to the list of others given by Robert (He's far too soft)

    Rigid orthoses for the insensitive foot: The rigid relief orthoses. Novick A Birk J et al
    Journal Prosthetics Orthotics 1992 V4 #1 p 31-40

    You've got t'internet so use it as a tool to improve your skills.

    All the best Dave Smith:boxing:
  5. Admin2

    Admin2 Administrator Staff Member

  6. docq1001

    docq1001 Member

    Here's an article from the University of Michigan, Mechanical Engineering Dept.
    printed in the Journal of Experimental Biology. It is fairly technical but certainly has good mathmatical evidence of the advantages of the rocker bottom sole.

    Here is the info: I found the complete article on google. If you can't find it let me know and I will email it to you.

    The Journal of Experimental Biology 209, 3953-3963
    Published by The Company of Biologists 2006
    The advantages of a rolling foot in human walking
    Peter G. Adamczyk*, Steven H. Collins and Arthur D. Kuo
    Department of Mechanical Engineering, University of Michigan, Ann Arbor, MI 48109-2125, USA
    *Author for correspondence (e-mail: padamczy@umich.edu)
    Accepted 24 July 2006

    Hope this helps,


    Joe Quattrone, DPM - docq1001@yahoo.com

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