micro cellular polymer and cork as replacement to plastazote 10 mm insoles

ByMs.usha

Dr. K.R. SureshDr. VivekanandDr. Vishnu M.

Dr. Vinaya A.S. Jain Institute of Vascular Sciences

Podiatry DivisionBhagwan Mahaveer Jain Hospital , Bangalore

Back ground Negligence towards the foot and poor

knowledge about footwear makes people present foot complications, resulting in amputations. Diabetics especially, suffering from neurological and circulation problems present with various foot problems. Pressure distribution is the main criteria where special orthotics can help. So this trail was made to accomadate new practices .

OBJECTIVE

comparison of 10 mm plastazote insoles to , MCP and cork, outer sole thermo plastic rubber.

Plastazote-10mm insoles

MCP-6mm insolesCork-4mm insoles

patient data

Total No: of Patients -5426/28(plas/mcp-cork)

M : F 50;4

Age 45 – 65 yr

Duration of Analysis 6 – 8 wks

inclusion

Evaluation Vascular neurological

vascularity

Foot pulses Dorsalispedis Posterior tibial

sensitometer test

M F Total

Mild 20 4 24

Moderate 10 - 10

Severe 20 - 20

NEUROPATHY GRADING(normalcy as dhansai lab)

Inclusion criteria

Patients with high pressure areas Calluses in different pressure points

on foot Patients with neuropathy

(included after computerised foot scan and clinical examination)

Exclusion criteria

Ulcer patients Amputed patients Afo patients Non diabetics Vascular(absent pulses)

Previous use of foot wear

Hawai slippers-31patients Shoes –sports and leather-3 patients Bare foot-7 patients Mcr-foot wear-13

methodology

Duration of Use-1st group 10 mm plastazote-6-8 weeks

Duration of use-2nd group cork and micro cellular polymers –6-8weeks

Qualities of plastazote

Mouldable on use Mouldable at 60 degrees Skin friendly Pressure distributor Shore hardness—15 to 17

Qualities of cork

Environmentally friendly Odour free Insect resistant Comfortable Cushioned Mouldable Shore hardness-30 measured with

shore hardnessmeter

results

Patients computer foot scan was repeated Showed significant pressure relief

compared to previous scans Tests pre and post was done bare foot 4 patients there was no follow up because

of other medical reasons (plasto users) 1 patient droped out of study(plasto users) 49 patients showed similar improvements

Mcp and cork as replacement to plastazote 10mm insoles

Conclusion Healing period was similar to 10mm

plastazote insole compared to mcp with cork .- plastazote-10mm- Micro Cellular Polymer - Cork

Thank you