Case Study: The Pursuit of 200kPa
Plantar pressure reading has clearly arrived in Pedorthics. It is part of evidence based pedorthic treatment and called for in the Diabetic Foot Australia guideline on footwear for people with diabetes published in 2018 as well as Australian guideline on prevention of foot ulceration: part of the 2021 Australian evidence-based guidelines for diabetes related foot disease.
The Diabetic Foot Australia footwear guidelines are very specific in their recommendations.
Recommendation 8: “For people with a healed plantar foot ulcer, prescribe medical grade footwear with custom-made in-shoe orthoses or insoles with a demonstrated plantar pressure relieving effect at the high-risk areas.”
Further it states: “Based on two recent randomised controlled trials, a ‘demonstrated plantar pressure reducing effect’ (combined effect of the new medical grade footwear with
orthosis or insole) is defined as a > 30% reduction at the area of the highest plantar pressure in comparison to the same area in the patient’s current footwear, or a level below 200 kPa if measured with a validated and calibrated system with a sensor area of 1 cm2 [23, 24].”
In this presentation I like to discuss those number in more details and show some examples.
Advance Pressure Mapping
Advanced Pressure Mapping is an information website where you can find more information about pressure mapping systems or a clinic near you that can provide those services. We also provide training and support for pressure mapping, potential buyers and those wanting to know more.