Use of an In-Shoe Pressure Measurement System in the Management of Patients With Neuropathic Ulcers or Metatarsalgia

Michael J. Mueller

Many injuries to the foot appear to be caused by repeated, excessive plantar pressures. In-shoe pressure systems are capable of measuring pressures at the interface between the shoe or orthotic and the plantar foot during a given functional activity. The purpose of this article is to describe the use of an in-shoe pressure system as a tool to aid physical therapists in the management of patients with foot problems as a result of excessive plantar pressures. Case histories are provided that describe the application of an in-shoe pressure device in the management of one patient with a neuropathic ulcer and one patient with metatarsalgia. A discussion of the primary clinical and equipment considerations of using this type of device is included.

J Orthop Sports Phys Ther. 1995;21(6):328-336.

Key Words: foot pressure, diabetes, arthritis, biomechanics

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