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Journal of the American Podiatric Medical Association, Vol 85, Issue 12 733-737, Copyright © 1995 by American Podiatric Medical Association

JOURNAL ARTICLE

Contralateral limb during total contact casting. A dynamic pressure and thermometric analysis

DG Armstrong, PJ Liswood and WF Todd
Department of Orthopaedics/Podiatry, University of Texas Health Science Center, San Antonio, USA.

The authors draw attention to the importance of evaluation of the contralateral limb when treating unilateral sequelae secondary to distal symmetrical polyneuropathy. Plantar pressure measurements of the contralateral limb during total contact casting are reviewed. The results of thermometric evaluation before and after initiation of repetitive stress were reviewed. The results suggest that the patient walking in a total contact cast may experience a reduced focal pressure on the contralateral limb when compared with uncasted walking and three-point walking with crutches. Dermal thermometry may be a highly sensitive tool in evaluating even mild increases in repetitive stress. To explain this decrease in contralateral stress, the authors examine the features inherent to the total contact cast and propose the concept of proprioceptive stability.




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Copyright © 1995 by the American Podiatric Medical Association.