Hi John,you wrote-
"Could mailbasers please help with the following query. We are trying to obtain answers to the following regarding total contact insoles with a view to improving the TCIs we fit.
Indications for their use.
How should they be made - and the evidence for this.
How is quality control maintained.
How do you review them - ie what outcome indicators do you use?
Who picks up the bill - your podiatry dept or the trust.
Does it also involve surgical shoe provision.
Many thanks
John Bickerstaffe
Podiatrist"
In answer to the evidence part of your questions, have a look at:
Chen WP, Ju CW, Tang FT. Effects of total contact insoles on the plantar stress redistribution: a finite element analysis. Clin Biomech (Bristol, Avon). 2003 Jul;18(6):S17-24
or go to
"http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T59-48R7BST-3&_coverDate=07%2F31%2F2003&_alid=148614080&_rdoc=1&_fmt=&_orig=search&_qd=1&_cdi=4997&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=48ab440977efadbc0e0bf9f6dd0bad41"
if you're a science direct subscriber,
JANISSE DJ A scientific approach to insole design for the diabetic foot. The Foot 1993 (3) 105-108
JANISSE DJ Prescription insoles and footwear. Clin Podiatr Med Surg 1995 (12) 41-61
WALKER SC, HELM PA, PULLIUM G Total-contact casting, sandals, and insoles: construction and applications in a total foot-care program. Clin Podiatr Med Surg 1995 (12) 63-73
Best of luck,
Anthony Murphy
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