Study result of use rigid foam mix plaster to shorten manufacture time of the custom therapeutic insoles for diabetic patients

Abstract

Background : Foot complications in diabetic patients are a major problem. Considering foot accessories or shoes  prevent ulcers and reduce lower limbs amputation. But the production of  the custom therapeutic insoles takes time to produce, that make patients delay to receive insoles. This is a chance for patients to lose.

Objective : To reduce manufacture time of the custom therapeutic insoles for diabetic patients at risk for foot ulcers.

Study Design : Research and Development

Methods : Study and develop the process. To reduce manufacture time of the custom therapeutic insoles for diabetic patients at risk for foot ulcers at Prosthetics and Orthotics of Kalasin hospital. During 1 July 2015 and 30 June 2016.

Results : 60 diabetes patients have ordered to the custom therapeutic insoles. 30 patients in the first group use plaster for positive model, 50% for male, mean age 66.23 ± 7.55 years, diabetes duration 15.70 ± 7.55 years. 30 patients in the second group use rigid foam mixed with plaster for positive model, 50% for male, mean age was 64.13 ± 8.94 years, diabetes duration 15.37 ± 7.69 years. Total production time is 1,794.23 ± 9.88 minutes in the first group and 305.77 ± 9.88 minutes in the second group. The waiting time is an average of 208.87 ± 66.95 days in the first group and 58.7 ± 34.61 days in the second group. The most patients are satisfied after received insoles. The incidence of foot ulcers at 1 and 3 months are 6 times in both groups.

Conclusion : The use of rigid foam mixed with plaster in the manufacture of the custom therapeutic insoles for diabetic patients at risk for foot ulcers reduces production time and waiting time.

 Keyword : Therapeutic insoles, Diabetic, Foot ulcer