专题:康复辅具与康复工程

糖尿病足部辅具研究进展

  • 任韦燕 ,
  • 蒲放 ,
  • 樊瑜波
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  • 1. 国家康复辅具研究中心, 北京市老年功能障碍康复辅助技术重点实验室, 民政部康复辅具技术与系统重点实验室, 北京 100176;
    2. 北京航空航天大学生物与医学工程学院, 北京 100083
任韦燕,助理研究员,研究方向为康复工程、生物力学,电子信箱:renweiyan@nrcrta.cn

收稿日期: 2019-07-02

  修回日期: 2019-10-09

  网络出版日期: 2019-11-30

基金资助

国家自然科学基金项目(11672027);北京市自然科学基金项目(Z171100000517010)

Advances in technical aids for diabetic foot

  • REN Weiyan ,
  • PU Fang ,
  • FAN Yubo
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  • 1. Beijing Key Laboratory of Rehabilitation Technical Aids for Old-Age Disability, Key Laboratory of Rehabilitation Technical Aids of Ministry of Civil Affair, National Research Center for Rehabilitation Technical Aids, Beijing 100176, China;
    2. School of Biological Science and Medical Engineering, Beihang University, Beijing 100083, China

Received date: 2019-07-02

  Revised date: 2019-10-09

  Online published: 2019-11-30

摘要

糖尿病足是糖尿病患者最严重的并发症之一。设计合理的足部辅具可有效实现糖尿病患者足底高压区域卸载和足底压力分布优化,有助于降低足溃疡发生率和复发率、延缓足溃疡恶化和截肢周期。综述了糖尿病足部的评估方法、足部辅具的设计原则、制作技术以及临床应用效果,分析发现研究主要以糖尿病足部形状与破损情况为依据,通过结构设计、材料组合等实现降低足底压力峰值、保护足部的目的。然而,目前的糖尿病足部辅具仍需进一步结合足部生理参数监测、主动防护等功能,以更实时、准确地监测糖尿病足部健康水平,更智能、有效地维护足部健康。关键词糖尿病足;足部辅具;压力卸载;智能辅具

本文引用格式

任韦燕 , 蒲放 , 樊瑜波 . 糖尿病足部辅具研究进展[J]. 科技导报, 2019 , 37(22) : 69 -77 . DOI: 10.3981/j.issn.1000-7857.2019.22.008

Abstract

The diabetic foot is one of the most serious complications of diabetes mellitus. A well-designed footwear can effectively relieve the plantar pressure and optimize the pressure redistribution, to reduce the incidence of foot ulcers and amputation, and improve the health of the foot tissue and the quality of life in diabetics. This paper reviews the pre-clinical diagnosis of the diabetic foot, the design principles and the manufacturing technology of the diabetic foot orthoses, and related clinical effects. It is found that the current diabetic foot orthoses are mainly designed for optimizing the distribution of the plantar pressure, but without a proper physiological evaluation and an active protection, which should be considered in the further design of intelligent technical aids for the diabetic foot.

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