{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:57:14Z","timestamp":1777712234608,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,3,29]],"date-time":"2020-03-29T00:00:00Z","timestamp":1585440000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100009006","name":"Integra LifeSciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009006","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The International Journal of Lower Extremity Wounds"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>\n                    The traditional Total Contact Cast (TCC) is considered the gold standard for treating plantar diabetic ulcers. A number of prefabricated TCC kits have been introduced, which offer a user-friendly casting process for health care providers. Our objective was to evaluate pressure reduction and gait characteristics after application of a TCC kit (TCC-EZ) and traditional TCC. Fifteen individuals (9 males, 6 females; median age of 51.5 years [range = 40.5-71.2 years]) completed 30-m walking trials while fitted with TCC-EZ and TCC in a randomized order. A pair of automated wireless photogate sensors captured time to traverse the distance and pedobarographic insoles measured and recorded plantar pressures. Paired t tests were used to compare peak pressure, gait speed, and cast weights across the 2 modalities. Peak pressure and cast weight were significantly lower in the TCC-EZ arm (169.6 \u00b1 41.3 kPa vs 214.9 \u00b1 63.2 kPa, P = .0048; and 1.79 \u00b1 0.17 kg vs 2.11 \u00b1 0.25 kg, P = .0004). Contact area and gait speed were not significantly different between the 2 modalities (140.4 \u00b1 25.8 cm\n                    <jats:sup>2<\/jats:sup>\n                    vs 126.9 \u00b1 37.8 cm\n                    <jats:sup>2<\/jats:sup>\n                    , P = .0228, Cohen\u2019s d = 0.40; and 0.94 \u00b1 0.19 m\/s vs 0.83 \u00b1 0.26 m\/s, P = .0532, Cohen\u2019s d = .48). TCC-EZ was found to provide more favorable pressure distributions compared with TCC. TCC-EZ is also lighter and may be a preferred treatment modality for patients. More research is necessary to reveal the clinical effectiveness of prefabricated total contact kits.\n                  <\/jats:p>","DOI":"10.1177\/1534734620914440","type":"journal-article","created":{"date-parts":[[2020,3,30]],"date-time":"2020-03-30T00:24:10Z","timestamp":1585527850000},"page":"232-235","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A Biomechanical Examination of Prefabricated Total Contact Cast Kits: Relevance to Patients With Diabetic Neuropathy"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6599-9842","authenticated-orcid":false,"given":"Ali","family":"Ersen","sequence":"first","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence A.","family":"Lavery","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aakshita","family":"Monga","sequence":"additional","affiliation":[{"name":"University of North Texas Health Science Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Richardson","sequence":"additional","affiliation":[{"name":"University of North Texas Health Science Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandy","family":"Schwarz","sequence":"additional","affiliation":[{"name":"University of North Texas Health Science Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myles U.","family":"Quiben","sequence":"additional","affiliation":[{"name":"University of North Texas Health Science Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan G.","family":"Garrett","sequence":"additional","affiliation":[{"name":"John Peter Smith Hospital, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Flyzik","sequence":"additional","affiliation":[{"name":"University of North Texas Health Science Center, Fort Worth, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dane K.","family":"Wukich","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"Yavuz","sequence":"additional","affiliation":[{"name":"The University of Texas Southwestern Medical Center, Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,29]]},"reference":[{"key":"bibr1-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.10.1714"},{"key":"bibr2-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2013.07.004"},{"key":"bibr3-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2013.11.003"},{"key":"bibr4-1534734620914440","doi-asserted-by":"publisher","DOI":"10.7547\/87507315-74-11-548"},{"key":"bibr5-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.4.929"},{"key":"bibr6-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1177\/1071100717716486"},{"key":"bibr7-1534734620914440","first-page":"1","volume":"17","author":"Health Quality Ontario","year":"2017","journal-title":"Ont Health Technol Assess Ser"},{"key":"bibr8-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-1147"},{"key":"bibr9-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-0862"},{"key":"bibr10-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/dc16-2204"},{"key":"bibr11-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1097\/JPO.0000000000000241"},{"key":"bibr12-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-1596"},{"key":"bibr13-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2007.10.008"},{"key":"bibr14-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12213"},{"key":"bibr15-1534734620914440","doi-asserted-by":"publisher","DOI":"10.2337\/dc08-0771"},{"key":"bibr16-1534734620914440","volume-title":"Total contact cast: the Carville approach","author":"National Hansen\u2019s Disease Program"},{"key":"bibr17-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1111\/dme.13316"},{"key":"bibr18-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2017.03.006"},{"key":"bibr19-1534734620914440","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmrj.2013.11.007"}],"container-title":["The International Journal of Lower Extremity 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