{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:32Z","timestamp":1783509272092,"version":"3.55.0"},"reference-count":44,"publisher":"MDPI AG","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"\n Background<\/jats:title>\n The total-contact cast (TCC) is the gold standard for off-loading diabetic foot ulcers (DFUs) given its nonremovable nature. However, this modality remains underused in clinical settings due to the time and experience required for appropriate application. The TCC-EZ is an alternative off-loading modality marketed as being nonremovable and having faster and easier application. This study aims to investigate the potential of the TCC-EZ to reduce foot plantar pressures.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Twelve healthy participants (six males, six females) were fitted with a removable cast walker, TCC, TCC-EZ, and TCC-EZ with accompanying brace removed. These off-loading modalities were tested against a control. Pedar-X technology measured peak plantar pressures in each condition. Statistical analysis of four regions of the foot (rearfoot, midfoot, forefoot, and hallux) was conducted with Friedman and Wilcoxon signed rank tests. Significance was set at\n P<\/jats:italic>\n < .05.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n All of the off-loading conditions significantly reduced pressure compared with the control, except the TCC-EZ without the brace in the hallux region. There was no statistically significant difference between TCC-EZ and TCC peak pressure in any foot region. The TCC-EZ without the brace obtained significantly higher peak pressures than with the brace. The removable cast walker produced similar peak pressure reduction in the midfoot and forefoot but significantly higher peak pressures in the rearfoot and hallux.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The TCC-EZ is a viable alternative to the TCC. However, removal of the TCC-EZ brace results in minimal plantar pressure reduction, which might limit clinical applications of the TCC-EZ.<\/jats:p>\n <\/jats:sec>","DOI":"10.7547\/8750-7315-111-5.article_1","type":"journal-article","created":{"date-parts":[[2021,12,3]],"date-time":"2021-12-03T16:26:42Z","timestamp":1638548802000},"source":"Crossref","is-referenced-by-count":3,"title":["Is TCC-EZ a Suitable Alternative to Gold Standard Total-Contact Casting?"],"prefix":"10.3390","volume":"111","author":[{"given":"Umangi K.","family":"Bhatt","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui Ying","family":"Foo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahalia P.","family":"McEvoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"Tomlinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cara","family":"Westphal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica C.","family":"Harrison","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olufemi","family":"Oshin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah L.","family":"Carter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"i8750-7315-111-5-Article_1-b01","article-title":"IWGDF Guidelines on the prevention and management of diabetic foot disease, 2019","author":"Schaper","year":"2019","unstructured":"Schaper\n NC\n \n \n van Netten\n JJ\n \n \n Apelqvist\n J\n \n :\n \n IWGDF Guidelines on the prevention and management of diabetic foot disease, 2019.\n\t\t\t\t\tAvailable at: https:\/\/iwgdfguidelines.org\/wp-content\/uploads\/2019\/05\/IWGDF-Guidelines-2019.pdf. Accessed September 26,2019."},{"key":"i8750-7315-111-5-Article_1-b02","series-title":"Foot Ankle Int","first-page":"1126","article-title":"Outcomes achieved with use of a prefabricated roll-on total contact cast","volume":"38","author":"Arnold","year":"2017","unstructured":"Arnold\n JF\n \n \n Marmolejo\n V:\n \n \n Outcomes achieved with use of a prefabricated roll-on total contact cast.\n\t\t\t\t\tFoot Ankle Int38: \n\t\t\t\t\t1126,\n\t\t\t\t\t2017."},{"issue":"(suppl)","key":"i8750-7315-111-5-Article_1-b03","series-title":"Ostomy Wound Manag","first-page":"S1","article-title":"Consensus recommendations on advancing the standard of care for treating neuropathic foot ulcers in patients with diabetes","volume":"56","author":"Snyder","year":"2010","unstructured":"Snyder\n RJ\n \n \n Kirsner\n RS\n \n \n Warriner\n RA\n III,\n \n :\n \n Consensus recommendations on advancing the standard of care for treating neuropathic foot ulcers in patients with diabetes.\n\t\t\t\t\tOstomy Wound Manag56(suppl): \n\t\t\t\t\tS1,\n\t\t\t\t\t2010."},{"key":"i8750-7315-111-5-Article_1-b04","series-title":"J Am Acad Dermatol","article-title":"Diabetic foot ulcers: part I. Pathophysiology and prevention","volume":"70:","author":"Alavi","year":"2014","unstructured":"Alavi\n A\n \n \n Sibbald\n RG\n \n \n Mayer\n D\n \n :\n \n Diabetic foot ulcers: part I. Pathophysiology and prevention.\n\t\t\t\t\tJ Am Acad Dermatol70:1.e1,2014."},{"key":"i8750-7315-111-5-Article_1-b05","series-title":"Adv Skin Wound Care","first-page":"310","article-title":"Diabetic foot ulcer off-loading: the gap between evidence and practice: data from the US Wound Registry","volume":"27","author":"Fife","year":"2014","unstructured":"Fife\n CE\n \n \n Carter\n MJ\n \n \n Walker\n D\n \n :\n \n Diabetic foot ulcer off-loading: the gap between evidence and practice: data from the US Wound Registry.\n\t\t\t\t\tAdv Skin Wound Care27: \n\t\t\t\t\t310,\n\t\t\t\t\t2014."},{"key":"i8750-7315-111-5-Article_1-b06","article-title":"New consensus guidelines and practical recommendations published on the optimal use of off-loading in diabetic foot ulcer treatment","author":"Snyder","year":"2019","unstructured":"Snyder\n RJ\n \n \n Frykberg\n RG\n \n \n Applewhite\n AJ\n \n :\n \n New consensus guidelines and practical recommendations published on the optimal use of off-loading in diabetic foot ulcer treatment.\n\t\t\t\t\tAvailable at: https:\/\/www.prnewswire.com\/news-releases\/new-consensus-guidelines-and-practical-recommendations-published-on-the-optimal-use-of-off-loading-in-diabetic-foot-ulcer-treatment-300011126.html. Accessed October 2,2019."},{"key":"i8750-7315-111-5-Article_1-b07","series-title":"JAPMA","first-page":"555","article-title":"The management of diabetic foot ulcers through optimal off-loading: building consensus guidelines and practical recommendations to improve outcomes","volume":"104","author":"Snyder","year":"2014","unstructured":"Snyder\n RJ\n \n \n Frykberg\n RG\n \n \n Rogers\n LC\n \n :\n \n The management of diabetic foot ulcers through optimal off-loading: building consensus guidelines and practical recommendations to improve outcomes.\n\t\t\t\t\tJAPMA104: \n\t\t\t\t\t555,\n\t\t\t\t\t2014."},{"key":"i8750-7315-111-5-Article_1-b08","series-title":"J Foot Ankle Res","first-page":"2","article-title":"Total contact cast wall load in patients with a plantar forefoot ulcer and diabetes","volume":"9","author":"Begg","year":"2016","unstructured":"Begg\n L\n \n \n McLaughlin\n P\n \n \n Vicaretti\n M\n \n :\n \n Total contact cast wall load in patients with a plantar forefoot ulcer and diabetes.\n\t\t\t\t\tJ Foot Ankle Res9: \n\t\t\t\t\t2,\n\t\t\t\t\t2016."},{"key":"i8750-7315-111-5-Article_1-b09","series-title":"Diabet Med","first-page":"179","article-title":"Optimizing the offloading properties of the total contact cast for plantar foot ulceration","volume":"28","author":"Burns","year":"2011","unstructured":"Burns\n J\n \n \n Begg\n L:\n \n \n Optimizing the offloading properties of the total contact cast for plantar foot ulceration.\n\t\t\t\t\tDiabet Med28: \n\t\t\t\t\t179,\n\t\t\t\t\t2011."},{"key":"i8750-7315-111-5-Article_1-b10","series-title":"J Am Coll Clin Wound Spec","first-page":"19","article-title":"A narrative review of the benefits and risks of total contact casts in the management of diabetic foot ulcers","volume":"9","author":"Messenger","year":"2017","unstructured":"Messenger\n GM\n \n \n Masoetsa\n RM\n \n \n Hussain\n IB:\n \n \n A narrative review of the benefits and risks of total contact casts in the management of diabetic foot ulcers.\n\t\t\t\t\tJ Am Coll Clin Wound Spec9: \n\t\t\t\t\t19,\n\t\t\t\t\t2017."},{"key":"i8750-7315-111-5-Article_1-b11","series-title":"Wounds","first-page":"49","article-title":"Total contact cast use in patients with peripheral arterial disease: a case series and systematic review","volume":"30","author":"Tickner","year":"2018","unstructured":"Tickner\n A\n \n \n Klinghard\n C\n \n \n Arnold\n JF\n \n :\n \n Total contact cast use in patients with peripheral arterial disease: a case series and systematic review.\n\t\t\t\t\tWounds30: \n\t\t\t\t\t49,\n\t\t\t\t\t2018."},{"key":"i8750-7315-111-5-Article_1-b12","series-title":"Diabetes Care","first-page":"2118","article-title":"Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach?","volume":"31","author":"Wu","year":"2008","unstructured":"Wu\n SC\n \n \n Jensen\n JL\n \n \n Weber\n AK\n \n :\n \n Use of pressure offloading devices in diabetic foot ulcers: do we practice what we preach?\n Diabetes Care\n 31: \n\t\t\t\t\t2118,\n\t\t\t\t\t2008."},{"key":"i8750-7315-111-5-Article_1-b13","article-title":"Product technology overview: TCC-EZ\u00ae total contact cast system: the evidence supporting offloading for treatment of diabetic foot ulcers","author":"Tan","year":"2019","unstructured":"Tan\n TL\n \n \n McGuire\n J:\n \n \n Product technology overview: TCC-EZ\u00ae total contact cast system: the evidence supporting offloading for treatment of diabetic foot ulcers.\n\t\t\t\t\tAvailable at: https:\/\/www.woundsource.com\/blog\/product-technology-overview-tcc-ez-total-contact-cast-system. Accessed October 27,2019."},{"key":"i8750-7315-111-5-Article_1-b14","series-title":"JAPMA","first-page":"50","article-title":"Total contact casts and removable cast walkers: mitigation of plantar heel pressure","volume":"89","author":"Armstrong","year":"1999","unstructured":"Armstrong\n DG\n \n \n Stacpoole-Shea\n S:\n \n \n Total contact casts and removable cast walkers: mitigation of plantar heel pressure.\n\t\t\t\t\tJAPMA89: \n\t\t\t\t\t50,\n\t\t\t\t\t1999."},{"key":"i8750-7315-111-5-Article_1-b15","series-title":"EFORT Open Rev","first-page":"513","article-title":"Current concepts for the evaluation and management of diabetic foot ulcers","volume":"3","author":"Mavrogenis","year":"2018","unstructured":"Mavrogenis\n AF\n \n \n Megaloikonomos\n PD\n \n \n Antoniadou\n T\n \n :\n \n Current concepts for the evaluation and management of diabetic foot ulcers.\n\t\t\t\t\tEFORT Open Rev3: \n\t\t\t\t\t513,\n\t\t\t\t\t2018."},{"key":"i8750-7315-111-5-Article_1-b16","series-title":"J Foot Ankle Res","first-page":"16","article-title":"How do Australian podiatrists manage patients with diabetes? the Australian Diabetic Foot Management Survey","volume":"8","author":"Quinton","year":"2015","unstructured":"Quinton\n TR\n \n \n Lazzarini\n PA\n \n \n Boyle\n FM\n \n :\n \n How do Australian podiatrists manage patients with diabetes? the Australian Diabetic Foot Management Survey.\n\t\t\t\t\tJ Foot Ankle Res8: \n\t\t\t\t\t16,\n\t\t\t\t\t2015."},{"key":"i8750-7315-111-5-Article_1-b17","article-title":"National evidence-based guideline on prevention, identification and management of foot complications in diabetes (part of the guidelines on management of type 2 diabetes)","year":"2019","unstructured":"National evidence-based guideline on prevention, identification and management of foot complications in diabetes (part of the guidelines on management of type 2 diabetes).\n\t\t\t\t\tAvailable at: https:\/\/baker.edu.au\/-\/media\/documents\/impact\/diabetes-foot-guidelines\/baker-institute-foot-complications-full-guideline.pdf. Published April 2011. Accessed September 26,2019."},{"key":"i8750-7315-111-5-Article_1-b18","series-title":"Diabetes Metab Res Rev","first-page":"S162","article-title":"The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review","volume":"24","author":"Bus","year":"2008","unstructured":"Bus\n SA\n \n \n Valk\n GD\n \n \n van Deursen\n RW\n \n :\n \n The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review.\n\t\t\t\t\tDiabetes Metab Res Rev24: \n\t\t\t\t\tS162,\n\t\t\t\t\t2008."},{"key":"i8750-7315-111-5-Article_1-b19","series-title":"JAPMA","first-page":"1","article-title":"Evaluating iatrogenic complications of the total-contact cast: an 8-year retrospective review at Cleveland Clinic","volume":"106","author":"Owings","year":"2016","unstructured":"Owings\n TM\n \n \n Nicolosi\n N\n \n \n Suba\n JM\n \n :\n \n Evaluating iatrogenic complications of the total-contact cast: an 8-year retrospective review at Cleveland Clinic.\n\t\t\t\t\tJAPMA106: \n\t\t\t\t\t1,\n\t\t\t\t\t2016."},{"key":"i8750-7315-111-5-Article_1-b20","article-title":"TCC-EZ\u00ae Sell Sheet","year":"2021","unstructured":"DermaSciences:\n TCC-EZ\u00ae Sell Sheet\n Available at: https:\/\/www.integralife.com\/file\/general\/1587666347.pdf. Accessed August 12,\n 2021."},{"key":"i8750-7315-111-5-Article_1-b21","series-title":"JAPMA","first-page":"7","article-title":"Reliability of the modified foot posture index","volume":"98","author":"Cornwall","year":"2008","unstructured":"Cornwall\n MW\n \n \n McPoil\n TG\n \n \n Lebec\n M\n \n :\n \n Reliability of the modified foot posture index.\n\t\t\t\t\tJAPMA98: \n\t\t\t\t\t7,\n\t\t\t\t\t2008."},{"key":"i8750-7315-111-5-Article_1-b22","series-title":"Man Ther","first-page":"238","article-title":"Inexperienced examiners and the foot posture index: a reliability study","volume":"26","author":"McLaughlin","year":"2016","unstructured":"McLaughlin\n P\n \n \n Vaughan\n B\n \n \n Shanahan\n J\n \n :\n \n Inexperienced examiners and the foot posture index: a reliability study.\n\t\t\t\t\tMan Ther26: \n\t\t\t\t\t238,\n\t\t\t\t\t2016."},{"key":"i8750-7315-111-5-Article_1-b23","series-title":"J Foot Ankle Res","first-page":"6","article-title":"Normative values for the Foot Posture Index","volume":"1","author":"Redmond","year":"2008","unstructured":"Redmond\n AC\n \n \n Crane\n YZ\n \n \n Menz\n HB:\n \n \n Normative values for the Foot Posture Index.\n\t\t\t\t\tJ Foot Ankle Res1: \n\t\t\t\t\t6,\n\t\t\t\t\t2008."},{"key":"i8750-7315-111-5-Article_1-b24","series-title":"Clin Biomech","first-page":"89","article-title":"Development and validation of a novel rating system for scoring standing foot posture: the foot posture index","volume":"21","author":"Redmond","year":"2006","unstructured":"Redmond\n AC\n \n \n Crosbie\n J\n \n \n Ouvrier\n R:\n \n \n Development and validation of a novel rating system for scoring standing foot posture: the foot posture index.\n\t\t\t\t\tClin Biomech21: \n\t\t\t\t\t89,\n\t\t\t\t\t2006."},{"key":"i8750-7315-111-5-Article_1-b25","series-title":"J Neuroeng Rehabil","first-page":"95","article-title":"Test-retest reliability of an insole plantar pressure system to assess gait along linear and curved trajectories","volume":"11","author":"Godi","year":"2014","unstructured":"Godi\n M\n \n \n Turcato\n AM\n \n \n Schieppati\n M\n \n :\n \n Test-retest reliability of an insole plantar pressure system to assess gait along linear and curved trajectories.\n\t\t\t\t\tJ Neuroeng Rehabil11: \n\t\t\t\t\t95,\n\t\t\t\t\t2014."},{"key":"i8750-7315-111-5-Article_1-b26","series-title":"Foot Ankle Surg","first-page":"70","article-title":"Repeatability of the pedar\u00ae-x in-shoe pressure measuring system","volume":"16","author":"Ramanathan","year":"2010","unstructured":"Ramanathan\n AK\n \n \n Kiran\n P\n \n \n Arnold\n GP\n \n :\n \n Repeatability of the pedar\u00ae-x in-shoe pressure measuring system.\n\t\t\t\t\tFoot Ankle Surg16: \n\t\t\t\t\t70,\n\t\t\t\t\t2010."},{"key":"i8750-7315-111-5-Article_1-b27","series-title":"Pedar\u00ae-X system manual","year":"2019","unstructured":"novel:\n Pedar\u00ae-X system manual.\n\t\t\t\t\tAvailable at: https:\/\/www.novelusa.com\/support. Published 2011. Accessed September 28,2019."},{"key":"i8750-7315-111-5-Article_1-b28","series-title":"Gait Posture","first-page":"90","article-title":"Effect of different casting design characteristics on offloading the diabetic foot","volume":"64","author":"Westra","year":"2018","unstructured":"Westra\n M\n \n \n van Netten\n JJ\n \n \n Manning\n HA\n \n :\n \n Effect of different casting design characteristics on offloading the diabetic foot.\n\t\t\t\t\tGait Posture64: \n\t\t\t\t\t90,\n\t\t\t\t\t2018."},{"key":"i8750-7315-111-5-Article_1-b29","series-title":"J Foot Ankle Res","first-page":"62","article-title":"Validation of a weight bearing ankle equinus value in older adults with diabetes","volume":"11","author":"Searle Mosteo","year":"2018","unstructured":"Searle Mosteo\n A\n \n \n Spink\n MJ\n \n \n Chuter\n VH:\n \n \n Validation of a weight bearing ankle equinus value in older adults with diabetes.\n\t\t\t\t\tJ Foot Ankle Res11: \n\t\t\t\t\t62,\n\t\t\t\t\t2018."},{"key":"i8750-7315-111-5-Article_1-b30","series-title":"Semin Vasc Surg","first-page":"68","article-title":"Offloading the diabetic and ischemic foot: solutions for the vascular specialist","volume":"27","author":"Miller","year":"2014","unstructured":"Miller\n J\n \n \n Armstrong\n DG:\n \n \n Offloading the diabetic and ischemic foot: solutions for the vascular specialist.\n\t\t\t\t\tSemin Vasc Surg27: \n\t\t\t\t\t68,\n\t\t\t\t\t2014."},{"key":"i8750-7315-111-5-Article_1-b31","series-title":"Diabetes Metab Res Rev","first-page":"183","article-title":"Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: a systematic review and meta-analysis","volume":"29","author":"Morona","year":"2013","unstructured":"Morona\n JK\n \n \n Buckley\n ES\n \n \n Jones\n S\n \n :\n \n Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: a systematic review and meta-analysis.\n\t\t\t\t\tDiabetes Metab Res Rev29: \n\t\t\t\t\t183,\n\t\t\t\t\t2013."},{"key":"i8750-7315-111-5-Article_1-b32","series-title":"Diabetes Care","first-page":"551","article-title":"Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial","volume":"28","author":"Armstrong","year":"2005","unstructured":"Armstrong\n DG\n \n \n Lavery\n LA\n \n \n Wu\n S\n \n :\n \n Evaluation of removable and irremovable cast walkers in the healing of diabetic foot wounds: a randomized controlled trial.\n\t\t\t\t\tDiabetes Care28: \n\t\t\t\t\t551,\n\t\t\t\t\t2005."},{"key":"i8750-7315-111-5-Article_1-b33","article-title":"Total contact casting and neuropathic foot wounds: implementing a gold standard and overcoming barriers to clinical use","author":"Hoffman","year":"2019","unstructured":"Hoffman\n K\n \n \n Jensen\n J\n \n \n Jaakola\n ED:\n \n \n Total contact casting and neuropathic foot wounds: implementing a gold standard and overcoming barriers to clinical use.\n\t\t\t\t\tAvailable at: https:\/\/www.todayswoundclinic.com\/articles\/total-contact-casting-and-neuropathic-foot-wounds-implementing-gold-standard-and-overcoming. Published August 2010. Accessed October 28,2019."},{"key":"i8750-7315-111-5-Article_1-b34","series-title":"J Foot Ankle Res","first-page":"35","article-title":"A survey of offloading practices for diabetes-related plantar neuropathic foot ulcers","volume":"7","author":"Raspovic","year":"2014","unstructured":"Raspovic\n A\n \n \n Landorf\n KB:\n \n \n A survey of offloading practices for diabetes-related plantar neuropathic foot ulcers.\n\t\t\t\t\tJ Foot Ankle Res7: \n\t\t\t\t\t35,\n\t\t\t\t\t2014."},{"key":"i8750-7315-111-5-Article_1-b35","series-title":"Foot Ankle Int","first-page":"73","article-title":"The effects of total contact casting materials on plantar pressures","volume":"25","author":"Hartsell","year":"2004","unstructured":"Hartsell\n HD\n \n \n Brand\n RA\n \n \n Frantz\n RA\n \n :\n \n The effects of total contact casting materials on plantar pressures.\n\t\t\t\t\tFoot Ankle Int25: \n\t\t\t\t\t73,\n\t\t\t\t\t2004."},{"key":"i8750-7315-111-5-Article_1-b36","series-title":"Diabetes Care","first-page":"1019","article-title":"Off-loading the diabetic foot wound","volume":"24","author":"Armstrong","year":"2001","unstructured":"Armstrong\n DG\n \n \n Nguyen\n HC\n \n \n Lavery\n LA\n \n :\n \n Off-loading the diabetic foot wound.\n\t\t\t\t\tDiabetes Care24: \n\t\t\t\t\t1019,\n\t\t\t\t\t2001."},{"key":"i8750-7315-111-5-Article_1-b37","series-title":"JAPMA","first-page":"100","article-title":"A method for assessing off-loading compliance","volume":"99","author":"Crews","year":"2009","unstructured":"Crews\n RT\n \n \n Armstrong\n DG\n \n \n Boulton\n AJM:\n \n \n A method for assessing off-loading compliance.\n\t\t\t\t\tJAPMA99: \n\t\t\t\t\t100,\n\t\t\t\t\t2009."},{"key":"i8750-7315-111-5-Article_1-b38","series-title":"Diabetes Care","first-page":"1371","article-title":"Role and determinants of adherence to off-loading in diabetic foot ulcer healing: a prospective investigation","volume":"39","author":"Crews","year":"2016","unstructured":"Crews\n RT\n \n \n Shen\n B-J\n \n \n Campbell\n L\n \n :\n \n Role and determinants of adherence to off-loading in diabetic foot ulcer healing: a prospective investigation.\n\t\t\t\t\tDiabetes Care39: \n\t\t\t\t\t1371,\n\t\t\t\t\t2016."},{"key":"i8750-7315-111-5-Article_1-b39","series-title":"Wounds UK","first-page":"48","article-title":"Advancing the gold standard in offloading the diabetic foot","volume":"11","author":"Sambrook","year":"2015","unstructured":"Sambrook\n E\n \n \n Delpierre\n T\n \n \n Bowen\n G:\n \n \n Advancing the gold standard in offloading the diabetic foot.\n\t\t\t\t\tWounds UK11: \n\t\t\t\t\t48,\n\t\t\t\t\t2015."},{"key":"i8750-7315-111-5-Article_1-b40","series-title":"Foot Ankle Int","first-page":"26","article-title":"A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and prefabricated pneumatic walking brace","volume":"18","author":"Baumhauer","year":"1997","unstructured":"Baumhauer\n J\n \n \n Wervey\n R\n \n \n McWilliams\n J\n \n :\n \n A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and prefabricated pneumatic walking brace.\n\t\t\t\t\tFoot Ankle Int18: \n\t\t\t\t\t26,\n\t\t\t\t\t1997."},{"key":"i8750-7315-111-5-Article_1-b41","series-title":"Clin Biomech","first-page":"649","article-title":"Removable cast walker boots yield greater forefoot off-loading than total contact casts","volume":"26","author":"Gutekunst","year":"2011","unstructured":"Gutekunst\n DJ\n \n \n Hastings\n MK\n \n \n Bohnert\n KL\n \n :\n \n Removable cast walker boots yield greater forefoot off-loading than total contact casts.\n\t\t\t\t\tClin Biomech26: \n\t\t\t\t\t649,\n\t\t\t\t\t2011."},{"key":"i8750-7315-111-5-Article_1-b42","series-title":"Adv Skin Wound Care","first-page":"247","article-title":"Total contact cast for diabetic foot ulcers: an underused \u201cgold standard.\u201d","volume":"32","author":"Sibbald","year":"2019","unstructured":"Sibbald\n RG\n \n \n Ayello\n EA:\n \n \n Total contact cast for diabetic foot ulcers: an underused \u201cgold standard.\u201d\n Adv Skin Wound Care\n 32: \n\t\t\t\t\t247,\n\t\t\t\t\t2019."},{"key":"i8750-7315-111-5-Article_1-b43","series-title":"Behav Res Methods","first-page":"175","article-title":"G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences","volume":"39","author":"Faul","year":"2007","unstructured":"Faul\n F\n \n \n Erdfelder\n E\n \n \n Lang\n A-G\n \n :\n \n G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences.\n\t\t\t\t\tBehav Res Methods39: \n\t\t\t\t\t175,\n\t\t\t\t\t2007."},{"key":"i8750-7315-111-5-Article_1-b44","series-title":"Behav Res Methods","first-page":"1149","article-title":"Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses","volume":"41","author":"Faul","year":"2009","unstructured":"Faul\n F\n \n \n Erdfelder\n E\n \n \n Buchner\n A\n \n :\n \n Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses.\n\t\t\t\t\tBehav Res Methods41: \n\t\t\t\t\t1149,\n\t\t\t\t\t2009."}],"container-title":["Journal of the American Podiatric Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/japmaonline.org\/view\/journals\/apms\/111\/5\/8750-7315-111-5.Article_1.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/japma\/article-pdf\/doi\/10.7547\/8750-7315-111-5.Article_1\/2975133\/i8750-7315-111-5-article_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/111\/5\/8750-7315-111-5.Article_1.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/japmaonline.org\/downloadpdf\/journals\/apms\/111\/5\/8750-7315-111-5.Article_1.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T10:18:26Z","timestamp":1783505906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1930-8264\/111\/5\/20022"}},"subtitle":["A Plantar Pressure Analysis"],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":44,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.7547\/8750-7315-111-5.article_1","relation":{},"ISSN":["8750-7315"],"issn-type":[{"value":"8750-7315","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}