[Reducing the pressure on heel and foot-sole areas by means of Allevyn Gentle, Gentle Border and Gentle Border Heel dressings]. / Reducir la presión en las zonas de antepié y talón.

INTRODUCTION: The study of plantar pressure distribution allows detecting possible overpressure in areas of the foot that could cause discomfort or even injury. The use of dressings is a possible measure for for proper management of pressure to prevent and treat pressure sores. MATERIALS AND METHODS: An experimental study was designed to calculate the pressure level with and without the use of Allevyn dressing: Allevyn Gentle and Gentle Border in the forefoot, and Allevyn Gentle Border Heel in the Heel of five healthy people. The measurements were performed with bare feet and with different dressings controlling gait speed to achieve uniform cadences. Biofoot/IBV V6.0., a system of instrumented insoles, was used to determine pressure in the forefoot and the heel. RESULTS: Allevyn Gentle Border Heel reduced 45% the average pressure and 42% the maximum pressure (p <0.05). Allevyn Gentle and Allevyn Gentle Border reduced 27% the average pressure and 23%-25% maximum pressures (p <0.05). DISCUSSION: Although our study has some limitations, such as the valuation based on healthy volunteers and walking with bare feet, we can establish that dressings studied, had a local lowering effect of pressure on the foot (heel and forefoot) during the gait cycle.

Reducir la presión en las zonas de antepié y talón mediante los apósitos Allevyn Gentle, Gentle Border y Gentle Border Heel / Reducing the pressure on heel and foot sole areas by means of allevyn gentle, gentle border and gentrle border heel dressing

Introducción: El estudio de la distribución plantar de presiones permite detectar posibles sobrepresiones en zonas de la planta del pie que podrían ocasionar disconfort o incluso lesiones. La utilización de apósitos constituye una medida para el manejo adecuado de aquellas en la prevención y tratamiento de las úlceras por presión. Material y métodos: Se diseñó un estudio experimental para calcular el nivel de presión con y sin los apósitos Allevyn Gentle y Allevyn Gentle Border en el antepié y Allevyn Gentle Border Heel en el talón de cinco personas sanas. Las mediciones se realizaron con el pie descalzo y con los diferentes apósitos controlando la velocidad de marcha para conseguir cadencias de marcha homogénea. Para determinar las presiones en el antepié y el talón se utilizó un sistema de plantillas instrumentadas, Biofoot/IBV V6.0. Resultados: La presencia del Allevyn Gentle Border Heel en el talón produjo una reducción de las presiones del orden del 45% para las medias y del 42% para las máximas (p <0.05). Allevyn Gentle Border y Allevyn Gentle en el antepié consiguieron una reducción de la presión media de un 27% y del 23-25% para la presión máxima (p<0.05). Discusión: Aunque nuestro estudio tiene algunas limitaciones, como la valoración basada en voluntarios sanos y marcha con pie descalzo, podemos establecer que los apósitos estudiados presentaron un efecto reductor local de la presión en el pie (talón o antepié) durante el ciclo de la marcha(AU)

The study of plantar pressure distribution allows detecting possible overpressure in areas of the foot that could cause discomfort or even injury. The use of dressings is a possible measure for for proper management of pressure to prevent and treat pressure sores. Materials and methods: An experimental study was designed to calculate the pressure level with and without the use of Allevyn dressing: Allevyn Gentle and Gentle Border in the forefoot, and Allevyn Gentle Border Heel in the Heel of five healthy people. The measurements were performed with bare feet and with different dressings controlling gait speed to achieve uniform cadences. Biofoot/IBV V6.0., a system of instrumented insoles, was used to determine pressure in the forefoot and the heel. Results: Allevyn Gentle Border Heel reduced 45% the average pressure and 42% the maximum pressure (p <0.05). Allevyn Gentle and Allevyn Gentle Border reduced 27% the average pressure and 23%-25% maximum pressures (p <0.05) Discussion: Although our study has some limitations, such as the valuation based on healthy volunteers and walking with bare feet, we can establish that dressings studied, had a local lowering effect of pressure on the foot (heel and forefoot) during the gait cycle(AU)