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This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and.

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Presentation on theme: "This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and."— Presentation transcript:

1 This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine positions in males : MRI studies. J Rehabil Res Dev. 2013;50(8):1149–56. http://dx.doi.org/10/1682/JRRD.2012.10.0183 Slideshow Project DOI:10.1682/JRRD.2012.10.0183JSP Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine position in males: MRI studies Shay Tenenbaum, MD; Nogah Shabshin, MD; Ayelet Levy, BSc; Amir Herman, MD; Amit Gefen, PhD

2 This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine positions in males : MRI studies. J Rehabil Res Dev. 2013;50(8):1149–56. http://dx.doi.org/10/1682/JRRD.2012.10.0183 Slideshow Project DOI:10.1682/JRRD.2012.10.0183JSP Aim – Explore effects of foot posture and support stiffness properties on soft tissue deformations using magnetic resonance imaging (MRI). Relevance – Heel ulcers are 2nd most common pressure ulcers. – Despite heel ulcers’ significant morbidity and economic cost, understanding of basic pathophysiology of pressure ulcers is lacking because of limited basic research.

3 This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine positions in males : MRI studies. J Rehabil Res Dev. 2013;50(8):1149–56. http://dx.doi.org/10/1682/JRRD.2012.10.0183 Slideshow Project DOI:10.1682/JRRD.2012.10.0183JSP Method Subjects were scanned with and without weight bearing, in neutral external rotation position and 90°to supporting surface and with different heel padding devices. Tissue strains were calculated for: – Skin. – Subcutaneous tissue. – Effective (total) soft tissue.

4 This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine positions in males : MRI studies. J Rehabil Res Dev. 2013;50(8):1149–56. http://dx.doi.org/10/1682/JRRD.2012.10.0183 Slideshow Project DOI:10.1682/JRRD.2012.10.0183JSP Results Skin strains: – Significantly greater with foot in external rotation than with foot upright. Heel padding devices: – Significantly reduced extent of deformations in both skin and subcutaneous tissues. – Design features substantially influenced tissue deformations.

5 This article and any supplementary material should be cited as follows: Tenenbaum S, Shabshin N, Levy A, Herman A, Gefen A. Effects of foot posture and heel padding devices on soft tissue deformations under the heel in supine positions in males : MRI studies. J Rehabil Res Dev. 2013;50(8):1149–56. http://dx.doi.org/10/1682/JRRD.2012.10.0183 Slideshow Project DOI:10.1682/JRRD.2012.10.0183JSP Conclusion Study demonstrates how MRI can provide convenient, accurate, and quantitative comparison of biomechanical performance of heel padding devices.

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