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Assessment of in-shoe pressure: development of a clinical user guide based on a DELPHI-derived consensus


Palaya, J and MacKenzie, C and Pearson, S and Murray, L and Katsanos, C, Assessment of in-shoe pressure: development of a clinical user guide based on a DELPHI-derived consensus, The Foot, 51 Article 101892. ISSN 0958-2592 (2022) [Refereed Article]

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DOI: doi:10.1016/j.foot.2021.101892


Background: The F-Scan (F-Scan System by Tekscan, Boston, USA) is an in-shoe pressure measurement device used to provide dynamic pressure, force and timing information to guide appropriate offloading of plantar foot ulcers. Despite the clinical utility of an in-shoe pressure measuring device there are some limitations in the validity and reliability of the output of the F-Scan. The aim of this study was to develop a consensus-based guideline following information provided by experienced clinicians, synthesis of research evidence and manufacturer's guidelines on the most appropriate use and interpretation of the data generated by the F-Scan to manage plantar foot ulceration.

Methods Using the Delphi method a series of sixteen consensus statements were developed following a two-step questionnaire utilising clinicians feedback, a review of evidence and the manufacturer's guidelines.

Findings Seventeen clinicians responded to the first questionnaire and 11 to the second, that included 8 podiatrists and 9 pedorthists working in the public and private sectors. Of the sixteen statements there was strong consensus for ten and moderate consensus for a further four. Only two statements failed to reach consensus and the feedback from the respondents was of great value providing sound clinical rationale for their rejection.

Interpretation The objective of this study has been achieved in developing a clear and concise set of guiding statements (Table 1) to standardise use of the F-Scan. The application of the guiding statements will encourage standardisation of practice with the aim of highlighting the limitations of the system and reducing potential systematic error in measurement from output produced.

Item Details

Item Type:Refereed Article
Keywords:F scan, clinical guidelines, podiatry, diabetic foot, DELPHI technique
Research Division:Health Sciences
Research Group:Allied health and rehabilitation science
Research Field:Podiatry
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Allied health therapies (excl. mental health services)
UTAS Author:Pearson, S (Dr Sue Pearson)
ID Code:151015
Year Published:2022
Deposited By:Medicine
Deposited On:2022-07-11
Last Modified:2022-07-26

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