Full Content is available to subscribers

Subscribe/Learn More  >

Active Foot Pressure Control for Diabetic Patients

[+] Author Affiliations
Vidya K. Nandikolla, Marco P. Schoen

Idaho State University

Ajay Mahajan

Southern Illinois University at Carbondale

Paper No. IMECE2004-59549, pp. 619-624; 6 pages
  • ASME 2004 International Mechanical Engineering Congress and Exposition
  • Dynamic Systems and Control, Parts A and B
  • Anaheim, California, USA, November 13 – 19, 2004
  • Conference Sponsors: Dynamic Systems and Control Division
  • ISBN: 0-7918-4706-3 | eISBN: 0-7918-4178-2, 0-7918-4179-0, 0-7918-4180-4
  • Copyright © 2004 by ASME


Foot Ulcer in diabetic patients is a serious medical problem. A major contributor for the development of diabetic foot ulcers is a high, localized plantar foot pressure. It is believed that in diabetes the nerves in the extreme parts of the human body are damaged and cause deregulated blood flow, which may cause an insufficient blood supply. This can lead to a loss of feeling, change in shape of the feet, necrosis and ulcerations, and ultimately to partial or total amputation of the body part. The loss of feeling in the feet results in a loss of feedback to control the foot pressure distribution. It is proposed that high foot pressure concentration can be avoided by using an active, intelligent shoe insert, which is based on the mechanics of smart materials. This paper investigates the controls schemes necessary to accomplish an external foot pressure distribution scheme for preventing ulcerations or the progression of existing ulcers. A simple mathematical model of the shoe insert is developed. Foot pressure distributions for healthy subjects are used as a basis to control elevated foot pressures by changing the shape of the shoe insert. The optimal shape of the shoe insert with regard to the existing pressure distribution is computed. The optimal shape is implemented using different control schemes. The performance and the efficiency of the proposed control schemes are compared and analyzed. The main advantage of the proposed active shoe insert is its capability to sense the pressure peaks, change the pressure distribution, and provide stimuli for increased blood flow in the diabetic feet. [1,2,3]

Copyright © 2004 by ASME



Interactive Graphics


Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging and repositioning the boxes below.

Related eBook Content
Topic Collections

Sorry! You do not have access to this content. For assistance or to subscribe, please contact us:

  • TELEPHONE: 1-800-843-2763 (Toll-free in the USA)
  • EMAIL: asmedigitalcollection@asme.org
Sign In