Contralateral limb during total contact casting. A dynamic pressure and thermometric analysis.

D. G. Armstrong, P. J. Liswood, W. F. Todd

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


The authors draw attention to the importance of evaluation of the contralateral limb when treating unilateral sequelae secondary to distal symmetrical polyneuropathy. Plantar pressure measurements of the contralateral limb during total contact casting are reviewed. The results of thermometric evaluation before and after initiation of repetitive stress were reviewed. The results suggest that the patient walking in a total contact cast may experience a reduced focal pressure on the contralateral limb when compared with uncasted walking and three-point walking with crutches. Dermal thermometry may be a highly sensitive tool in evaluating even mild increases in repetitive stress. To explain this decrease in contralateral stress, the authors examine the features inherent to the total contact cast and propose the concept of proprioceptive stability.

Original languageEnglish (US)
Pages (from-to)733-737
Number of pages5
JournalJournal of the American Podiatric Medical Association
Issue number12
StatePublished - Dec 1995
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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