Shipley D E
Phys Ther. 1979 Jan;59(1):13-8. doi: 10.1093/ptj/59.1.13.
Until fairly recently, foot deformity was accepted as part of the natural course of a disease with associated sensory loss such as Hansen's disease or diabetes. Now we recognize that most of this deformity is caused by physical forces and that, with proper care, deformity can be prevented. The therapist must perform accurate methods of assessment such as inspecting and palpating the skin, testing for sensory loss, recording footprints, and measuring foot volume and must provide knowledgeable treatment techniques. The patient must be taught how to care for his feet and how to prevent continued trauma with subsequent infection and bony absorption, which ultimately result in deformity that could have been prevented. These evaluation, treatment, and education techniques are discussed in detail.
直到最近，足部畸形仍被视为诸如麻风病或糖尿病等伴有感觉丧失的疾病自然病程的一部分。现在我们认识到，这种畸形大多是由物理力量造成的，并且通过适当护理，畸形是可以预防的。治疗师必须采用准确的评估方法，如检查和触诊皮肤、测试感觉丧失情况、记录脚印以及测量足部容积，并且必须提供专业的治疗技术。必须教导患者如何护理自己的双脚以及如何预防持续的创伤，避免随后发生感染和骨质吸收，而这些最终会导致本可预防的畸形。本文将详细讨论这些评估、治疗和教育技术。
