The self-cooling shoe that could reduce amputations

December 14, 2015

By Alex Branch

Metin Yavuz

 

A Health Science Center researcher is creating an innovative shoe that could help prevent dangerous foot ulcers in people with diabetes.

Metin Yavuz, DEng, Assistant Professor of Physical Therapy, has developed a working prototype of a shoe fixed with an electronic cooling system. It’s designed to keep foot tissues from heating to temperatures that can contribute to the development of ulcers.

Foot ulcers are a common and costly problem for people with diabetes.  Up to a quarter of diabetics develop an ulcer in their lifetimes, leading to about 100,000 amputations at a cost of $30 billion annually in the United States. People with diabetes often lose sensation in their feet and don’t feel pain from developing wounds.

“We’re basically turning on the A/C inside the shoe,” Dr. Yavuz said. “So far, the results are promising that this could be an effective way to prevent foot ulcers.”

The majority of research into foot ulcers focuses on how pressure that occurs on the foot while walking contributes to ulceration. But Dr. Yavuz is researching the roles of frictional forces and temperature, and how controlling those factors may prevent ulcers.

Using data from his National Institute of Health-funded study, he showed that most diabetic ulcers develop at locations that experience the largest frictional forces. He and his team also studied how elevated temperatures found in the feet of people with diabetes accelerate tissue breakdown. In November, his groundbreaking work was published in two different articles by the journal Diabetes Care.

Regardless of weather conditions, the shoe developed by Dr. Yavuz and research assistant Linda Adams can maintain a temperature around 75 degrees Fahrenheit on the sole of the foot, which could otherwise reach 100 degrees in diabetic people.  By controlling temperatures, the foot tissue should suffer less damage.

Dr. Yavuz recently received a nearly $500,000 grant from the National Institute of Diabetes and Digestive and Kidney Diseases to further his research.

“Foot ulcers are an enormous problem and development of a novel shoe that could help prevent them has long been a goal of mine,” Dr. Yavuz said. “There is still a lot of work left to do, but we’re making progress.”

Dsc Fc
Center for Human Identification helps eliminate sexual assault evidence backlog

By Jan Jarvis   By the time Lavinia Masters’ rape kit was tested, more than 20 years had passed since she was assaulted. By then, the statute of limitations for the crime had expired. Through the work of the UNT Center for Human Identification, such scenarios are becoming fewer and a...Read more

Aug 22, 2019

Saenz Wc
Dr. Paul Saenz to receive Mary E. Luibel Distinguished Service Award

By Alex Branch Paul S. Saenz, DO, a graduate of the Texas College of Osteopathic Medicine and Team Physician for the San Antonio Spurs, has been named the 2019 recipient of the Mary E. Luibel Distinguished Service Award by UNT Health Science Center in Fort Worth. He will receive the award ...Read more

Aug 21, 2019

Pharmgroup Fc
College of Pharmacy awarded four-year accreditation

By Jan Jarvis   The UNT System College of Pharmacy at UNT Health Science has reached another milestone just eight years after it was founded in 2011. The Accreditation Council for Pharmacy Education has granted the college a four-year accreditation term, the maximum allowed for a new prog...Read more

Aug 20, 2019

Dancer Fc
The dancers and their doctors

By Jan Jarvis About halfway through a ballet season filled with graceful leaps and pounding landings, dancer Celesta Gaiera had not suffered a single injury. Physical therapy, massage and compression boots helped keep the Texas Ballet Theatre dancer on her feet through “Cinderella,” “Cl...Read more

Aug 19, 2019