[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459466-105":59,"doc-detail-459466-en":123},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":116,"head_meta":118,"extra_data":120,"updated_unix":122},105,"en","effects-of-rehabilitation-using-therapeutic-sandals-for-patients-with-chronic-limb-threatening-ischemia-article","Effects of Rehabilitation Using Therapeutic Sandals for Patients With Chronic Limb-Threatening Ischemia - Article","","Study objective centers on whether early use of therapeutic sandals improves clinical outcomes in chronic limb-threatening ischemia (CLTI). In a retrospective longitudinal comparison, 51 patients after toe amputation were divided into usual rehabilitation without load and an orthotic program using therapeutic sandals with walking and aerobic exercises plus partial offloading. The Clinical Frailty Scale (CFS) change favored the orthotic group, while wound healing duration and reamputation rate showed no significant between-group differences. Early postoperative sandal use supported CFS stability with minimal effects on treatment delay or reamputation.",{"@graph":69,"@context":115},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/effects-of-rehabilitation-using-therapeutic-sandals-for-patients-with-chronic-limb-threatening-ischemia-article/459466/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/effects-of-rehabilitation-using-therapeutic-sandals-for-patients-with-chronic-limb-threatening-ischemia-article/459466.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-11","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109],{"name":110,"@type":111,"acceptedAnswer":112},"What were the key findings regarding CFS scores and wound healing?","Question",{"text":113,"@type":114},"CFS score change differed significantly between groups, favoring the orthotic rehabilitation group. However, there were no significant between-group differences in wound healing duration or reamputation rate.","Answer","https://schema.org",{"og:url":83,"og:type":117,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":119,"canonical":83},"index,follow",{"doc_id":121,"site_id":62},459466,1790806130,{"code":4,"msg":5,"data":124},{"doc_id":121,"user_id":125,"nickname":92,"user_avatar":126,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":127,"file_id":128,"file_url":129,"file_type":130,"file_size":131,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":132,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":133,"faqs":134,"seo_title":135,"seo_description":67,"update_tm":136,"read_time":46,"preview_page_count":4},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Circulation Reports ORIGINAL ARTICLE Circ Rep 2026; 8: 136–143  \ndoi:10.1253/circrep.CR-25-0048 Peripheral Vascular Disease  \n| Effects of Rehabilitation Using Therapeutic Sandals for Patients With Chronic Limb-Threatening Ischemia |  |\n| --- | --- |\n| Yusuke Nakamura, PT; Takuya Hara, PT; Manami Kurozawa, PT;\u003Cbr>Kou Ino, MD, PhD; Takashi Matsumoto, MD, PhD\u003Cbr>Background: Studies of off-loading devices for chronic limb-threatening ischemia (CLTI) are scarce. We investigated (1) the effect of the application of early therapy sandals on changes in the Clinical Frailty Scale (CFS) scores of patients with CLTI before and after hospitalization, and (2) adverse events such as wound deterioration and reamputation.\u003Cbr>Methods and Results: We retrospectively analyzed the cases of 51 patients (51 limbs) with toe amputation after revascularization and compared 2 groups: patients who did not apply any load during the off-loading duration and focused on resistance training (the‘usual rehabilitation’ group), and those who used therapeutic sandals and performed walking and aerobic exercises with partial offloading from an early stage (the ‘orthotic’ rehabilitation group) . The before-to-after hospitalization change in the CFS score was 0 (−1, 0) in the usual rehabilitation group, and 0 (0, 1) in the orthotic rehabilitation group (P=0.002), a significant difference. There were no significant between-group differences in wound healing duration (usual rehabilitation group, 48 [19,76.5] days; orthotic rehabilitation group, 41 [27.5,78.8] days) or reamputation rate (usual rehabilitation group, 5 [22%]; orthotic rehabilitation group, 3 [11%]) .\u003Cbr>Conclusions: The early postoperative use of therapeutic sandals tended to shorten the duration of complete off-loading after toe amputation due to CLTI and to help maintain CFS scores throughout the hospitalization duration. It was also shown to have a minimal impact on treatment delay and reamputation.\u003Cbr>Key Words: Cardiac rehabilitation; Chronic limb threatening ischemia; Off-loading |  |\n| C\u003Cbr>hronic limb-threatening ischemia (CLTI) is a generic concept that refers to lower limbs that are at risk of requiring therapeutic interventions and\u003Cbr>possible limb amputation due to lower-limb ischemia, tissue loss, nerve damage, and/or infection.1 Clinicians have traditionally been hesitant to implement rehabilitation for CLTI due to concerns about delayed wound healing and pain; however, an increasing number of recent reports recommend early rehabilitation for these patients, and the Japanese Society of Cardiology Guidelines for Peripheral Arterial Disease, revised in 2022, clearly state the need for early postoperative rehabilitation.1 In an effort toward early postoperative intervention for patients with CLTI, Aso Iizuka Hospital created therapeutic sandals and now provides rehabilitation by physical therapists during the active wound care stage of such patients. We conducted the present study to compare the effectiveness of rehabilitation before the introduction of therapeutic sandals with that of rehabilitation using therapeutic sandals from an early stage (Figure 1) . | Methods\u003Cbr>Study Design and Participants\u003Cbr>This was a retrospective, longitudinal study conducted ata single acute-care hospital in Japan. The study population consisted of patients with gangrene toe caused by ischemia due to CLTI who underwent toe amputation following lower-limb revascularization between April 2014 and December 2023. We reviewed the medical records of 109 patients (109 limbs), and after applying the exclusion criteria, 51 patients (51 limbs) were included in the final analysis.\u003Cbr>Patients were excluded if they met any of the following conditions: lack of independence in preoperative activities of daily living (ADLs), institutionalized or long-term hospitalization status, no rehabilitation prescription, pre-existing gait disturbances, cognitive impairment that precluded accurate assessment, history of multiple amputat","cbCaispMj9h3DEMz","https://ap.wps.com/l/cbCaispMj9h3DEMz","pdf",1463080,"English","# Background\n# Methods and Results\n## Study design and participants\n## Treatment groups\n## Outcomes and comparisons\n# Conclusions","[{\"question\":\"What were the key findings regarding CFS scores and wound healing?\",\"answer\":\"CFS score change differed significantly between groups, favoring the orthotic rehabilitation group. However, there were no significant between-group differences in wound healing duration or reamputation rate.\"}]","Effects of Rehabilitation Using Therapeutic Sandals for Patients With Chronic Limb-Threatening Ischemia - Article | PDF",1790755993]