Effect of customized insoles on vertical plantar pressures in sites of previous neuropathic ulceration in the diabetic foot

Comparison of Two Types of Insoles on Musculoskeletal Symptoms and Plantar Pressure Distribution in a Work Environment: A Randomized Clinical Trial

“…An increase in mean plantar pressure in the IG was also observed demonstrating that the inclusion of the additional element to the insoles did not have an effect on improving plantar pressure distribution. These findings corroborate those described by Raspovic et al, 11 who found no positive effects of the use of insoles with the placement of strips on areas of ulceration in patients with diabetes. Our findings are also in agreement with Pawelka et al 25 who found no improvement in plantar pressure distribution using insoles with no additional elements.…”

“…1,2 Specifically regarding the use of insoles, scientific findings report the prescription of this device for sports, 3,4 for pain in the lumbar region and lower limbs, [5][6][7] for alleviating plantar pressure, [8][9][10] and for improving foot ulcers caused by diabetes. 10,11 In the work environment, insoles are used as an ergonomic tool for reducing work-related symptoms especially in subjects who predominantly remain in a standing position. 12,13 Standing for extended time periods affects venous blood flow, inter-vertebral stress, and weight-bearing joints, and thereby causes pain and discomfort as well as exacerbates musculoskeletal conditions.…”

Comparação da pressão plantar e dos sintomas osteomusculares por meio do uso de palmilhas customizadas e pré-fabricadas no ambiente de trabalho

“…These findings corroborated the claims of Raspovic, Newcombe and Dalton 26 , who did not find positive effects of the use of insoles in all diabetic patients. In contrast, the present results disagreed with the findings reported by Tsung et al 27 , Guldemond 28 and Kelly and Winson 29 who showed that the use of insoles could reduce plantar pressures, especially in the forefoot region of different populations.…”

Effectiveness of insoles on plantar pressure redistribution

“…Previous studies examined the effects of insole type and material on pressure redistribution, but few dealt specifically with the comparison of insole shapes cast under different loading conditions. Soft flat insoles have been found to reduce plantar pressure and increase contact area [23][24][25], but they were found less effective than the contoured insoles [15,22,[26][27]]. In the current study, soft flat insoles were found to reduce the mean peak pressure and to maximize contact area in the whole foot region, but significant change occurred in the PTI for all foot regions from the shoe-only condition.…”