Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review

Paton, Joanne; Bruce, Graham; Jones, Ray; Stenhouse, Elizabeth

doi:10.1016/j.jdiacomp.2009.09.002

Cited by 81 publications

(67 citation statements)

References 28 publications

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“…Seven articles were available in relation to the effect of insole alone on the plantar pressure, in which two of them were systematic review [2,16], 2 case control [22,23], 2 RCT [24, 25] and 1 article review [16]. Four articles were about use of shoes with insoles and its effect on plantar pressure; that 2 of them were RCT [25,26], and 2 cohort studies [27,28].…”

Section: Plantar Pressurementioning

confidence: 99%

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The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Rezaeian

Karimi

2017

PTJ

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Purpose: Today considering the high prevalence of diabetes and its associated pressure ulcers, also irreparable consequences such as amputation and death, the use of orthotic devices is increasing. A variety of devices have designed to prevent ulcers in the patients' feet, however other aspects of the treatment, especially the performance of these patients in standing and walking, which are their main daily activities, have not been considered in designing and use of orthotic devices. In addition, the differences between the available devices and their effects have not been described yet. Therefore the aim of this review article is to answer these issues. Methods:A comprehensive research was done in databases of PubMed, Google Scholar, and ISI Web of Knowledge. The keywords such as "diabetic neuropathy", "orthosis", "plantar pressure", "balance", "energy consumption", and "spatial-temporal parameters of gait" and their results were analyzed. The quality of articles were evaluated by Downs and Black tool.Results: After proper search, 245 English articles were found with the related keywords. Then, 184 articles were excluded because of a common title or incomplete text. Also, 25 articles were excluded from the study, because their contents did not relate highly to this study or have reasonable conclusion based on the findings of other articles. Eventually the results of 36 articles were examined and reported. Conclusion:This study has examined the various articles from randomized control trial to case report. Most studies emphasized on the reduction of plantar pressures and ulcer treatment with orthotic devices. A few studies are available on the effects of orthosis in standing balance and walking parameters. However, no study was found with regard to the effect of orthotic treatments on energy consumption in these patients. Because this topic is very important, it is suggested that future studies be focused on these issues.

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Section: Plantar Pressurementioning

confidence: 99%

“…iabetes mellitus with its complications like pressure ulcers is an economic, social, and medical problem in most countries and a major cause of non-traumatic amputation in most Western countries [1,2]. Many damages to diabetic foot are preventable and patient's awareness is the most important principle in prevention.…”

Section: Introductionmentioning

confidence: 99%

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Rezaeian

Karimi

2017

PTJ

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“…The main causation factors discussed are increased body weight, neuropathy, foot structure/deformity, limited joint mobility, muscle strength and changes to plantar soft tissue. Increasing research has also being carried out in the area of DFU prevention [7,[9][10][11][12][13]. The majority of this preventative research is performed with respect to patients that have experienced previous ulceration where, it is obvious that the risk of future ulcer development is increased.…”

Section: Introductionmentioning

confidence: 99%

Indicators of Future Ulceration in Diabetes Patients of Low-Moderate Foot Risk

Buckley¹

2014

Clin Res Foot Ankle

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Background & Aim: Diabetes Mellitus can cause serious health problems including foot complications. Peripheral neuropathy affects the outer appendages, most commonly the lower limbs. Ulceration of the feet has a high possibility of advancement to amputation; thus greatly diminishing quality of life. This study investigates if patients with diabetes, who are at low-moderate risk of foot disease, have any underlying biomechanical signs which may indicate that they are at risk of future ulceration.

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“…Para a população diabética, as atividades de autocuidado associadas ao controle glicêmico podem prevenir complicações, hospitalizações e mortalidade relacionadas ao diabetes mellitus 4 . As condutas mais empregadas são a avaliação precoce 5 , o controle de fatores de risco glicêmico e cardiovascular 5 , orientação nutricional e controle alimentar 6 , hábitos de vida saudável 7,8 e, ainda, orientações mais específicas como o uso de um calçado adequado 9 .…”

Section: Introductionunclassified

Estudo comparativo das representações sociais sobre diabetes mellitus e pé diabético

Mantovani¹,

Fregonesi

Pelai

et al. 2013

Cad. Saúde Pública

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O estudo objetivou investigar a representação social dos termos "diabetes" e "pé diabético" em diferentes populações. Os participantes foram divididos em grupos: diabético (GD); não-diabético (GN); e profissional da área da saúde nãodiabético (GP). Foram coletados os dados pessoais e os sujeitos responderam a duas perguntas nas quais deveriam evocar cinco palavras que viessem à mente quando pensassem em "diabetes" e, depois, em "pé diabético". O material evocado foi analisado pelo software Ensemble de Programmes Permettant l'Analyse dês Èvocations. Participaram 161 sujeitos, sendo GD (n = 72) com idade média de 56,12 ± 5,49 anos; GN (n = 38) com 54,29 ± 7,91 anos; e GP (n = 51) com idades de 34,95 ± 7,52 anos. Para a representação social do termo "diabetes" foram evocadas 297 palavras no GD, 172 no GN e 235 palavras no GP. Para o termo "pé diabético" foram evocadas 180 palavras no GD, 90 no GN e 236 no GP. Os grupos mostraram-se sedentos por maiores informações, confirmando a necessidade de programas de conscientização e educação em diabetes, que contemplem questões globalizantes acerca da doença.

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Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review

Cited by 81 publications

References 28 publications

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

The Effects of Various Orthotic Treatments on the Standing and Walking Performance of Diabetic Patients

Indicators of Future Ulceration in Diabetes Patients of Low-Moderate Foot Risk

Estudo comparativo das representações sociais sobre diabetes mellitus e pé diabético

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