Rocker outsole shoe is not a threat to postural stability in patients with diabetic neuropathy

Ghomian, Banafshe; Kamyab, Mojtaba; Jafari, Hassan; Hosseinkhan, Nazanin; Healy, Aoife

doi:10.1177/0309364614543549

Cited by 12 publications

(17 citation statements)

References 38 publications

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“…Following the quality assessment, Ghomian et al [ 24 , 25 ] and Paton et al [ 17 ] had five ‘yes’ answers and the risk of bias was considered moderate. Albright et al [ 26 ] with four ‘yes’ answers was also considered to have a moderate risk of bias.…”

Section: Resultsmentioning

confidence: 99%

“…The numbers correspond to the criteria as shown in in Fig. 1 Author Reference Observational design General 1 2 3 4a 4b 5 6 7 8 9 Ghomian et al [ 24 ] y y na na na ? ?…”

Section: Resultsmentioning

confidence: 99%

“…Three of the five included articles used special shoes as offloading devices in their study [24][25][26]. Albright [26] et al used rocker bottom shoes and negative heel shoes, which were modified from a normal shoe made of canvas with a rubber sole.…”

Section: Interventionsmentioning

confidence: 99%

“…unknown or no information (uncertain risk of bias) Participants were asked to maintain balance without stepping while looking forward at an eye level target. Ghomian et al [24] also used a force plate in combination with the Motor Control Test that consist of four horizontal platform perturbations (medium backward, medium forward, large backward, and large forward). Outcome measures were centre of force displacement, response strength scale, and response latency.…”

Section: Outcome Measurementsmentioning

confidence: 99%

“…Fig.3Schematic overview of the rocker bottom shoes used by Albright et al[26] and Ghomian et al[24,25]. Numbers 1-3 correspond to the conditions used by Albright et al[26], numbers 4 and 5 correspond to the conditions used by Ghomian et al[24], and numbers 6-8 correspond to the conditions used by Ghomian et al[25]. (1) = Control shoe; (2) rocker bottom shoe with rocker apex positioned at 60-65% of the shoe length;(3) negative heel shoe with rocker apex at 60-65% of the shoe length and from rocker apex to heel the sole was reduced to zero thickness; (4) rocker…”

mentioning

confidence: 99%

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Effects of offloading devices on static and dynamic balance in patients with diabetic peripheral neuropathy: A systematic review

Horstink

Woude

Hijmans

2021

Rev Endocr Metab Disord

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Patients with diabetic peripheral neuropathy (DPN) usually have reduced somatosensory information and altered perception in feet and ankles. Somatosensory information acts as feedback for movement control and loss of somatosensation leads to altered plantar pressure patterns during gait and stance. Offloading devices are used to reduce peak plantar pressure and prevent diabetic foot ulcers. However, offloading devices can unfortunately have negative effects on static and dynamic balance. It is important to investigate these unwanted effects, since patient with DPN already are at high risk of falling and offloading devices could potentially increase this risk. The aim of this systematic review is to investigate the effects of plantar offloading devices used for ulcer prevention on their role in static and dynamic balance control in patients with DPN. PubMed and Embase were systematically searched using relevant search terms. After title selection, abstract selection, and full-text selection only five articles could be included for further analysis. Two articles included static balance measurements, two articles included dynamic balance measurements, and one article included both. Results suggested that static balance control is reduced when rocker bottom shoes and different insole configurations are used, however, toe-only rockers showed less evidence for reduced static balance control. There was no evidence for reduced dynamic balance control in combination with offloading devices. However, these results should be interpreted with care, since the number of studies was very small and the quality of the studies was moderate. Future research should evaluate balance in combination with different offloading devices, so that clinicians subscribing them are more aware of their potential unwanted consequences.

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Section: Resultsmentioning

confidence: 99%

“…The numbers correspond to the criteria as shown in in Fig. 1 Author Reference Observational design General 1 2 3 4a 4b 5 6 7 8 9 Ghomian et al [ 24 ] y y na na na ? ?…”

Section: Resultsmentioning

confidence: 99%