Trial reportJournal of diabetes science and technology2014
A novel shear reduction insole effect on the thermal response to walking stress, balance, and gait.
Trial report in Journal of diabetes science and technology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01844479 (Multi-material, Layer, and Density Insoles for a Patient-specific Approach to Shear and Pressure Reduction in the Treatment and Prevention of Diabetes-related Foot Ulcer), which is not on this map. Cited by 22 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Multi-material, Layer, and Density Insoles for a Patient-specific Approach to Shear and Pressure Reduction in the Treatment and Prevention of Diabetes-related Foot Ulcer
Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Diabetic foot prevention, assessment, and management using innovative smart wearable technology: a systematic review.Journal of neuroengineering and rehabilitation · 2025Pooled it
- Smart Wearable Systems for the Remote Monitoring of Selected Vascular Disorders of the Lower Extremity: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Effects of offloading devices on static and dynamic balance in patients with diabetic peripheral neuropathy: A systematic review.Reviews in endocrine & metabolic disorders · 2021Pooled it
- Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.Endocrinology, diabetes & metabolism · 2021Pooled it
- An Optical-Fiber-Based Smart Textile (Smart Socks) to Manage Biomechanical Risk Factors Associated With Diabetic Foot Amputation.Journal of diabetes science and technology · 2017Trial
- Lace Up for Healthy Feet: The Impact of Shoe Closure on Plantar Stress Response.Journal of diabetes science and technology · 2017Trial
- Wearable Technologies for Diabetic Foot Ulcer Monitoring and Risk Prediction: Systematic Review.JMIR diabetes · 2026Review
- Article
- Postural sway serves as a predictive biomarker in balance and gait assessments for diabetic peripheral neuropathy screening: a community-based study.Journal of neuroengineering and rehabilitation · 2025Article
- Finite-element analysis-based design and efficacy assessment of a three-dimensional anisotropic heel cushioning pad for diabetic foot management.Frontiers in bioengineering and biotechnology · 2025Article
- The Stress of Measuring Plantar Tissue Stress in People with Diabetes-Related Foot Ulcers: Biomechanical and Feasibility Findings from Two Prospective Cohort Studies.Sensors (Basel, Switzerland) · 2024Article
- The correlation between Diabetes and age-related degeneration and the static and dynamic 3D mechanical distribution of different plantar regions.Frontiers in endocrinology · 2024Article
- Application of 3D Printing Insole by Hemodynamics in Older Patients with Critical Limb Ischemia: Protocol for a Randomized Clinical Trial.International journal of general medicine · 2023Article
- Diabetic foot ulcers: Classification, risk factors and management.World journal of diabetes · 2022Review
- Digital Biomarkers of Gait and Balance in Diabetic Foot, Measurable by Wearable Inertial Measurement Units: A Mini Review.Sensors (Basel, Switzerland) · 2022Review
- Influence of Upper Footwear Material Properties on Foot Skin Temperature, Humidity and Perceived Comfort of Older Individuals.International journal of environmental research and public health · 2022Article
- A novel workflow to fabricate a patient-specific 3D printed accommodative foot orthosis with personalized latticed metamaterial.Medical engineering & physics · 2022Article
- Harnessing Digital Health Technologies to Remotely Manage Diabetic Foot Syndrome: A Narrative Review.Medicina (Kaunas, Lithuania) · 2021Review
- Describing Normative Foot Temperatures in Patients With Diabetes-Related Peripheral Neuropathy.Journal of diabetes science and technology · 2020Article
- Measuring Plantar Tissue Stress in People With Diabetic Peripheral Neuropathy: A Critical Concept in Diabetic Foot Management.Journal of diabetes science and technology · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
Shear stresses have been implicated in the formation of diabetes-related foot ulcers. The aim of this study was to evaluate the effect of a novel shear-reducing insole on the thermal response to walking, balance, and gait. Twenty-seven diabetes peripheral neuropathy patients were enrolled and asked to take 200 steps in both intervention and standard insoles. Thermal foot images of the feet were taken at baseline (1) following a 5-minute temperature acclimatization and (2) after walking. Testing order was randomized, and a 5-minute washout period was used between testing each insole condition. Sudomotor function was also assessed. Gait and balance were measured under single and dual task conditions using a validated body worn sensor system. The mean age was 65.1 years, height was 67.3 inches, weight was 218 pounds, and body mass index was 33.9, 48% were female, and 82% had type 2 diabetes. After walking in both insole conditions, foot temperatures increased significantly in standard insoles. The intervention insole significantly reduced forefoot and midfoot temperature increases (64.1%, P = .008; 48%, P = .046) compared to standard insoles. There were significant negative correlations with sudomotor function and baseline temperatures (r = .53-.57). The intervention demonstrated 10.4% less gait initiation double support time compared to standard insoles (P = .05). There were no differences in static balance measures. We found significantly lower forefoot and midfoot temperature increases following walking with shear-reducing insoles compared to standard insoles. We also found improvements in gait. These findings merit future study for the prevention of foot ulcer.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.