Trial reportDiabetes care2018
Decreasing an Offloading Device's Size and Offsetting Its Imposed Limb-Length Discrepancy Lead to Improved Comfort and Gait.
Trial report in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Total contact casts versus removable offloading interventions for the treatment of diabetic foot ulcers: a systematic review and meta-analysis.Frontiers in endocrinology · 2023Pooled it
- Effectiveness of offloading interventions to heal foot ulcers in persons with diabetes: a systematic review.Diabetes/metabolism research and reviews · 2020Pooled it
- Measurement of plantar pressure differences in the contralateral limb when using offloading modalities for diabetic foot ulcerations.Journal of foot and ankle research · 2025Trial
- Expert considerations to guide the development and delivery of an exercise intervention in people with type 2 diabetes-related foot ulcer disease.Diabetic medicine : a journal of the British Diabetic Association · 2026Article
- Development and Validation of an Algorithm to Objectively Quantify Adherence to Offloading Interventions.Journal of foot and ankle research · 2026Article
- Impact of Contralateral Shoe Lifts on Gait Parameters and Mechanics When Wearing a Controlled Ankle Movement (CAM) Boot.Foot & ankle orthopaedics · 2025Article
- The Impact of Cast Walker Design on Metabolic Costs of Walking and Perceived Exertion.Diabetology · 2025Article
- SmartBoot: Real-Time Monitoring of Patient Activity via Remote Edge Computing Technologies.Sensors (Basel, Switzerland) · 2025Article
- Comparison of clinical efficacy between tibial cortex transverse transport and platelet-rich plasma treatment for severe diabetic foot ulcers.Frontiers in surgery · 2025Article
- A mouldable fibreglass backslab device as a novel approach to offload chronic plantar foot ulcers: A retrospective observational audit.Journal of foot and ankle research · 2024Observational
- In-shoe plantar pressure measurement technologies for the diabetic foot: A systematic review.Heliyon · 2024Article
- Patients' Buying Behavior for Non-Reimbursed Off-Loading Devices Used in Diabetic Foot Ulcer Treatment-An Observational Study during COVID-19 Pandemic from a Romanian Physical Therapy Unit.Journal of clinical medicine · 2023Article
- Physical therapy in diabetic foot ulcer: Research progress and clinical application.International wound journal · 2023Review
- Effect of tibial cortex transverse transport in patients with recalcitrant diabetic foot ulcers: A prospective multicenter cohort study.Journal of orthopaedic translation · 2022Article
- Factors associated with adherence to using removable cast walker treatment among patients with diabetes-related foot ulcers.BMJ open diabetes research & care · 2022Article
- Tibial Cortex Transverse Distraction Followed by Open Correction with Internal Fixation for Management of Foot and Ankle Deformity with Ulcers.Orthopaedic surgery · 2021Article
- Knee-High Devices Are Gold in Closing the Foot Ulcer Gap: A Review of Offloading Treatments to Heal Diabetic Foot Ulcers.Medicina (Kaunas, Lithuania) · 2021Review
- Changing Perspectives: Offloading a Patient With a Diabetic Foot Ulcer as Opposed to Offloading a Diabetic Foot Ulcer.Foot & ankle specialist · 2021Article
- Proximal Tibial Cortex Transverse Distraction Facilitating Healing and Limb Salvage in Severe and Recalcitrant Diabetic Foot Ulcers.Clinical orthopaedics and related research · 2020Article
- The impact of diabetic foot ulcers and unilateral offloading footwear on gait in people with diabetes.Clinical biomechanics (Bristol, Avon) · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectivePatient adherence is a challenge in offloading diabetic foot ulcers (DFUs) with removable cast walkers (RCWs). The size and weight of an RCW, changes to gait, and imposed limb-length discrepancies may all discourage adherence. This study sought to determine whether RCW size and provision of a contralateral limb lift affected users' comfort and gait. RESEARCH DESIGN AND
methodsTwenty-five individuals at risk for DFUs completed several 20-m walking trials under five footwear conditions: bilateral standardized shoes, a knee-high RCW with shoe with or without an external shoe lift contralaterally, and an ankle-high RCW with shoe with or without an external shoe lift contralaterally. Perceived comfort ratings were assessed through the use of visual analog scales. Spatial and temporal parameters of gait were captured by an instrumented walkway, and plantar pressure was measured and recorded using pedobarographic insoles.
resultsThe bilateral shoes condition was reported to be most comfortable; both RCW conditions without the lift were significantly less comfortable (
conclusionsImproved comfort and gait were associated with the ankle-high RCW and contralateral limb lift. Providing this combination to patients with active DFUs may increase offloading adherence and subsequently improve healing.
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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.