ArticleJournal of foot and ankle research2019
Evaluation of orthotic insoles for people with diabetes who are at-risk of first ulceration.
Article in Journal of foot and ankle research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.Endocrinology, diabetes & metabolism · 2021Pooled it
- Footwear and insole design features that reduce neuropathic plantar forefoot ulcer risk in people with diabetes: a systematic literature review.Journal of foot and ankle research · 2020Pooled it
- Effect of Foot Insole on Planter Pressure Distribution in Patients with Neuropathic Diabetic Foot Ulcer: A Prospective, Randomized, Double-Blinded, Controlled Clinical Trial.Medicina (Kaunas, Lithuania) · 2024Trial
- Effects of metatarsal bar and heel lift on foot biomechanics during gait: implications for performance-related biomechanics.Journal of physical therapy science · 2026Article
- Plantar pressure thresholds as a strategy to prevent diabetic foot ulcers: A systematic review.Heliyon · 2024Article
- Advancements in diabetic foot insoles: a comprehensive review of design, manufacturing, and performance evaluation.Frontiers in bioengineering and biotechnology · 2024Review
- Orthopaedic Simulation of a Morton's Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study.Diagnostics (Basel, Switzerland) · 2023Article
- Effects of contoured insoles with different materials on plantar pressure offloading in diabetic elderly during gait.Scientific reports · 2022Article
- Evaluation of novel plantar pressure-based 3-dimensional printed accommodative insoles - A feasibility study.Clinical biomechanics (Bristol, Avon) · 2022Article
- Effectiveness of the Fixtoe Device® in plantar pressure reduction: a preliminary study.BMC musculoskeletal disorders · 2022Article
- Mechanical and Thermal Behaviours of Weft-Knitted Spacer Fabric Structure with Inlays for Insole Applications.Polymers · 2022Article
- Foot deformation analysis with different load-bearing conditions to enhance diabetic footwear designs.PloS one · 2022Article
- The Design of Individual Orthopedic Insoles for the Patients with Diabetic Foot Using Integral Curves to Describe the Plantar Over-Pressure Areas.Computational and mathematical methods in medicine · 2021Article
- Article
- State of the art design protocol for custom made footwear for people with diabetes and peripheral neuropathy.Diabetes/metabolism research and reviews · 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
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study focussed on pressure relieving orthotic insoles designed for retail footwear and people with diabetes and at risk of first forefoot ulceration. The aim was to investigate whether the pressure relieving effects of a customised metatarsal bar and forefoot cushioning are sensitive to bar location and shape, and material choice. RESEARCH DESIGN AND
methodsPatient-specific foot shape was used to design an orthotic insole, with metatarsal bar location and shape customised according to plantar pressure data. Changes in forefoot plantar pressure were investigated when 60 people with diabetes and neuropathy walked in nine variants of the orthotic insole. These comprised three variations in proximal/distal location of the customised metatarsal bar and three different metatarsal head offloading materials. RESULTS &
conclusionsThe most frequent reductions in pressure occurred when the anterior edge of the metatarsal bar was placed at 77% of the peak pressure values, and its effects were independent of the choice of EVA or Poron offloading material. In the flat insole, 61% of participants had one or more metatarsal head areas with pressure above the 200 KPa, reducing to 58% when adopting generic orthotic design rules and 51% when using the best orthotic insole of the nine tested. Our results confirm that plantar pressure relief is sensitive to orthotic insole design decisions and individual patient feet.
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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.