SynthesisEndocrinology, diabetes & metabolism2021
Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.
Synthesis in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06515665 (Investigation of the Effectiveness of Diabetic Recovery Shoes and Artificial Intelligence Supported Structured Exercise Program in Individuals with Diabetic Foot Receiving Hyperbaric Oxygen Therapy), which is not on this map. Cited by 39 papers, 3 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.
Investigation of the Effectiveness of Diabetic Recovery Shoes and Artificial Intelligence Supported Structured Exercise Program in Individuals with Diabetic Foot Receiving Hyperbaric Oxygen Therapy
Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.
- Understanding Footwear Needs: A Conceptual Review.Journal of foot and ankle research · 2025Pooled it
- Application of 3D printing in the treatment of diabetic foot ulcers: current status and new insights.Frontiers in bioengineering and biotechnology · 2024Pooled it
- Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.Endocrinology, diabetes & metabolism · 2021Pooled it
- Trial
- Durability and offloading performance of 3D-printed multilayer lattice for accommodative insoles.Journal of the mechanical behavior of biomedical materials · 2026Article
- Current strategies and priorities for diabetic footwear design and production: a cross-European exploratory survey of clinicians and shoemakers.Acta diabetologica · 2026Article
- Article
- Biomechanical effects of insole material stiffness on the human foot: a finite element analysis.Scientific reports · 2025Article
- What Footwear Do People with Diabetes Mellitus Use? A Narrative Review.Journal of clinical medicine · 2025Review
- Design and Fabrication of Customised Diabetic Insoles for Optimised Foot Pressure Distribution Using Finite Element Analysis and Additive Manufacturing Technology.Bioengineering (Basel, Switzerland) · 2025Article
- Effects of standard of care and pressure-based 3D-printed custom accommodative insoles on static balance in individuals with diabetes: A pilot study.Clinical biomechanics (Bristol, Avon) · 2025Article
- Addressing Balance Issues in Diabetic Foot Ulcer Patients: Offloading, Mobility, and Fall Prevention.Cureus · 2025Review
- The use of computer-aided design and manufacture for foot orthoses: A cross-sectional study of orthotic services in the UK.Journal of foot and ankle research · 2025Article
- Measuring plantar load with STAMPS3D: a preliminary study on the impact of contoured orthoses.Frontiers in bioengineering and biotechnology · 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
- Development of a research agenda for medical grade footwear in the Netherlands: A multidisciplinary multiphase project to determine the key research questions to advance scientific knowledge in the field.Journal of foot and ankle research · 2024Article
- The Effect of Dimple Insole Design on the Plantar Temperature and Pressure in People with Diabetes and in Healthy Individuals.Sensors (Basel, Switzerland) · 2024Article
- Pressure-Relieving Effect of Different Insole Top Covers in People with Diabetes at High Risk of Foot Ulceration.Sensors (Basel, Switzerland) · 2024Article
- Recent Innovations in Footwear and the Role of Smart Footwear in Healthcare-A Survey.Sensors (Basel, Switzerland) · 2024Review
- In-shoe plantar pressure measurement technologies for the diabetic foot: A systematic review.Heliyon · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
The aim of this systematic review was to identify the best footwear and insole design features for offloading the plantar surface of the foot to prevent foot ulceration in people with diabetic peripheral neuropathy. We searched multiple databases for published and unpublished studies reporting offloading footwear and insoles for people with diabetic neuropathy and nonulcerated feet. Primary outcome was foot ulcer incidence; other outcome measures considered were any standardized kinetic or kinematic measure indicating loading or offloading the plantar foot. Fifty-four studies, including randomized controlled studies, cohort studies, case-series, and a case-controlled and cross-sectional study were included. Three meta-analyses were conducted and random-effects modelling found peak plantar pressure reduction of arch profile (37 kPa (MD, -37.5; 95% CI, -72.29 to -3.61;
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Identifiers
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.