ReviewFrontiers in endocrinology2023
Intelligent plantar pressure offloading for the prevention of diabetic foot ulcers and amputations.
Review in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Investigating plantar soft tissue elasticity modulation using air insoles during walking.BMC musculoskeletal disorders · 2026Trial
- Wearable Technologies for Diabetic Foot Ulcer Monitoring and Risk Prediction: Systematic Review.JMIR diabetes · 2026Review
- Usability Evaluation and Perceived Performance of the MoonWalkingSensors (Basel, Switzerland) · 2026Article
- SoleFusion-Net: an explainable multimodal deep learning framework for diabetic foot syndrome classification in type II diabetes mellitus.Scientific reports · 2026Article
- A narrative review of clinical decision support systems in offloading footwear for diabetic foot ulcers.BMC medical informatics and decision making · 2026Review
- Gait Adaptation to Asymmetric Foot-Ground Compliance Applied by Robotic Footwear.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026Article
- Adjustable Compliance Footwear Technology to Investigate Gait Adaptation.IEEE robotics and automation letters · 2025Article
- A Portable Insole System for Actively Controlled Offloading of Plantar Pressure for Diabetic Foot Care.Sensors (Basel, Switzerland) · 2025Article
- A comprehensive review on diabetic foot ulcer addressing vascular insufficiency, impaired immune response, and delayed wound healing mechanisms.Frontiers in pharmacology · 2025Review
- The Appropriateness of Footwear in Diabetic Patients Observed during a Podiatric Examination: A Prospective Observational Study.Journal of clinical medicine · 2024Article
- User perceptions of intelligent offloading diabetic footwear.Frontiers in endocrinology · 2024Article
- Design and evaluation of a custom contoured pneumatic insole for active plantar pressure offloading.Journal of rehabilitation and assistive technologies engineeringArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The high prevalence of lower extremity ulceration and amputation in people with diabetes is strongly linked to difficulties in achieving and maintaining a reduction of high plantar pressures (PPs) which remains an important risk factor. The effectiveness of current offloading footwear is opposed in part by poor patient adherence to these interventions which have an impact on everyday living activities of patients. Moreover, the offloading devices currently available utilize primarily passive techniques, whereas PP distribution is a dynamically changing process with frequent shifts of high PP areas under different areas of the foot. Thus, there is a need for pressure offloading footwear capable of regularly and autonomously adapting to PPs of people with diabetes. The aim of this article is to summarize the concepts of intelligent pressure offloading footwear under development which will regulate PPs in people with diabetes to prevent and treat diabetic foot ulcers. Our team is creating this intelligent footwear with an auto-contouring insole which will continuously read PPs and adapt its shape in the forefoot and heel regions to redistribute high PP areas. The PP-redistribution process is to be performed consistently while the footwear is being worn. To improve adherence, the footwear is designed to resemble a conventional shoe worn by patients in everyday life. Preliminary pressure offloading and user perceptions assessments in people without and with diabetes, respectively, exhibit encouraging results for the future directions of the footwear. Overall, this intelligent footwear is designed to prevent and treat diabetic foot ulcers while enhancing patient usability for the ultimate prevention of lower limb amputations.
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