The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
Evaluation and Optimization of Therapeutic Footwear for Neuropathic Diabetic Foot Patients Using In-Shoe Plantar Pressure Analysis
Open accessAbstract
OBJECTIVE: Therapeutic footwear for diabetic foot patients aims to reduce the risk of ulceration by relieving mechanical pressure on the foot. However, footwear efficacy is generally not assessed in clinical practice. The purpose of this study was to assess the value of in-shoe plantar pressure analysis to evaluate and optimize the pressure-reducing effects of diabetic therapeutic footwear. RESEARCH DESIGN AND METHODS: Dynamic in-shoe plantar pressure distribution was measured in 23 neuropathic diabetic foot patients wearing fully customized footwear. Regions of interest (with peak pressure >200 kPa) were selected and targeted for pressure optimization by modifying the shoe or insole. After each of a maximum of three rounds of modifications, the effect on in-shoe plantar pressure was measured. Successful optimization was achieved with a peak pressure reduction of >25% (criterion A) or below an absolute level of 200 kPa (criterion B). RESULTS: In 35 defined regions, mean peak pressure was significantly reduced from 303 (SD 77) to 208 (46) kPa after an average 1.6 rounds of footwear modifications (P < 0.001). This result constitutes a 30.2% pressure relief (range 18–50% across regions). All regions were successfully optimized: 16 according to criterion A, 7 to criterion B, and 12 to criterion A and B. Footwear optimization lasted on average 53 min. CONCLUSIONS: These findings suggest that in-shoe plantar pressure analysis is an effective and efficient tool to evaluate and guide footwear modifications that significantly reduce pressure in the neuropathic diabetic foot. This result provides an objective approach to instantly improve footwear quality, which should reduce the risk for pressure-related plantar foot ulcers.
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Prompers, L., Huijberts, M., Apelqvist, J., Jude, E., Piaggesi, A., Bakker, K., Edmonds, M., Holstein, P., Jirkovska, A., Mauricio, D., et al. (2007) · Diabetologia · doi:10.1007/s00125-006-0491-1 · Cited by 1,023
Pham, H., Armstrong, D. G., Harvey, C., Harkless, L. B., Giurini, J. M., & Veves, A. (2000) · Diabetes Care · doi:10.2337/diacare.23.5.606 · Cited by 654 · cited 1×
“Peripheral neuropathy and increased levels of mechanical foot pressure are important factors in the cause of plantar foot ulceration (4,5).”
Background
Cited by
Diabetic foot ulcers and their recurrence
Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. (2017) · New England Journal of Medicine · doi:10.1056/nejmra1615439 · Cited by 4,376
Self-citationGuidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update)
Bus, S. A., Lavery, L. A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C. N., van Netten, J. J., & on behalf of the International Working Group on the Diabetic Foot (2020) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3269 · Cited by 517
Self-citationEffect of Custom-Made Footwear on Foot Ulcer Recurrence in Diabetes
Bus, S. A., Waaijman, R., Arts, M., de Haart, M., Busch-Westbroek, T., van Baal, J., & Nollet, F. (2013) · Diabetes Care · doi:10.2337/dc13-0996 · Cited by 317
Self-citationThe role of pressure offloading on diabetic foot ulcer healing and prevention of recurrence.
Bus, S. A. (2016) · Plastic & Reconstructive Surgery · doi:10.1097/prs.0000000000002686 · Cited by 118
Najafi, B., Ron, E., Enriquez, A., Marin, I., Razjouyan, J., & Armstrong, D. G. (2017) · Journal of Diabetes Science and Technology · doi:10.1177/1932296816689105 · Cited by 100
Metadata
- Authors
- Bus, S. A., Haspels, R., & Busch-Westbroek, T. E.
- Venue
- Diabetes Care
- Publisher
- American Diabetes Association
- Published
- 2011-06-17
- Volume
- 34
- Issue
- 7
- Pages
- 1595-1600
- ISSN
- 0149-5992 (ISSN-L)
- 1935-5548
- OpenAlex
- W2141772438
- Cited by
- 165
- References
- 2
- FWCI
- 6.59
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Bus, S. A., Haspels, R., & Busch-Westbroek, T. E. (2011). Evaluation and Optimization of Therapeutic Footwear for Neuropathic Diabetic Foot Patients Using In-Shoe Plantar Pressure Analysis. Diabetes Care. https://doi.org/10.2337/dc10-2206
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