Footwear and insole design features for offloading the diabetic at risk foot-A systematic review and meta-analyses.
diabetic foot
footwear
insoles
offloading
prevention
systematic review
Journal
Endocrinology, diabetes & metabolism
ISSN: 2398-9238
Titre abrégé: Endocrinol Diabetes Metab
Pays: England
ID NLM: 101732442
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
23
01
2020
revised:
10
03
2020
accepted:
14
03
2020
entrez:
3
2
2021
pubmed:
4
2
2021
medline:
4
2
2021
Statut:
epublish
Résumé
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 We searched multiple databases for published and unpublished studies reporting offloading footwear and insoles for people with diabetic neuropathy and nonulcerated feet.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;
Identifiants
pubmed: 33532602
doi: 10.1002/edm2.132
pii: EDM2132
pmc: PMC7831212
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Review
Systematic Review
Langues
eng
Pagination
e00132Subventions
Organisme : Department of Health
ID : CAT/CL10/007
Pays : United Kingdom
Organisme : Department of Health
ID : ICA-CDRF-2015-01-054
Pays : United Kingdom
Informations de copyright
© 2020 The Authors. Endocrinology, Diabetes & Metabolism published by John Wiley & Sons Ltd.
Déclaration de conflit d'intérêts
Richard Collings is funded by a National Institute for Health Research (NIHR) Clinical Doctoral Fellowship for this research project. This publication presents independent research funded by the National Institute for Health Research (NIHR). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.
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