Abstract
Background Diabetic patients at high risk for foot ulceration are often prescribed with custom-made therapeutic footwear. However, the evidence base to support the use of this footwear for ulcer prevention is still meagre [1]. The lack of offloading efficacy may play a role in this. In-shoe plantar pressure assessment is a valuable tool for evaluating footwear and guiding modifications to optimize the footwear’s offloading properties [2]. The aim of this multicenter randomized trial was to assess the effectiveness of this approach and long-term pressure monitoring in prescription footwear to prevent plantar foot ulcer recurrence in neuropathic diabetic patients.
Highlights
Diabetic patients at high risk for foot ulceration are often prescribed with custom-made therapeutic footwear
Due to the footwear optimization approach, in-shoe peak pressures at the previous ulcer and other high pressure locations were significantly lower with ~20% in the intervention group than control group during 18 months follow-up
Materials and methods A total 171 neuropathic diabetic patients with a recently healed plantar foot ulcer were randomized to an intervention group that had custom-made footwear which was evaluated, optimized and monitored at 3-monthly visits using in-shoe plantar pressure analysis or a control group that had custom-made footwear which was evaluated according to current practice
Summary
Diabetic patients at high risk for foot ulceration are often prescribed with custom-made therapeutic footwear. From 3rd Congress of the International Foot and Ankle Biomechanics Community Sydney, Australia. Background Diabetic patients at high risk for foot ulceration are often prescribed with custom-made therapeutic footwear.
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