Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review

@article{Bus2016FootwearAO,
  title={Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review},
  author={Sicco A. Bus and R. W. Deursen and David G. Armstrong and J. E. A. Lewis and C Caravaggi and Peter R. Cavanagh},
  journal={Diabetes/Metabolism Research and Reviews},
  year={2016},
  volume={32},
  pages={118 - 99}
}
Footwear and offloading techniques are commonly used in clinical practice for preventing and healing of foot ulcers in persons with diabetes. The goal of this systematic review is to assess the medical scientific literature on this topic to better inform clinical practice about effective treatment. 

Effectiveness of offloading interventions to heal foot ulcers in persons with diabetes: a systematic review

The aim of this updated systematic review is to investigate the effectiveness of offloading interventions to heal diabetic foot ulcers.

Footwear and insole design features to prevent foot ulceration in people with diabetes: a systematic review protocol.

This systematic review is to identify the key design features of footwear and insoles that are used to offload the plantar surface of the foot to prevent foot ulceration in adults with diabetes.

Pressure relieving interventions for the management of diabetes‐related foot ulcers: a study from the Northern Territory of Australia

The NT population is unique with certain distinctive challenges and potential advantages of and barriers to optimal offloading methods in this setting were investigated.

IWGDF guidance on footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes

Article published in Diabetes/Metabolism Research and Reviews on 03 September 2015 (online), freely available at: https://doi.org/10.1002/dmrr.2697.

Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review

The aim of this systematic review is to investigate the effectiveness of interventions to prevent first and recurrent foot ulcers in persons with diabetes who are at risk for ulceration.

Surgical Offloading versus Medical Conservative Methods in Management of Diabetic Foot Plantar Ulcers (Interventional Study)

To test the effectiveness of surgical and non-surgical unloading procedures in healing of plantar ulcers, 50 diabetic foot ulcer patients who visited Ain Shams University, The National Institute of DM, and the Endocrinology Outpatient Clinic participated in this NIDE.

Guidelines on offloading foot ulcers in persons with diabetes (IWGDF 2019 update)

This guideline is on the use of offloading interventions to promote the healing of foot ulcers in people with diabetes and updates the previous IWGDF guideline.

The Role of Pressure Offloading on Diabetic Foot Ulcer Healing and Prevention of Recurrence

  • S. Bus
  • Medicine
    Plastic and reconstructive surgery
  • 2016
The evidence is reviewed that relieving areas of increased plantar pressure (ie, offloading) can heal plantar foot ulcers and prevent their recurrence, and noninfected, nonischemic neuropathic plantar forefoot ulcers should heal in 6 to 8 weeks with adequate offloading.

Evaluation and Management of Lower-Extremity Ulcers.

This review summarizes the pathophysiological features and explains current management of venous, arterial, neuropathic diabetic, and pressure ulcers.
...

References

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The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review

The goal of this review was to determine the available evidence on the use of footwear and offloading interventions for ulcer prevention, ulcer treatment, and plantar pressure reduction in the diabetic foot.

Biofeedback can reduce foot pressure to a safe level and without causing new at‐risk zones in patients with diabetes and peripheral neuropathy

The aim was to evaluate the impact of a new walking strategy learned by biofeedback on plantar pressure distribution under both feet in patients with diabetic peripheral neuropathy.

Effect of window casts on healing rates of diabetic foot ulcers.

Management of diabetic neuropathic foot ulcers is based on certain principles: effective pressure offloading from the wound using specialised shoes, cast braces, or casts, and optimisation of wound healing by interventions such as nutritional support, optimal moisture balance and growth factor therapy.

IWGDF guidance on footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes

Article published in Diabetes/Metabolism Research and Reviews on 03 September 2015 (online), freely available at: https://doi.org/10.1002/dmrr.2697.

Use of the Charcot Restraint Orthotic Walker in Treatment of Neuropathic Foot Ulcers: A Case Series

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The frequency of outpatient visits and other foot care interventions were correlated with the occurrence and severity of ulceration and patients seen more frequently in an outpatient foot clinic had less severe ulcers and were less likely to undergo surgery.

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The objective of this study was to evaluate the effects of felted foam on wound healing in diabetic foot ulcers compared with a standard method of plantar pressure relief.

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Plantar pressure: Comparing two Poron insoles

Two types of insole are investigated for their relative ability to redistribute plantar pressures in an older population with diabetes and wearing either insole resulted in significantly improved plantar pressure distribtuion in comparison with wearing no insole.
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