Therapeutic footwear for people with diabetes

  title={Therapeutic footwear for people with diabetes},
  author={Peter R. Cavanagh},
  journal={Diabetes/Metabolism Research and Reviews},
  • P. Cavanagh
  • Published 1 May 2004
  • Medicine, Political Science, Psychology
  • Diabetes/Metabolism Research and Reviews
In this review, the evidence for the role of footwear in causing, healing, and preventing foot ulceration in diabetic patients is discussed. The mechanisms of action of therapeutic footwear are elucidated, and an ‘ideal’ approach to footwear prescription is outlined. Finally, some future directions for ‘intelligent’ footwear are also presented. Copyright © 2004 John Wiley & Sons, Ltd. 
Plantar pressures in diabetic patients with foot ulcers which have remained healed
The purpose of this study was to measure in‐shoe plantar pressures and other characteristics in a group of neuropathic patients with diabetes who had prior foot ulcers which had remained healed.
Cost-effective Design Development of Medicated Footwear for Diabetic Patients
The development of quality and cost effectiveness of medicated footwear for diabetic patients, which is dramatically decreasing the risk of foot troubles, and the future work that can be done regarding the medicated-footwear development technique for another amputation patient is covered.
Surgical off-loading of the diabetic foot.
The rationale and indications for diabetic foot surgery are discussed, focusing on the surgical decompression of deformities that frequently lead to foot ulcers.
Surgical off-loading of the diabetic foot.
Therapeutic footwear in diabetes: the good, the bad, and the ugly?
In recent years, it has generally been accepted by the diabetes community that “good” footwear prevents foot ulceration and there are studies that support the belief that bad or inappropriate footwear causes ulcers.
Foot structure and footwear prescription in diabetes mellitus
  • S. Bus
  • Medicine
    Diabetes/metabolism research and reviews
  • 2008
Understanding of foot structure abnormality in diabetes has improved recently, mainly through the findings from in vivo imaging studies, but limited understanding still exists about several aspects related to the assessment, etiology, and consequences of change in foot structure in diabetes.
Custom-made footwear in diabetes: Offloading, usability and ulcer recurrence
It was shown that offloading-improved custom-made footwear did not significantly reduce foot ulcer recurrence rate when compared to usual care, unless adherence to footwear use was assured, and it was furthermore shown that adherence to shoes was particularly low in patients who perceived low benefit of using custom- made footwear.
Not all diabetic foots are preventable, but appropriate preventive measures can dramatically reduce their occurrence.
Australian Diabetes Foot Network: practical guideline on the provision of footwear for people with diabetes
Practical recommendations regarding the provision of footwear for people with diabetes were agreed upon following review of existing position statements and clinical guidelines to provide practical guidance for health professionals on how they can best deliver these recommendations within the Australian health system.


Effect of therapeutic footwear on foot reulceration in patients with diabetes: a randomized controlled trial.
This study suggests that careful attention to foot care by health care professionals may be more important than therapeutic footwear but does not negate the possibility that special footwear is beneficial in persons with diabetes who do not receive such close attention by their health care providers or in individuals with severe foot deformities.
An Audit of Cushioned Diabetic Footwear: Relation to Patient Compliance
It is concluded that cushioned protective footwear in association with frequent foot care is essential in the prevention of neuropathic diabetic foot ulcer recurrence.
Improved survival of the diabetic foot: the role of a specialized foot clinic.
A specialized foot clinic for diabetic patients has made a detailed analysis of the presentation of diabetic foot ulcers and from this a new, organised approach to treatment has been derived. Over
Effectiveness of a new brand of stock 'diabetic' shoes to protect against diabetic foot ulcer relapse. A prospective cohort study.
The following study assesses a new German SDS, the LucRo® shoe, which consists of rocker‐shaped walking sole, a standardized shock absorption insole, and soft uppers without stiff toe‐caps.
The hazards of the holiday foot: persons at high risk for diabetic foot ulceration may be more active on holiday
The results from this brief analysis suggest that there may be increased activity in patients at risk of developing foot ulceration while on holiday, and patients should be given specific advice regarding foot care for holidays to minimize their risk of developed foot ulcers.
Manufactured Shoes in the Prevention of Diabetic Foot Ulcers
The use of specially designed shoes is effective in preventing relapses in diabetic patients with previous ulceration, and the use of therapeutic shoes was negatively associated with foot ulcer relapses.
How Effective is Cushioned Therapeutic Footwear in Protecting Diabetic Feet? A Clinical Study
It is concluded that the availability of therapeutic shoes with cushioned insoles for diabetic patients at risk of foot lesions decreases the morbidity due to the diabetic foot syndrome.
Preventing diabetic foot disease: lessons from the Medicare therapeutic shoe demonstration.
The benefit is unlikely to be used any more in the national program than in the demonstration unless physicians are educated in the role therapeutic shoes can play in diabetic foot disease, they prescribe the shoes for their patients, and they increase their patients' awareness of the shoes' value.
Orthoses in the treatment of rearfoot problems.
An in-depth analysis of the orthotic management of plantar fasciitis and a critical review of foot orthoses for the pronated foot are presented.
Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen.
Subjects with diabetic foot ulcerations appear to wear their off-loading devices for only a minority of steps taken each day, which may partially explain the poor results reported from many trials of agents designed to help speed the healing of these wounds.