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The effectiveness of footwear as an intervention to prevent or to reduce biomechanical risk factors associated with diabetic foot ulceration: a systematic review.

Healy, Aoife and Naemi, Roozbeh and CHOCKALINGAM, Nachiappan The effectiveness of footwear as an intervention to prevent or to reduce biomechanical risk factors associated with diabetic foot ulceration: a systematic review. Journal of diabetes and its complications, 27 (4). pp. 391-400. ISSN 1873-460X

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Abstract or description

AIM

Footwear interventions are used within clinical practice in an effort to reduce ulcerations however the effectiveness of these interventions is unclear. The aim of this paper was to conduct a systematic review which examined the effectiveness of footwear as an intervention for prevention of diabetic foot ulcers or the reduction of biomechanical risk factors for ulceration and to discuss the quality and interpret the findings of research to date.

METHODS

The CINAHL, Medline and Cochrane Register of Controlled Trials databases were searched with 12 articles identified for review.

RESULTS

The majority of these studies were cross sectional and examined the effect of different footwear conditions on plantar pressure measurements. Factors which influenced study findings such as participant selection, measurement and analysis techniques, footwear design and compliance are discussed and recommendations for future studies are provided.

CONCLUSIONS

No research to date has examined the effectiveness of footwear in preventing ulceration. Conflicting findings are reported on the effective of footwear interventions to prevent reulceration. While the use of rocker sole footwear and custom orthoses in plantar pressure reduction are supported in cross sectional studies, longitudinal studies are required to confirm their benefit.

Item Type: Article
Subjects: A900 Others in Medicine and Dentistry
B800 Medical Technology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 28 May 2014 13:41
Last Modified: 28 May 2014 13:41
URI: http://eprints.staffs.ac.uk/id/eprint/1903

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