Effect of Foot Insole on Planter Pressure Distribution in Patients with Neuropathic Diabetic Foot Ulcer: A Prospective, Randomized, Double-Blinded, Controlled Clinical Trial
2024

Effect of Foot Insole on Pressure Distribution in Diabetic Foot Ulcer Patients

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Elgohary Hany M., Allam Ibtsam, Tolba Ahmed M. N., Ali Faten, Alwhaibi Reem M., Zakaria Hoda M., Ragab Walaa M., Elbalawy Youssef, Falhammar Henrik

Primary Institution: Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia

Hypothesis

This study aimed to evaluate the effects of foot insoles on peak pressure and the pressure–time integral in patients with polyneuropathy diabetic foot ulcers.

Conclusion

Foot insoles significantly reduce peak pressure and the pressure–time integral in critical areas of the foot for patients with diabetic foot ulcers.

Supporting Evidence

  • Foot ulcers are responsible for over 85% of lower limb amputations.
  • Using appropriate footwear can significantly reduce the risk of foot ulcers.
  • Custom-molded orthoses are more effective in managing plantar pressure compared to standard orthoses.

Takeaway

Using special insoles can help people with diabetes who have foot ulcers by reducing pressure on their feet, which can help them heal better.

Methodology

This was a randomized, double-blinded, controlled clinical trial involving 60 patients aged 50 to 65 with diabetic foot ulcers, comparing those using foot insoles to a control group receiving standard care.

Limitations

The study had a limited sample size and duration, which may not fully capture the long-term effectiveness of the insoles.

Participant Demographics

Patients aged 50 to 65 years, both genders, with midfoot ulcer grades II or III and a history of diabetic foot ulcers.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/medicina60122066

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication