TY - CHAP
T1 - Footwear for persons with diabetes at high risk for foot ulceration
T2 - Offloading, effectiveness, and costs
AU - Bus, Sicco A.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - People with diabetic foot disease are commonly prescribed with special footwear to help prevent a foot ulcer. The main mechanism here is the redistribution of mechanical pressure on the foot so to offload specific high-risk regions. Footwear to help prevent a (recurrent) foot ulcer is often to some extent custom-made and consists of pressure-relieving elements such as a rocker outsole, custom-made insert, metatarsal pad or bar, and cushioning insole top layer. Data-driven techniques such as in-shoe plantar pressure measurement prove to be a valuable tool to improve the offloading properties of preventative footwear, and when such pressure-improved footwear is adequately worn, risk for foot ulcer recurrence is reduced, in a cost-effective manner. Guidelines for what entails improved pressure relief and design protocols to achieve that have been developed, but methods to improve footwear adherence have not yet been established. Offloading through special footwear is one of the cornerstones of preventative treatment and should always be considered in people who are at high risk of foot ulcer development.
AB - People with diabetic foot disease are commonly prescribed with special footwear to help prevent a foot ulcer. The main mechanism here is the redistribution of mechanical pressure on the foot so to offload specific high-risk regions. Footwear to help prevent a (recurrent) foot ulcer is often to some extent custom-made and consists of pressure-relieving elements such as a rocker outsole, custom-made insert, metatarsal pad or bar, and cushioning insole top layer. Data-driven techniques such as in-shoe plantar pressure measurement prove to be a valuable tool to improve the offloading properties of preventative footwear, and when such pressure-improved footwear is adequately worn, risk for foot ulcer recurrence is reduced, in a cost-effective manner. Guidelines for what entails improved pressure relief and design protocols to achieve that have been developed, but methods to improve footwear adherence have not yet been established. Offloading through special footwear is one of the cornerstones of preventative treatment and should always be considered in people who are at high risk of foot ulcer development.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85127193616&origin=inward
U2 - https://doi.org/10.1016/B978-0-12-821070-3.00010-6
DO - https://doi.org/10.1016/B978-0-12-821070-3.00010-6
M3 - Chapter
T3 - The Science, Etiology and Mechanobiology of Diabetes and its Complications
SP - 363
EP - 373
BT - The Science, Etiology and Mechanobiology of Diabetes and its Complications
PB - Elsevier
ER -