TY - JOUR
AB - Springer Healthcare News Published online: 30 August 2012 © Springer Healthcare 2012 medwireNews: Custom-made footwear for diabetes patients must offload pressure if it is to be effective at preventing ulceration, Dutch researchers emphasize. Effective offloading, defined as an in-shoe pressure of below 200 kPa at site of deformity, was achieved in 61% of 336 feet in a group of 171 patients with diabetic neuropathy attending 10 rehabilitation centers. Just 24% of feet achieved this level of pressure offloading across the entire foot. In addition, only 62% of 147 previous ulcer locations were successfully offloaded, reports the team from the University of Amsterdam. Offloading was successful for patients with midfoot deformity, with an average in-shoe pressure of 140–187 kPa versus 112 kPa in nondeformed feet. But for feet with forefoot deformity, the average peak in-shoe pressure was 211–308 kPa compared with 191–222 kPa in healthy feet. “These outcomes suggest that improvement in footwear design is required and should focus most on those deformities that affect pressure in the metatarsal region,” write M Arts et al in Diabetic Medicine. Highlighting the lack of evidence-based recommendations for prescription and design of custom-made footwear, they add: “These outcomes emphasize the need for such 
TI - Pressure’s not off for diabetic feet
JO - Springer Healthcare News
DO - 10.1007/s40014-012-0867-8
DA - 2012-08-30
UR - https://www.deepdyve.com/lp/springer-journals/pressure-s-not-off-for-diabetic-feet-GD0xThQilq
SP - 1
EP - 2
VL - 1
IS - 1
DP - DeepDyve
ER -