Plantar-pressure based orthoses reduce foot ulcer recurrence

May 1, 2014
Plantar-pressure based orthoses reduce foot ulcer recurrence

(HealthDay)—Patient-specific orthoses manufactured on the basis of foot shape and barefoot plantar pressure are better compared to those manufactured only on the basis of foot shape and clinical insight, according to a study published online April 23 in Diabetes Care.

Jan S. Ulbrecht, M.D., from Pennsylvania State University in University Park, and colleagues randomized patients to wear shape- and pressure-based orthoses (experimental; 66 patients) or standard-of-care A5513 orthoses (control; 64 patients). Over 15 months of follow-up, were assessed for a composite primary end point of forefoot plantar ulcer or nonulcerative plantar forefoot lesion.

The researchers observed a trend toward the composite primary end point in favor of the experimental orthoses. There was a significant difference in ulcer occurrence (P = 0.007), but no difference in the rate of nonulcerative lesions (P = 0.76). The ulcer prevention benefit of the experimental orthoses was significant (P = 0.003) at 180 days. Over the study period, the hazard ratio was 3.4 for the occurrence of a submetatarsal head plantar ulcer in the control compared with experimental arm.

"We conclude that shape- and barefoot plantar pressure-based orthoses were more effective in reducing submetatarsal head plantar ulcer recurrence than current standard-of-care orthoses but they did not significantly reduce nonulcerative lesions," the authors write.

Several authors disclosed financial ties to the orthotic industry.

Explore further: Foot pain: Custom-made insoles offer relief

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Foot pain: Custom-made insoles offer relief

July 16, 2008

Custom-made insoles known as foot orthoses can reduce foot pain caused by arthritis, overly prominent big toe joints and highly arched feet, a new systematic review shows.

Plantar fasciitis? Stretching seems to do the trick

November 4, 2010

According to a new study from the Journal of Bone and Joint Surgery (JBJS), patients with acute plantar fasciitis who perform manual plantar fasciitis stretching exercises, as opposed to shockwave therapy, had superior results ...

High BMI tied to non-specific foot pain, plantar heel pain

April 23, 2012

(HealthDay) -- Increased body mass index (BMI) correlates with non-specific foot pain in the general population, and with chronic plantar heel pain in a non-athletic population, according to a meta-analysis published online ...

Recommended for you

Diets avoiding dry-cooked foods can protect against diabetes

August 24, 2016

Simple changes in how we cook could go a long way towards preventing diabetes, say researchers at the Icahn School of Medicine at Mount Sinai. A new randomized controlled trial, published online July 29 in the journal Diabetologia, ...

New study reveals a novel protein linked to type 2 diabetes

August 16, 2016

Findings from Boston University School of Medicine (BUSM), which appear in eLife, provide a possible explanation as to why most people who are obese develop insulin resistance and type 2 diabetes. A minority of obese individuals, ...

Gene variant explains differences in diabetes drug response

August 9, 2016

The first results from a large international study of patients taking metformin, the world's most commonly used type 2 diabetes drug, reveal genetic differences among patients that may explain why some respond much better ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.