Conventional Offloading and Activity Monitoring

The Biomechanics of the Foot in Diabetes Mellitus

“…95 The recommendation to perform barefoot plantar pressure measurement on all patients with loss of protective sensation must be tempered somewhat by the fact that there has been no prospective study showing better patient outcomes due to plantar pressure testing. Recent surveys of approaches to unloading have been given by Lavery and Murdoch, 360 van Schie, 361 van Deursen, 362 Cavanagh and colleagues, 4,73,363 Elftman, 364 and McGuire. 365,366 The need for better evidence in this area was highlighted in a Cochrane review by Spencer, 367 who found limited evidence for a variety of pressurerelieving interventions intended for the prevention and treatment of diabetic foot ulcers.…”