The role of a total contact insole in diminishing foot pressures following partial first ray amputation in diabetic patients

Use of Natural Latex as a Biomaterial for the Treatment of Diabetic Foot — A New Approach to Treating Symptoms of Diabetes Mellitus

“…In Brazil, the prevalence of DM is approximately 15% in the age group above 35 years, according to [5]. In a perspective analyses, some studies [7][8][9][10][11] have reported that approximately 50% of patients are unaware of the diagnostics and that 24% of patients known to be diabetic make use of no treatment. This causes a variety of complications, among which the diabetic foot is notable, as it is considered a serious problem with often devastating consequences (the related ulceration, which can involve amputation of the toes, feet, or legs).…”

“…The following changes can be made with the proposed approach: decreasing the ground reaction force, increasing foot moisture, protecting against foreign objects, and modifying the DM gait performance index. Studies conducted in [28][29][30][31][32][33][34] to assess high-risk diabetic individuals have reported lower recurrence of ulcerations in groups given specially made shoes. These studies have also reported that special footwear can be beneficial to patients without expert foot care assistance and to those with severe foot deformities [28][29][30][31][32][33][34].…”

Diabetes Ground Control: A Novel System for Correcting Anomalous Stride in Diabetic Patients

“…The diabetic foot is a very debilitating complication of the DM, which often leads to ulcerations that can evolve to minor or major amputations [5]. The injuries can appear in different places such as in the toes, due to high external pressures caused by muscle atrophy, in interdigital skin, as a result of fissures and small cuts that favor the colonization by skin fungus, in distal parts of the foot, where the prominences of the metatarsus, when ulcerated, can originate infection outbreaks that can penetrate phalangeal articulations and thus leading to infections, and in the middle portion of the foot, where callosities and injuries can be developed since this is the area responsible for body support [2,[6][7][8][9].…”

“…The injuries can appear in different places such as in the toes, due to high external pressures caused by muscle atrophy, in interdigital skin, as a result of fissures and small cuts that favor the colonization by skin fungus, in distal parts of the foot, where the prominences of the metatarsus, when ulcerated, can originate infection outbreaks that can penetrate phalangeal articulations and thus leading to infections, and in the middle portion of the foot, where callosities and injuries can be developed since this is the area responsible for body support [2,[6][7][8][9]. According to El-Hilaly et al [5], each patient should receive personalized treatment, since there are always individual differences in pressure values, pressure distribution, foot deformities, and soft tissue thickness and integrity. Usually, there is a decrease in the accuracy of gait movement due to variations on pelvic angles, reduced speed of muscle activation, reduced gait speed, reduced movement capability, smaller step amplitude, and greater impact absorption by the foot [4,[10][11][12].…”

Effect of antipronation foot orthosis geometry on compression of heel and arch soft tissues

“…In addition to material stiffness [4], these features will alter loads between the plantar aspect of the foot and the orthotic surface [5][6][7]. Increases in peak pressure in the arch [8][9] and reductions in pressure in the heel [8][9][10][11] have been well documented for total contact orthoses used in patients with diabetes. Similarly, both extrinsic [12][13] and intrinsic [14] heel wedges have been shown to increase pressure values in the medial heel.…”