Otter Simon J, Rome Keith, Ihaka Belinda, South Andrew, Smith Mandy, Gupta Amit, Joseph Frances, Heslop Peter
School of Rehabilitation & Occupation Studies, AUT University, North Shore Campus, Private Bag 92006, Auckland, 1142 New Zealand.
Fashion Design, School of Art & Design, AUT University, WW Building, 9 Mount Street, 1010 Private Bag 92006, Auckland, 1142 New Zealand.
J Foot Ankle Res. 2015 Mar 27;8:9. doi: 10.1186/s13047-015-0068-7. eCollection 2015.
Padded socks to protect the at-risk diabetic foot have been available for a number of years. However, the evidence base to support their use is not well known. We aimed to undertake a systematic review of padded socks for people with diabetes. Additionally, a narrative analysis of knitted stitch structures, yarn and fibres used together with the proposed benefits fibre properties may add to the sock. Assessment of the methodological quality was undertaken using a quality tool to assess non-randomised trials. From the 81 articles identified only seven met the inclusion criteria. The evidence to support to use of padded socks is limited. There is a suggestion these simple-to-use interventions could be of value, particularly in terms of plantar pressure reduction. However, the range of methods used and limited methodological quality limits direct comparison between studies. The socks were generally of a sophisticated design with complex use of knit patterns and yarn content. This systematic review provides limited support for the use of padded socks in the diabetic population to protect vulnerable feet. More high quality studies are needed; including qualitative components of sock wear and sock design, prospective randomized controlled trials and analysis of the cost-effectiveness of protective socks as a non-surgical intervention.
多年来一直有用于保护糖尿病高危足部的加厚袜子。然而，支持其使用的证据基础并不为人所知。我们旨在对糖尿病患者使用的加厚袜子进行系统评价。此外，对针织针法结构、纱线和纤维进行叙述性分析，并探讨纤维特性可能为袜子带来的潜在益处。使用一种质量工具对非随机试验进行方法学质量评估。从检索到的81篇文章中，只有7篇符合纳入标准。支持使用加厚袜子的证据有限。有迹象表明，这些易于使用的干预措施可能有价值，特别是在降低足底压力方面。然而，所使用方法的多样性以及有限的方法学质量限制了各研究之间的直接比较。这些袜子通常设计复杂，针织图案和纱线成分的使用也很复杂。本系统评价为在糖尿病患者中使用加厚袜子保护易损足部提供了有限的支持。需要更多高质量的研究；包括袜子穿着和袜子设计的定性成分、前瞻性随机对照试验以及作为非手术干预措施的防护袜子的成本效益分析。
