Igiri B E, Tagang J I, Okoduwa S I R, Adeyi A O, Okeh A
Directorate of Research and Development, Nigerian Institute of Leather and Science Technology, Zaria, Nigeria.
Directorate of Footwear Technology, Nigerian Institute of Leather and Science Technology, Zaria, Nigeria.
Diabetes Metab Syndr. 2019 Mar-Apr;13(2):913-923. doi: 10.1016/j.dsx.2018.12.011. Epub 2018 Dec 21.
Therapeutic footwear is built on a model of patient's foot, for people with diabetes suffering with neuropathy. Can the footwear helps to improve plantar pressure in neuropathic foot? This study focussed on available data on therapeutic footwear as an intervention for improving and offloading plantar pressure in neuropathic diabetic foot.
Relevant scientific literature in PubMed, Medline and Google Scholar published between 2000 and 2017 were searched. The keywords searched were therapeutic footwear, plantar pressure, neuropathic foot, rocker sole, ulcer healing and offloading of plantar pressure. Articles on randomized controlled trials, observational, cohort, feasibility and factorial studies were reviewed.
One hundred and twenty five (125) articles were identified. The article comprised of 6 randomized controlled trials, 2 observational, 1 cohort, 1 feasibility and 1 factorial study met the inclusion criteria and were critiqued with a total enrolment of 1380 study subjects.
The review of the collated literature demonstrated that, therapeutic footwear can improve the healing of neuropathic diabetic foot ulcer by redistributing plantar pressure. However, the efficacy of therapeutic footwear requires the inclusion of technical features that should not be compromised from the design to the production of the footwear.
治疗性鞋具是根据糖尿病神经病变患者的足部模型制作的。这种鞋具能否有助于改善神经病变足部的足底压力？本研究聚焦于治疗性鞋具作为改善和减轻糖尿病神经病变足部足底压力干预措施的现有数据。
检索了2000年至2017年间发表在PubMed、Medline和谷歌学术上的相关科学文献。检索关键词为治疗性鞋具、足底压力、神经病变足部、摇椅底、溃疡愈合和足底压力减轻。对随机对照试验、观察性研究、队列研究、可行性研究和析因研究的文章进行了综述。
共识别出125篇文章。其中6项随机对照试验、2项观察性研究、1项队列研究、1项可行性研究和1项析因研究符合纳入标准并进行了分析，总共有1380名研究对象。
对整理后的文献进行综述表明，治疗性鞋具可通过重新分布足底压力来促进糖尿病神经病变足部溃疡的愈合。然而，治疗性鞋具的功效需要包含从设计到生产都不应妥协的技术特征。
