Department of Rehabilitation Medicine, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands.
Amsterdam Movement Sciences, Program Rehabilitation, Amsterdam, Netherlands.
Diabetes Metab Res Rev. 2024 Feb;40(2):e3769. doi: 10.1002/dmrr.3769.
This manuscript aims to provide a review and synthesis of contemporary advancements in footwear, sensor technology for remote monitoring, and digital health, with a focus on improving offloading and measuring and enhancing adherence to offloading in diabetic foot care.
A narrative literature review was conducted by sourcing peer-reviewed articles, clinical studies, and technological innovations. This paper includes a review of various strategies, from specifically designed footwear, smart insoles and boots to using digital health interventions, which aim to offload plantar pressure and help prevent and manage wounds more effectively by improving the adherence to such offloading.
In-house specially made footwear, sensor technologies remotely measuring pressure and weight-bearing activity, exemplified for example, through applications like smart insoles and SmartBoot, and other digital health technologies, show promise in improving offloading and changing patient behaviour towards improving adherence to offloading and facilitating personalised care. This paper introduces the concept of gamification and emotive visual indicators as novel methods to enhance patient engagement. It further discusses the transformative role of digital health technologies in the modern era.
The integration of technology with footwear and offloading devices offers unparallelled opportunities for improving diabetic foot disease management not only through better offloading but also through improved adherence to offloading. These advancements allow healthcare providers to personalise treatment plans more effectively, thereby promising a major improvement in patient outcomes in diabetic foot ulcer healing and prevention.
本文旨在综述当代鞋类、远程监测传感器技术和数字健康领域的进展，重点关注改善糖尿病足护理中的减压和测量，并提高减压依从性。
通过查阅同行评议文章、临床研究和技术创新，进行了叙述性文献综述。本文综述了各种策略，包括专门设计的鞋类、智能鞋垫和靴子，以及使用数字健康干预措施，旨在减轻足底压力，并通过提高对减压的依从性，更有效地预防和管理伤口。
内部特制的鞋类、远程测量压力和承重活动的传感器技术，例如智能鞋垫和 SmartBoot 等应用，以及其他数字健康技术，在改善减压和改变患者对改善减压依从性的行为方面显示出前景，并为个性化护理提供便利。本文介绍了游戏化和情感视觉指标作为增强患者参与度的新方法的概念。它进一步讨论了数字健康技术在现代的变革作用。
将技术与鞋类和减压设备相结合，为改善糖尿病足疾病管理提供了无与伦比的机会，不仅可以通过更好的减压，还可以通过提高对减压的依从性。这些进展使医疗保健提供者能够更有效地制定个性化治疗计划，从而有望在糖尿病足溃疡愈合和预防方面改善患者的治疗效果。
