Durability of diabetic foot insoles

NewsBot · Feb 7, 2014

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A Longitudinal Investigation into the Functional and Physical Durability of Insoles Used for the Preventive Management of Neuropathic Diabetic Feet
Joanne S. Paton, Elizabeth Stenhouse, Graham Bruce, and Ray Jones
JAPMA January/February 2014 vol. 104 no. 1 50-57

Background: Insoles are commonly used to assist in the prevention of diabetic neuropathic foot ulceration. Insole replacement is often triggered only when foot lesions deteriorate, an indicator that functional performance is comprised and patients are exposed to unnecessary ulcer risk. We investigated the durability of insoles used for ulcer prevention in neuropathic diabetic feet over 12 months.

Methods: Sixty neuropathic individuals with diabetes were provided with insoles and footwear. Insole durability over 12 months was evaluated using an in-shoe pressure measurement device and through repeated measurement of material depth at the first metatarsal head and the heel seat. Analysis of variance was performed to assess change across time (at issue, 6 months, and 12 months).

Results: Analyses were conducted using all available data (n = 43) and compliant data (n = 18). No significant difference was found in the reduction of mean peak pressure tested across time (P < .05). For both sites, significant differences in insole depth were identified between issue and 6 months and between issue and 12 months but not between 6 and 12 months (P < .05). Most insole compression occurred during the initial 6 months.

Conclusions: Visual material compression does not seem to be a reliable indicator of insole usefulness. Frequency of insole replacement is best informed by a functional review of effect determined using an in-shoe pressure measurement system. These results suggest that insoles for diabetic neuropathic patients can be effective in maintaining peak pressure reduction for 12 months regardless of wear frequency.
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tonywatson12 · Feb 7, 2014

what i am keen on finding evidence based practice that the ready made ones are effective as I tend to use a lot of Diabetic insoles while waiting for the ffo to be made
poron type ones

NewsBot · Jun 18, 2014

New methods for evaluating physical and thermal comfort properties of orthotic materials used in insoles for patients with diabetes.
Lo WT, Yick KL, Ng SP, Yip J.
J Rehabil Res Dev. 2014 May;51(2):311-324.

Orthotic insoles are commonly used in the treatment of the diabetic foot to prevent ulcerations. Choosing suitable insole material is vital for effective foot orthotic treatment. We examined seven types of orthotic materials. In consideration of the key requirements and end uses of orthotic insoles for the diabetic foot, including accommodation, cushioning, and control, we developed test methods for examining important physical properties, such as force reduction and compression properties, insole-skin friction, and shear properties, as well as thermal comfort properties of fabrication materials. A novel performance index that combines various material test results together was also proposed to quantify the overall performance of the insole materials. The investigation confirms that the insole-sock interface has a lower coefficient of friction and shearing stress than those of the insole-skin interface. It is also revealed that material brand and the corresponding density and cell volume, as well as thickness, are closely associated with the performance of moisture absorption and thermal comfort. On the basis of the proposed performance index, practitioners can better understand the properties and performance of various insole materials, thus prescribing suitable orthotic insoles for patients with diabetic foot.
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David Wedemeyer · Jun 19, 2014

I cannot locate the specifics of this study, anyone else? Interesting because I manufacture a 4 layer product of EVA, poly, slow reacting poron and P Cell for diabetics. Well above and beyond Medicare requirements, which I feel need to be updated, most of the qualifying 3 pair combos I have seen for DME in the US do not last and do not reduce shear forces well enough

Durability of diabetic foot insoles

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tonywatson12 Active Member

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Durability of diabetic foot insoles

NewsBot The Admin that posts the news.

tonywatson12 Active Member

NewsBot The Admin that posts the news.

David Wedemeyer Well-Known Member

Durability of running shoes with ethylene vinyl acetate or polyurethane midsoles

Pravibismane for diabetic foot infections

Homeopathy for Diabetic Foot Ulcers

Diabetic Foot Influencers on Twitter

Low Plasma Arginine among Patients with Diabetic Foot Ulcer

Epalrestat is effective in treating diabetic foot infection

Targeted exercises for the diabetic foot

Share This Page

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