Comparison of plantar pressure in three types of insole given to patients with diabetes at risk of developing foot ulcers – A two-year, randomized trial

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Fältnamn	Indikatorer	Metadata
000		06113naa a2200577 4500
001		oai:research.chalmers.se:ee6cd73e-53d4-4801-b19d-2feeeccbf972
003		SwePub
008		171007s2014 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:DiVA.org:hj-40491
009		oai:gup.ub.gu.se/208265
024	7	a https://doi.org/10.1016/j.jcte.2014.06.0022 DOI
024	7	a https://research.chalmers.se/publication/2082652 URI
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-404912 URI
024	7	a https://gup.ub.gu.se/publication/2082652 URI
040		a (SwePub)cthd (SwePub)hjd (SwePub)gu
041		a engb eng
042		9 SwePub
072	7	a art2 swepub-publicationtype
072	7	a ref2 swepub-contenttype
100	1	a Hellstrand Tang, Ulla,d 1956u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xhellu
245	1 0	a Comparison of plantar pressure in three types of insole given to patients with diabetes at risk of developing foot ulcers – A two-year, randomized trial
264	1	b Elsevier BV,c 2014
338		a electronic2 rdacarrier
520		a Background: Special insoles and shoes designed to prevent foot ulcers caused by repetitive high pressures are recommended for patients with diabetes who have any of the following risk factors: neuropathy; peripheral vascular disease; foot deformities; previous ulcers; amputation; and skin pathologies. However, there is a need for increased knowledge regarding: a) differences in the peak pressure (PP) and pressure time integral (PTI) for different types of insoles; and b) the properties of the pressure distribution for insoles used over a period of several months. We present the results of a randomized trial to compare the plantar pressures of three commonly used insoles. Objectives: The primary objective was to compare the PP and PTI between three types of insoles. The secondary objective was to explore the long-term pattern of peak plantar pressure distribution and variations in specific regions of interest (ROI). The tertiary objective was to investigate the impacts of insole adjustments, how much the insoles were used, and the levels of patient satisfaction. Methods In a 2-year trial, 114 patients with type 1 (N = 31) or type 2 (N = 83) diabetes (62 men and 52 women; mean age, 57.7 ± 15.4 years; duration of diabetes, 12.3 ± 11.2 years; neuropathy, 38%), were randomized to be supplied with one of three different insoles. The ethylene vinyl acetate (EVA) insoles were used in outdoor walking shoes. The 35 EVA group (N = 39) received soft custom-made insoles composed of EVA of 35 shore A hardness, the 55 EVA group (N = 37) received custom-made insoles composed of EVA of 55 shore hardness, and the control group (N = 38) received prefabricated insoles composed of a hard core with a top layer of soft 12 shore hardness microfiber. Using F-Scan®, the in-shoe plantar pressures were measured at seven ROI (hallux, metatarsal head 1, metatarsal head 2, metatarsal head 4, metatarsal head 5, lateral aspect of the mid-foot, heel) on five occasions during the study period. The plantar-pressure variables used were PP (main outcome) and PTI. The plantar patterns of load were explored, satisfaction and usage of the insoles were rated by the participants, and insole adjustments were recorded. Results:A mixed model analysis estimated lower PP values in the heel regions for the 35 EVA and 55 EVA insoles (171 ± 13 and 161 ± 13 kPa, respectively) than for the prefabricated insoles (234 ± 10 kPa) (p
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Ortopedi0 (SwePub)302112 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Orthopaedics0 (SwePub)302112 hsv//eng
653		a Diabetes Foot ulcer
653		a Clinical trial
653		a Insoles
653		a Offloading
653		a Prevention
653		a Diabetes Foot ulcer
653		a Prevention
653		a Insoles
653		a Offloading
653		a Clinical trial
700	1	a Zügner, Roland,d 1958u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xzugro
700	1	a Lisovskaja, Vera,d 1984u Gothenburg University,Göteborgs universitet,Institutionen för matematiska vetenskaper, matematisk statistik,Department of Mathematical Sciences, Mathematical Statistics4 aut0 (Swepub:cth)vera
700	1	a Karlsson, Jón,d 1953u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xkajon
700	1	a Hagberg, Kerstin,d 1957u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xhagbk
700	1	a Tranberg, Royu Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för ortopedi,Institute of Clinical Sciences, Department of Orthopaedics4 aut0 (Swepub:gu)xtraro
710	2	a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för ortopedi4 org
773	0	t Journal of Clinical and Translational Endocrinologyd : Elsevier BVg 1:4, s. 121-132q 1:4<121-132x 2214-6237
856	4	u https://research.chalmers.se/publication/208265/file/208265_Fulltext.pdfx primaryx freey FULLTEXT
856	4	u https://doi.org/10.1016/j.jcte.2014.06.002
856	4	u https://doi.org/10.1016/j.jcte.2014.06.002y Fulltext
856	4	u https://gup.ub.gu.se/publication/208265x primaryx freey FULLTEXT
856	4 8	u https://doi.org/10.1016/j.jcte.2014.06.002
856	4 8	u https://research.chalmers.se/publication/208265
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-40491
856	4 8	u https://gup.ub.gu.se/publication/208265

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Av författaren/redakt...: Hellstrand Tang, ...; Zügner, Roland, ...; Lisovskaja, Vera ...; Karlsson, Jón, 1 ...; Hagberg, Kerstin ...; Tranberg, Roy

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Ortopedi

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Av lärosätet: Chalmers tekniska högskola; Jönköping University; Göteborgs universitet

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