Diabetes Care, Vol 18, Issue 10 1376-1378, Copyright © 1995 by American Diabetes Association

ARTICLES

Manufactured shoes in the prevention of diabetic foot ulcers

L Uccioli, E Faglia, G Monticone, F Favales, L Durola, A Aldeghi, A Quarantiello, P Calia and G Menzinger
Cattedra di Endocrinologia, Universita Tor Vergata, Rome, Italy.

OBJECTIVE: To evaluate the efficacy of manufactured shoes specially designed for diabetic patients (Podiabetes by Buratto Italy) to prevent relapses of foot ulcerations. RESEARCH DESIGN AND METHODS: A prospective multicenter randomized follow-up study of patients with previous foot ulcerations was conducted. Patients were alternatively assigned to wear either their own shoes (control group, C; n = 36) or therapeutic shoes (Podiabetes group, P; n = 33). The number of ulcer relapses was recorded during 1-year follow-up. RESULTS: Both C and P groups had similar risk factors for foot ulceration (i.e., previous foot ulceration, mean vibratory perception threshold > 25 mV). After 1 year, the foot ulcer relapses were significantly lower in P than in C (27.7 vs. 58.3%; P = 0.009; odds ratio 0.26 [0.2-1.54]). In a multiple regression analysis, the use of therapeutic shoes was negatively associated with foot ulcer relapses (coefficient of variation = -0.315; 95% confidence interval = -0.54 to -0.08; P = 0.009). CONCLUSIONS: The use of specially designed shoes is effective in preventing relapses in diabetic patients with previous ulceration.
CiteULike    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				A. D Deshpande, M. Harris-Hayes, and M. Schootman Epidemiology of Diabetes and Diabetes-Related Complications Physical Therapy, November 1, 2008; 88(11): 1254 - 1264. [Abstract] [Full Text] [PDF]

				L. C. Rogers, L. A. Lavery, and D. G. Armstrong The Right to Bear Legs--An Amendment to Healthcare: How Preventing Amputations Can Save Billions for the US Health-care System J Am Podiatr Med Assoc, March 1, 2008; 98(2): 166 - 168. [Full Text] [PDF]

				E. J.G. Peters, D. G. Armstrong, and L. A. Lavery Risk Factors for Recurrent Diabetic Foot Ulcers: Site matters Diabetes Care, August 1, 2007; 30(8): 2077 - 2079. [Full Text] [PDF]

				Z. Pataky, A. Golay, A. Rieker, R. Grandjean, L. Schiesari, and H. Vuagnat A First Evaluation of an Educational Program for Health Care Providers in a Long-Term Care Facility to Prevent Foot Complications International Journal of Lower Extremity Wounds, June 1, 2007; 6(2): 69 - 75. [Abstract] [PDF]

				K. Rerkasem, N. Kosachunhanun, S. Tongprasert, K. Khwanngern, A. Matanasarawoot, C. Thongchai, K. Chimplee, S. Buranapin, S. Chaisrisawadisuk, and A. Manklabruks The Development and Application of Diabetic Foot Protocol in Chiang Mai University Hospital With an Aim to Reduce Lower Extremity Amputation in Thai Population: A Preliminary Communication International Journal of Lower Extremity Wounds, March 1, 2007; 6(1): 18 - 21. [Abstract] [PDF]

				L. A. Lavery, K. R. Higgins, D. R. Lanctot, G. P. Constantinides, R. G. Zamorano, K. A. Athanasiou, D. G. Armstrong, and C. M. Agrawal Preventing Diabetic Foot Ulcer Recurrence in High-Risk Patients: Use of temperature monitoring as a self-assessment tool Diabetes Care, January 1, 2007; 30(1): 14 - 20. [Abstract] [Full Text] [PDF]

				B. P. Nixon, D. G. Armstrong, C. Wendell, J. R. Vazquez, Z. Rabinovich, H. R. Kimbriel, M. A. Rosales, and A. J. M. Boulton Do US Veterans Wear Appropriately Sized Shoes?: The Veterans Affairs Shoe Size Selection Study. J Am Podiatr Med Assoc, July 1, 2006; 96(4): 290 - 292. [Abstract] [Full Text] [PDF]

				S. M. Sweitzer, S. A. Fann, T. K. Borg, J. W. Baynes, and M. J. Yost What is the future of diabetic wound care? The Diabetes Educator, March 1, 2006; 32(2): 197 - 210. [Abstract] [Full Text] [PDF]

				N. Singh, D. G. Armstrong, and B. A. Lipsky Preventing Foot Ulcers in Patients With Diabetes JAMA, January 12, 2005; 293(2): 217 - 228. [Abstract] [Full Text] [PDF]

				A. J.M. Hennis, H. S. Fraser, R. Jonnalagadda, J. Fuller, and N. Chaturvedi Explanations for the High Risk of Diabetes-Related Amputation in a Caribbean Population of Black African Descent and Potential for Prevention Diabetes Care, November 1, 2004; 27(11): 2636 - 2641. [Abstract] [Full Text] [PDF]

				L. A. Lavery, K. R. Higgins, D. R. Lanctot, G. P. Constantinides, R. G. Zamorano, D. G. Armstrong, K. A. Athanasiou, and C. M. Agrawal Home Monitoring of Foot Skin Temperatures to Prevent Ulceration Diabetes Care, November 1, 2004; 27(11): 2642 - 2647. [Abstract] [Full Text] [PDF]

				D. G. Armstrong, L. A. Lavery, K. Holtz-Neiderer, M. J. Mohler, C. S. Wendel, B. P. Nixon, and A. J.M. Boulton Variability in Activity May Precede Diabetic Foot Ulceration Diabetes Care, August 1, 2004; 27(8): 1980 - 1984. [Abstract] [Full Text] [PDF]

				A. J.M. Boulton, R. S. Kirsner, and L. Vileikyte Neuropathic Diabetic Foot Ulcers N. Engl. J. Med., July 1, 2004; 351(1): 48 - 55. [Full Text] [PDF]

				M. L. Maciejewski, G. E. Reiber, D. G. Smith, C. Wallace, S. Hayes, and E. J. Boyko Effectiveness of Diabetic Therapeutic Footwear in Preventing Reulceration Diabetes Care, July 1, 2004; 27(7): 1774 - 1782. [Abstract] [Full Text] [PDF]

				S. Zimny, H. Schatz, and M. Pfohl The Role of Limited Joint Mobility in Diabetic Patients With an At-Risk Foot Diabetes Care, April 1, 2004; 27(4): 942 - 946. [Abstract] [Full Text] [PDF]

				V. Viswanathan, S. Madhavan, S. Gnanasundaram, G. Gopalakrishna, B. N. Das, S. Rajasekar, and A. Ramachandran Effectiveness of Different Types of Footwear Insoles for the Diabetic Neuropathic Foot: A follow-up study Diabetes Care, February 1, 2004; 27(2): 474 - 477. [Abstract] [Full Text] [PDF]

				M. J. Jannink, H. van Dijk, J. de Vries, J. W Groothoff, and G. J Lankhorst A systematic review of the methodological quality and extent to which evaluation studies measure the usability of orthopaedic shoes Clinical Rehabilitation, January 1, 2004; 18(1): 15 - 26. [Abstract] [PDF]

				J. W. LeMaster, J. R. Sugarman, G. Baumgardner, and G. E. Reiber Motivational Brochures Increase the Number of Medicare-Eligible Persons With Diabetes Making Therapeutic Footwear Claims Diabetes Care, June 1, 2003; 26(6): 1679 - 1684. [Abstract] [Full Text] [PDF]

				L. Dalla Paola, E. Faglia, M. Caminiti, G. Clerici, S. Ninkovic, and V. Deanesi Ulcer Recurrence Following First Ray Amputation in Diabetic Patients: A cohort prospective study Diabetes Care, June 1, 2003; 26(6): 1874 - 1878. [Abstract] [Full Text] [PDF]

				C. N. Dang and A. J. M. Boulton Changing Perspectives in Diabetic Foot Ulcer Management International Journal of Lower Extremity Wounds, March 1, 2003; 2(1): 4 - 12. [Abstract] [PDF]

				G. E. Reiber, D. G. Smith, C. Wallace, K. Sullivan, S. Hayes, C. Vath, M. L. Maciejewski, O. Yu, P. J. Heagerty, and J. LeMaster Effect of Therapeutic Footwear on Foot Reulceration in Patients With Diabetes: A Randomized Controlled Trial JAMA, May 15, 2002; 287(19): 2552 - 2558. [Abstract] [Full Text] [PDF]

				D. G. Armstrong, P. L. Abu-Rumman, B. P. Nixon, and A. J.M. Boulton Continuous Activity Monitoring in Persons at High Risk for Diabetes-Related Lower-Extremity Amputation J Am Podiatr Med Assoc, October 1, 2001; 91(9): 451 - 455. [Abstract] [Full Text] [PDF]

				A. J. M. Boulton and E. B. Jude Friends of the Oppressed Foot? Diabetes Care, April 1, 2001; 24(4): 615 - 616. [Full Text]

				E. Faglia, F. Favales, and A. Morabito New Ulceration, New Major Amputation, and Survival Rates in Diabetic Subjects Hospitalized for Foot Ulceration From 1990 to 1993: A 6.5-year follow-up Diabetes Care, January 1, 2001; 24(1): 78 - 83. [Abstract] [Full Text]

				A. Melville, R. Richardson, J. Mason, A. McIntosh, C. O'Keeffe, J. Peters, and A. Hutchinson Complications of diabetes: screening for retinopathy and management of foot ulcers Qual. Saf. Health Care, June 1, 2000; 9(2): 137 - 141. [Full Text]

				A. Ward, L. Metz, E. Z. Oddone, and D. Edelman Foot Education Improves Knowledge and Satisfaction Among Patients at High Risk for Diabetic Foot Ulcer The Diabetes Educator, July 1, 1999; 25(4): 560 - 567. [Abstract] [PDF]