Manufactured shoes in the prevention of diabetic foot ulcers

Manufactured shoes in the prevention of diabetic foot ulcers

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, Università Tor Vergata, Rome, Italy. Abstract OBJECTIVE: To evaluate the efficacy of manufactured...

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Bibliographic Details
Published in:Diabetes care Vol. 18; no. 10; pp. 1376 - 1378
Main Authors: UCCIOLI, L, FAGLIA, E, MONTICONE, G, FAVALES, F, DUROLA, L, ALDEGHI, A, QUARTANTIELLO, A, CALIA, P, MENZINGER, G
Format: Journal Article
Language:English
Published: Alexandria, VA American Diabetes Association 01-10-1995
Subjects:
Associated diseases and complications
Biological and medical sciences
Confidence Intervals
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - physiopathology
Diabetes. Impaired glucose tolerance
Diabetic Foot - physiopathology
Diabetic Foot - prevention & control
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Equipment Design
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Prospective Studies
Recurrence
Regression Analysis
Shoes
Vibration
Endocrinopathy
Orthopedic shoe
Human
Prevention
Skin disease
Diabetes mellitus
Disease of the foot
Complication
Ulcer
Foot
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Summary: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, Università Tor Vergata, Rome, Italy. Abstract 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.
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ISSN:0149-5992
1935-5548
DOI:10.2337/diacare.18.10.1376