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Pressure relieving interventions for preventing and treating diabetic foot ulcers
1Division of Primary Health Care, University of Northumbria at Newcastle, Manor House, Newcastle upon Tyne, UK, NE7 7XA. sue.spencer@unn.ac.uk
The Cochrane Database of Systematic Reviews
|July 25, 2000
Summary
Pressure-relieving interventions like in-shoe orthotics show promise for preventing diabetic foot ulcers. However, more research is needed to confirm the effectiveness of various interventions for both prevention and treatment.
Area of Science:
- Podiatry
- Diabetology
- Biomedical Engineering
Background:
- Diabetic foot ulcers affect 15% of individuals with diabetes.
- Effective prevention and treatment strategies are crucial.
Purpose of the Study:
- To assess pressure-relieving interventions for diabetic foot ulcer prevention and treatment.
- Evaluate the evidence from randomized controlled trials.
Main Methods:
- Conducted comprehensive database searches and expert consultations.
- Included randomized controlled trials (RCTs) regardless of language or publication status.
- Independent data extraction and quality assessment by two reviewers.
Main Results:
- In-shoe orthotics demonstrated benefit in preventing diabetic foot ulcers.
- Cushioning and pressure redistribution appear equally effective.
- Limited evidence supports total contact casting for ulcer treatment.
Conclusions:
- Limited evidence supports orthotic interventions over callus removal.
- Further high-quality research is essential for pressure-relieving interventions.
- The effectiveness of therapeutic shoes and removable casts requires investigation.