Efficacy of customized insoles in the distribution of the diabetic foot pressure: A randomized and controlled clinical trial

Diabetic neuropathy is a condition that can be early diagnosed in DM type 2 patients. Evaluate the influence of customized insoles in the plantar pressure of diabetic neuropathy patients when compared to the sham group at baseline and after three and six months. REBEC (Clinical Trial Brazilian Regis...

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Bibliographic Details
Published in:Journal of bodywork and movement therapies 2024-10, Vol.40, p.842-851
Main Authors: Farhat, Gabriel, Bayer, Gabriela, Wesselovicz, Allyson Alberto, Gratieri, Anderson Stefani, Gomes, Ricardo Zanetti, Martins, Camila Marinelli
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Diabetes Mellitus, Type 2 - therapy
Diabetic Foot - rehabilitation
Diabetic Foot - therapy
Diabetic neuropathies
Diabetic Neuropathies - rehabilitation
Diabetic Neuropathies - therapy
Double-Blind Method
Dynamic orthoses
Female
Foot - physiology
Foot - physiopathology
Foot Orthoses
Humans
Male
Middle Aged
Plantar callosity
Pressure
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Summary:Diabetic neuropathy is a condition that can be early diagnosed in DM type 2 patients. Evaluate the influence of customized insoles in the plantar pressure of diabetic neuropathy patients when compared to the sham group at baseline and after three and six months. REBEC (Clinical Trial Brazilian Register) (http://www.ensaiosclinicos.gov.br/) RBR-5NQK4K, is a randomized, controlled, double-blinded clinical trial was carried out with a 46-volunteer sample in which participants were randomized to be directed to the intervention and control groups. This study was developed following the standards set for randomized clinical trials (CONSORT). The primary outcome was the analysis of plantar pressure points on the diabetic neuropathy patients' feet using podobarography in the intervention and control group patients. The secondary outcome was the foot functionality in activities of daily living assessed using the FAAM questionnaire in a 6-month follow-up period. No significant differences were found between the groups regarding the primary and secondary outcomes in the 3rd or in the 6th month. Is not possible to state that insoles provided patients with a significant improvement of the footstep structure in the intervention group in comparison to the control group in diabetic neuropathy patients.
ISSN:1360-8592
1532-9283
1532-9283
DOI:10.1016/j.jbmt.2024.05.021