Evidence for orthotic treatment of the low risk diabetic foot

No risk factors present: e.g. no loss of sensation, no signs of peripheral arterial disease and no other risk factors

(Categories per the Scottish Foot Action Group, relating to the use of the SCI-Diabetes foot risk stratification tool)

Meta Analyses

Adiewere, P., Gillis, R.B., Jiwani, S.I., Meal, A., Shaw, I. and Adams, G.G., 2018. A systematic review and meta-analysis of patient education in preventing and reducing the incidence or recurrence of adult diabetes foot ulcers (DFU). Heliyon, 4(5), p.e00614.
Click here for Article

Fu, X.L., Ding, H., Miao, W.W. and Chen, H.L., 2018. Association between cigarette smoking and diabetic foot healing: a systematic review and meta-analysis. The international journal of lower extremity wounds, 17(4), pp.247-257.
Click here for Article

Rigato, M., Pizzol, D., Tiago, A., Putoto, G., Avogaro, A. and Fadini, G.P., 2018. Characteristics, prevalence, and outcomes of diabetic foot ulcers in Africa. A systemic review and meta-analysis. Diabetes research and clinical practice.
Click here for Article

Systematic Reviews

Ahmad Sharoni, S.K., Minhat, H.S., Mohd Zulkefli, N.A. and Baharom, A., 2016. Health education programmes to improve foot self‐care practices and foot problems among older people with diabetes: a systematic review. International journal of older people nursing, 11(3), pp.214-239.
Click here for Article

Binning, J., Woodburn, J., Bus, S.A. and Barn, R., 2018. Motivational interviewing to improve adherence behaviours for the prevention of diabetic foot ulceration. Diabetes/metabolism research and reviews, p.e3105.
Click here for Article

Bonner, T., Foster, M. and Spears-Lanoix, E., 2016. Type 2 diabetes–related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature. Diabetic foot & ankle, 7(1), p.29758.
Click here for Article

Dinh, T.T.H., Bonner, A., Clark, R., Ramsbotham, J. and Hines, S., 2016. The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI database of systematic reviews and implementation reports, 14(1), pp.210-247.
Click here for Article

Dorresteijn, J.A., Kriegsman, D.M., Assendelft, W.J. and Valk, G.D., 2012. Patient education for preventing diabetic foot ulceration. Cochrane database of systematic reviews, (10).
Click here for Article

Matricciani, L. and Jones, S., 2015. Who cares about foot care? Barriers and enablers of foot self-care practices among non-institutionalized older adults diagnosed with diabetes: an integrative review. The Diabetes Educator, 41(1), pp.106-117.
Click here for Article

Morey-Vargas, O.L. and Smith, S.A., 2015. BE SMART: strategies for foot care and prevention of foot complications in patients with diabetes. Prosthetics and orthotics international, 39(1), pp.48-60.
Click here for Article

Navarro-Flores, E., Gijón-Noguerón, G., Cervera-Marín, J.A. and Labajos-Manzanares, M.T., 2015. Assessment of foot self-care in patients with diabetes: retrospective assessment (2008-2014). Foot & ankle specialist, 8(5), pp.406-412.
Click here for Article

Van Netten, J.J., Price, P.E., Lavery, L.A., Monteiro‐Soares, M., Rasmussen, A., Jubiz, Y., Bus, S.A. and International Working Group on the Diabetic Foot (IWGDF), 2016. Prevention of foot ulcers in the at‐risk patient with diabetes: a systematic review. Diabetes/metabolism research and reviews, 32, pp.84-98.
Click here for Article

van Netten, J.J., Sacco, I.C., Lavery, L.A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A. and Bus, S.A., 2020. Treatment of modifiable risk factors for foot ulceration in persons with diabetes: a systematic review. Diabetes/Metabolism Research and Reviews, p.e3271.
Click here for Article

Randomised Controlled Trials

Cisneros, L.L., 2010. Evaluation of a neuropathic ulcers prevention program for patients with diabetes. Brazilian Journal of Physical Therapy, 14(1), pp.31-37.
Click here for Article

Corbett, C.F., 2003. A randomized pilot study of improving foot care in home health patients with diabetes. The Diabetes Educator, 29(2), pp.273-282.
Click here for Article

Gershater, A.M., Pilhammar, E., Apelqvist, J. and Alm-roijer, C., 2011. patient education for the prevention of diabetic foot ulcers: interim analysis of a randomised controlled trial due to morbidity and mortality of participants. European Diabetes Nursing, 8(3), pp.102-107b.
Click here for Article

Keukenkamp, R., Merkx, M.J., Busch-Westbroek, T.E. and Bus, S.A., 2018. An Explorative Study on the Efficacy and Feasibility of the Use of Motivational Interviewing to Improve Footwear Adherence in Persons with Diabetes at High Risk for Foot Ulceration. Journal of the American Podiatric Medical Association, 108(2), p.90.
Click here for Article

Lincoln, N.B., Radford, K.A., Game, F.L. and Jeffcoate, W.J., 2008. Education for secondary prevention of foot ulcers in people with diabetes: a randomised controlled trial. Diabetologia, 51(11), p.1954.
Click here for Article

McBride, E., Hacking, B., O'Carroll, R., Young, M., Jahr, J., Borthwick, C., Callander, A. and Berrada, Z., 2016. Increasing patient involvement in the diabetic foot pathway: a pilot randomized controlled trial. Diabetic Medicine, 33(11), pp.1483-1492.
Click here for Article

McMurray, S.D., Johnson, G., Davis, S. and McDougall, K., 2002. Diabetes education and care management significantly improve patient outcomes in the dialysis unit. American journal of kidney diseases, 40(3), pp.566-575.
Click here for Article

Monami, M., Zannoni, S., Gaias, M., Nreu, B., Marchionni, N. and Mannucci, E., 2015. Effects of a short educational program for the prevention of foot ulcers in high-risk patients: A randomized controlled trial. International journal of endocrinology, 2015.
Click here for Article

Sartor, C.D., Hasue, R.H., Cacciari, L.P., Butugan, M.K., Watari, R., Pássaro, A.C., Giacomozzi, C. and Sacco, I.C., 2014. Effects of strengthening, stretching and functional training on foot function in patients with diabetic neuropathy: results of a randomized controlled trial. BMC musculoskeletal disorders, 15(1), p.137.
Click here for Article

Sharoni, S.K.A., Rahman, H.A., Minhat, H.S., Shariff-Ghazali, S. and Ong, M.H.A., 2018. The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia. PloS one, 13(3), p.e0192417.
Click here for Article

Cohort Studies

Nongmaithem, M., Bawa, A.P.S., Pithwa, A.K., Bhatia, S.K., Singh, G. and Gooptu, S., 2016. A study of risk factors and foot care behavior among diabetics. Journal of family medicine and primary care, 5(2), p.399.
Click here for Article

Cross Sectional Studies

Barwick, A.L., Hurn, S.E., van Netten, J.J., Reed, L.F. and Lazzarini, P.A., 2019. Factors associated with wearing inadequate outdoor footwear in populations at risk of foot ulceration: A cross-sectional study. PloS one, 14(2).
Click here for Article

Nemcová, J. and Hlinková, E., 2014. The efficacy of diabetic foot care education. Journal of clinical nursing, 23(5-6), pp.877-882.
Click here for Article

Literature Reviews / Discussion

Bullen, B., Young, M., McArdle, C. and Ellis, M., 2019. Overcoming barriers to self-management: The person-centred diabetes foot behavioural agreement. The Foot, 38, pp.65-69.
Click here for Article

Jones, P.J., Bibb, R.J., Davies, M.J., Khunti, K., McCarthy, M., Fong, D.T. and Webb, D., 2019. A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers. Diabetes research and clinical practice.
Click here for Article

For orthotic interventions where large volumes of high quality evidence exist, lower levels of evidence have not been included in the Orthotic Evidence Portal.