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Impact of custom-made orthopedic footwear and plantar orthoses on quality of life and functionality of patients with diabetic neuropathic foot

2022-01-01Artigo científico Acesso aberto
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dc.contributor.authorBotelho, Marta
dc.contributor.authorPais, Sandra
dc.contributor.authorGuerreiro, Carla
dc.contributor.authorFernández, Eduardo
dc.contributor.authorGonzalez, Miguel
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.pblElsevier Masson
dc.date.accessioned2023-04-13T22:21:03Z
dc.date.available2023-04-13T22:21:03Z
dc.date.issued2022-01-01
dc.descriptionFunding: The authors thank Marisa Almeida, Susana Costa, Rui Lourenco¸ and Sara Zorrinha from ACES Central − Primary Health Care Centers for the precious collaboration in the field work. We would like to deeply thank the collaborating of the following companies: Instituto Sao Joao de Deus, OKM ~ − Química Ortopedica, Lola − J. Andrade Ferreira Neves, Sensor Medica and Pierre Fabre Por- tugal. This work was supported by the CENIE (International centre on Ageing) [grant number 0348_CIE_6_E].
dc.description.abstractAims: Determine the effectiveness of custom-made orthopedic footwear (OF) and total contact plantar orthoses (PO) on the quality of life (QoL) and functionality of people with type 2 diabetes with diabetic peripheral neuropathic (DPN). Methods: Randomized clinical study with 2 parallel intervention groups and pre- and post-test analysis. In the standard footwear group (SFg), PO and education on foot self-care were applied and in the orthopedic footwear group (OFg) the same intervention was applied, but with personalized OF. A total of 43 type 2 diabetic patients with DPN aged 61 – 76 years were randomized: 20 in to SFg and 23 to OFg. Michigan Neuropathy Screening Instrument (MNSI) was used to screen for DPN. QoL was assessed with Short Form–36 and functional level was evaluated by Lower Extremity Functional Scale (LEFS), 6 physical tests and center of pressure (CoP) oscillation. Results: No differences in QoL were found between groups. OFg showed a better functional reach and mediolateral displacement of CoP (p ≤ 0.05). Conclusions: The OF does not show evidence on functional and QoL improvement in low-risk type 2 diabetic patients with neuropathy but both groups improved significantly in functional tests. The PO showed clinical value in these patients, so a regular and specialized treatment with appropriate footwear and plantar orthoses can play an important role in reducing the complications of diabetic neuropathy.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent371100
dc.identifier.doi10.1016/j.deman.2021.100040
dc.identifier.issn2666-9706
dc.identifier.otherPURE: 58208794
dc.identifier.otherPURE UUID: acdf745f-e828-4122-b4f3-b8249239553d
dc.identifier.otherScopus: 85147478473
dc.identifier.urihttp://hdl.handle.net/10362/151799
dc.identifier.urlhttps://www.scopus.com/pages/publications/85147478473
dc.language.isoeng
dc.peerreviewedyes
dc.subjectDiabetes mellitus
dc.subjectDiabetic neuropathy
dc.subjectFoot orthoses
dc.subjectQuality of Life
dc.subjectShoes
dc.subjectType 2
dc.subjectEndocrinology, Diabetes and Metabolism
dc.subjectInternal Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleImpact of custom-made orthopedic footwear and plantar orthoses on quality of life and functionality of patients with diabetic neuropathic footen
dc.title.subtitleA randomized clinical trialen
dc.typejournal article
degois.publication.titleDiabetes Epidemiology and Management
degois.publication.volume5
dspace.entity.typePublication
rcaap.rightsopenAccess

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