RT Journal Article
T1 Evaluation of usability, adherence, and clinical efficacy of therapeutic footwear in persons with diabetes at moderate to high risk of diabetic foot ulcers: A multicenter prospective study
A1 López Moral, Mateo
A1 Molines Barroso, Raúl Juan
A1 Altonaga Calvo, Borja J
A1 Carrascosa Romero, Elena
A1 Cecilia Matilla, Almudena
A1 Dòria Cervós, Montserrat
A1 García Martínez, María T
A1 Ortiz Nistal, Adrian
A1 Palma Bravo, Anabel
A1 Pereira Losada, Navor
A1 Rivera San Martín, Gabriel
A1 Samaniego Muñoz, Jordi
A1 Villares Tobajas, Marcos
A1 Lázaro Martínez, José Luis
AB Objective To evaluate therapeutic footwear expectations and usability of individuals with diabetes and foot complications. Design A prospective multicenter study was conducted on participants with a high risk of developing a diabetic foot ulcer. Setting Participants were enrolled in 11 different specialized diabetic foot units in Spain between March 2022 and June 2023. Subjects Patients with diabetes at moderate to high risk of foot ulceration receiving first therapeutic footwear prescription. Interventions All the patients included in the research were prescribed with their first pair of therapeutic footwear. Main measures Primary outcome measures were MOS-pre and MOS-post questionnaires evaluating use and usability of prescribed therapeutic footwear. Secondary outcome measures aimed to evaluate footwear clinical efficacy as ulceration rate and self-reported perceived walking distance per day. Results The use of therapeutic footwear exceeded the patient's pre-provision prediction of their anticipated use in 94% of people ( n = 126). Based on the visual analogic satisfaction scale, the median satisfaction of daily wearing their therapeutic footwear was 7 points, Interquartile Range (IQR) [5–8.25]. During the follow-up period, 39 participants (29.1%) experienced diabetic foot ulcer. Perceived walking distance participants reported an improvement in their perceived walking ability during various daily life activities. Conclusions Diabetes patients at moderate to high risk of diabetic foot ulcer improved their perception of walking ability after therapeutic footwear prescription. Adherence to the therapeutic footwear prescription resulted in less ulcerations.
PB Sage Journals
SN 0269-2155
YR 2024
FD 2024-01-09
LK https://hdl.handle.net/20.500.14352/129667
UL https://hdl.handle.net/20.500.14352/129667
LA eng
NO López-Moral M, Molines-Barroso RJ, Altonaga-Calvo BJ, Carrascosa-Romero E, Cecilia-Matilla A, Dòria-Cervós M, García-Martínez MT, Ortiz-Nistal A, Palma-Bravo A, Pereira-Losada N, Rivera-San Martin G, Samaniego-Muñoz J, Villares-Tobajas M, Lázaro-Martínez JL. Evaluation of usability, adherence, and clinical efficacy of therapeutic footwear in persons with diabetes at moderate to high risk of diabetic foot ulcers: A multicenter prospective study. Clin Rehabil. 2024 May;38(5):612-622. doi: 10.1177/02692155231225743
DS Docta Complutense
RD 19 mar 2026