{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T21:08:35Z","timestamp":1793480915710,"version":"4.5.0"},"reference-count":43,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008982","name":"Qatar National Research Fund","doi-asserted-by":"publisher","award":["NPRP 10-0208-170400"],"award-info":[{"award-number":["NPRP 10-0208-170400"]}],"id":[{"id":"10.13039\/100008982","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R42-AG032748"],"award-info":[{"award-number":["R42-AG032748"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinbiomech.com","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Clinical Biomechanics"],"published-print":{"date-parts":[[2020,3]]},"DOI":"10.1016\/j.clinbiomech.2020.01.014","type":"journal-article","created":{"date-parts":[[2020,1,18]],"date-time":"2020-01-18T11:19:37Z","timestamp":1579346377000},"page":"157-161","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":29,"special_numbering":"C","title":["The impact of diabetic foot ulcers and unilateral offloading footwear on gait in people with diabetes"],"prefix":"10.1016","volume":"73","author":[{"given":"Erica","family":"Ling","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Lepow","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"He","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Enriquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Mullen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bijan","family":"Najafi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.clinbiomech.2020.01.014_bb0005","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.clinbiomech.2007.11.015","article-title":"The effect of diabetic neuropathy and previous foot ulceration in EMG and ground reaction forces during gait","volume":"23","author":"Akashi","year":"2008","journal-title":"Clin Biomech (Bristol, Avon)"},{"issue":"6","key":"10.1016\/j.clinbiomech.2020.01.014_bb0010","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1007\/s13300-017-0295-y","article-title":"Diabetic neuropathy and gait: a review","volume":"8","author":"Alam","year":"2017","journal-title":"Diabetes therapy"},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0015","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.gaitpost.2009.02.012","article-title":"Rocker bottom soles alter the postural response to backward translation during stance","volume":"30","author":"Albright","year":"2009","journal-title":"Gait & posture"},{"issue":"3","key":"10.1016\/j.clinbiomech.2020.01.014_bb0020","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1007\/s00125-009-1592-4","article-title":"The gait and balance of patients with diabetes can be improved: a randomised controlled trial","volume":"53","author":"Allet","year":"2010","journal-title":"Diabetologia"},{"issue":"5","key":"10.1016\/j.clinbiomech.2020.01.014_bb0025","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/S0021-9290(02)00008-8","article-title":"Spatio-temporal parameters of gait measured by an ambulatory system using miniature gyroscopes","volume":"35","author":"Aminian","year":"2002","journal-title":"J. Biomech."},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0030","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/S0966-6362(03)00093-6","article-title":"Evaluation of an ambulatory system for gait analysis in hip osteoarthritis and after total hip replacement","volume":"20","author":"Aminian","year":"2004","journal-title":"Gait Posture"},{"issue":"24","key":"10.1016\/j.clinbiomech.2020.01.014_bb0035","doi-asserted-by":"crossref","first-page":"2367","DOI":"10.1056\/NEJMra1615439","article-title":"Diabetic foot ulcers and their recurrence","volume":"376","author":"Armstrong","year":"2017","journal-title":"N. Engl. J. Med."},{"issue":"2","key":"10.1016\/j.clinbiomech.2020.01.014_bb0040","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1590\/S1807-59322009000200008","article-title":"Plantar pressure distribution patterns during gait in diabetic neuropathy patients with a history of foot ulcers","volume":"64","author":"Bacarin","year":"2009","journal-title":"Clinics (Sao Paulo)"},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0045","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1159\/000445831","article-title":"The impact of mild cognitive impairment on gait and balance: a systematic review and meta-analysis of studies using instrumented assessment","volume":"63","author":"Bahureksa","year":"2017","journal-title":"Gerontology"},{"issue":"S1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0050","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1002\/1520-7560(200009\/10)16:1+<::AID-DMRR105>3.0.CO;2-N","article-title":"The diabetic foot: a global view","volume":"16","author":"Boulton","year":"2000","journal-title":"Diabetes Metab. Res. Rev."},{"issue":"2","key":"10.1016\/j.clinbiomech.2020.01.014_bb0055","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1177\/1932296814560788","article-title":"A comparative study between total contact cast and pressure-relieving ankle foot orthosis in diabetic neuropathic foot ulcers","volume":"9","author":"Chakraborty","year":"2014","journal-title":"J. Diabetes Sci. Technol."},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0060","series-title":"Statistical Power Analysis for the Behavioural Sciences","author":"Cohen","year":"1988"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0065","first-page":"dc172584","article-title":"Decreasing an offloading device\u2019s size and offsetting its imposed limb length discrepancy lead to improved comfort and gait","author":"Crews","year":"2018","journal-title":"Diabetes Care"},{"issue":"7","key":"10.1016\/j.clinbiomech.2020.01.014_bb0070","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.clinbiomech.2012.03.001","article-title":"Impact of strut height on offloading capacity of removable cast walkers","volume":"27","author":"Crews","year":"2012","journal-title":"Clin Biomech (Bristol, Avon)"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0075","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/342650","article-title":"A growing troubling triad: diabetes, aging, and falls","volume":"2013","author":"Crews","year":"2013","journal-title":"Journal of Aging Research"},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0080","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.gaitpost.2007.03.011","article-title":"Stride-to-stride variability while enumerating animal names among healthy young adults: result of stride velocity or effect of attention-demanding task?","volume":"27","author":"Dubost","year":"2008","journal-title":"Gait Posture"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0085","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.clinbiomech.2016.06.006","article-title":"Gait parameters of people with diabetes-related neuropathic plantar foot ulcers","volume":"37","author":"Fernando","year":"2016","journal-title":"Clin. Biomech."},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0090","series-title":"Diabetic Peripheral Neuropathy and Gait: Does Footwear Modify This Association?","author":"Grewal","year":"2013"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0095","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.gaitpost.2017.09.024","article-title":"3D gait analysis with and without an orthopedic walking boot","volume":"59","author":"Gulgin","year":"2018","journal-title":"Gait & posture"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0100","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.avsg.2015.11.025","article-title":"Burden of infected diabetic foot ulcers on hospital admissions and costs","volume":"33","author":"Hicks","year":"2016","journal-title":"Ann. Vasc. Surg."},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0105","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.clinbiomech.2019.12.019","article-title":"Characteristics of the gait initiation phase in older adults with diabetic peripheral neuropathy compared to control older adults","volume":"72","author":"Kang","year":"2019","journal-title":"Clin Biomech (Bristol, Avon)"},{"issue":"12","key":"10.1016\/j.clinbiomech.2020.01.014_bb0110","doi-asserted-by":"crossref","first-page":"1904","DOI":"10.2337\/diacare.20.12.1904","article-title":"Gait abnormalities in diabetic neuropathy","volume":"20","author":"Katoulis","year":"1997","journal-title":"Diabetes Care"},{"issue":"6","key":"10.1016\/j.clinbiomech.2020.01.014_bb0115","doi-asserted-by":"crossref","first-page":"480","DOI":"10.7547\/1030480","article-title":"Fear of falling is prevalent in older adults with diabetes mellitus but is unrelated to level of neuropathy","volume":"103","author":"Kelly","year":"2013","journal-title":"J. Am. Podiatr. Med. Assoc."},{"issue":"2","key":"10.1016\/j.clinbiomech.2020.01.014_bb0120","first-page":"104","article-title":"Effectiveness of EvenupTM shoe-lift use among individuals prescribed a walking boot","volume":"46","author":"Kipp","year":"2017","journal-title":"J. Allied Health"},{"issue":"5","key":"10.1016\/j.clinbiomech.2020.01.014_bb0125","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1177\/1932296819849092","article-title":"Measuring plantar tissue stress in people with diabetic peripheral neuropathy: a critical concept in diabetic foot management","volume":"13","author":"Lazzarini","year":"2019","journal-title":"J. Diabetes Sci. Technol."},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0130","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.gaitpost.2007.02.005","article-title":"Distance to achieve steady state walking speed in frail elderly persons","volume":"27","author":"Lindemann","year":"2008","journal-title":"Gait & posture"},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0135","first-page":"58","article-title":"The gold standard in diabetic foot treatment: total contact cast","volume":"150","author":"Lozano-Platonoff","year":"2014","journal-title":"Gaceta medica de Mexico"},{"issue":"3","key":"10.1016\/j.clinbiomech.2020.01.014_bb0140","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/dmrr.2386","article-title":"Comparison of the clinical effectiveness of different off-loading devices for the treatment of neuropathic foot ulcers in patients with diabetes: a systematic review and meta-analysis","volume":"29","author":"Morona","year":"2013","journal-title":"Diabetes Metab. Res. Rev."},{"issue":"4","key":"10.1016\/j.clinbiomech.2020.01.014_bb0145","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.jcws.2011.02.001","article-title":"Off-loading practices for the wounded foot: concepts and choices","volume":"2","author":"Mrdjenovich","year":"2010","journal-title":"The Journal of the American College of Certified Wound Specialists"},{"issue":"2","key":"10.1016\/j.clinbiomech.2020.01.014_bb0150","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/j.gaitpost.2008.09.002","article-title":"Does walking strategy in older people change as a function of walking distance?","volume":"29","author":"Najafi","year":"2009","journal-title":"Gait & posture"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0155","first-page":"6507","article-title":"Laboratory in a box: wearable sensors and its advantages for gait analysis","volume":"2011","author":"Najafi","year":"2011","journal-title":"Conf Proc IEEE Eng Med Biol Soc"},{"issue":"3","key":"10.1016\/j.clinbiomech.2020.01.014_bb0160","doi-asserted-by":"crossref","first-page":"165","DOI":"10.7547\/1030165","article-title":"The impact of footwear and walking distance on gait stability in diabetic patients with peripheral neuropathy","volume":"103","author":"Najafi","year":"2013","journal-title":"J. Am. Podiatr. Med. Assoc."},{"issue":"4","key":"10.1016\/j.clinbiomech.2020.01.014_bb0165","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1177\/1932296816662959","article-title":"Can\u2019t stand the pressure: the association between unprotected standing, walking, and wound healing in people with diabetes","volume":"11","author":"Najafi","year":"2017","journal-title":"J. Diabetes Sci. Technol."},{"issue":"5","key":"10.1016\/j.clinbiomech.2020.01.014_bb0170","doi-asserted-by":"crossref","first-page":"606","DOI":"10.2337\/diacare.23.5.606","article-title":"Screening techniques to identify people at high risk for diabetic foot ulceration: a prospective multicenter trial","volume":"23","author":"Pham","year":"2000","journal-title":"Diabetes Care"},{"issue":"5","key":"10.1016\/j.clinbiomech.2020.01.014_bb0175","first-page":"503","article-title":"Walking boot design: a gait analysis study","volume":"22","author":"Pollo","year":"1999","journal-title":"Orthopedics"},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0180","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1177\/2042018817744513","article-title":"Financial burden of diabetic foot ulcers to world: a progressive topic to discuss always","volume":"9","author":"Raghav","year":"2018","journal-title":"Therapeutic advances in endocrinology and metabolism"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0185","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/508756","article-title":"Aging and type 2 diabetes: consequences for motor control, musculoskeletal function, and whole-body movement","volume":"2013","author":"Reeves","year":"2013","journal-title":"Journal of aging research"},{"issue":"S1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0190","doi-asserted-by":"crossref","first-page":"S96","DOI":"10.1002\/dmrr.827","article-title":"Footwear for the neuropathic patient: offloading and stability","volume":"24","author":"van Deursen","year":"2008","journal-title":"Diabetes Metab. Res. Rev."},{"issue":"4","key":"10.1016\/j.clinbiomech.2020.01.014_bb0195","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1177\/193229681000400411","article-title":"Diabetic foot biomechanics and gait dysfunction","volume":"4","author":"Wrobel","year":"2010","journal-title":"J. Diabetes Sci. Technol."},{"issue":"1","key":"10.1016\/j.clinbiomech.2020.01.014_bb0200","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4239\/wjd.v6.i1.37","article-title":"Literature review on the management of diabetic foot ulcer","volume":"6","author":"Yazdanpanah","year":"2015","journal-title":"World J. Diabetes"},{"issue":"6","key":"10.1016\/j.clinbiomech.2020.01.014_bb0205","doi-asserted-by":"crossref","first-page":"960","DOI":"10.1016\/j.jgo.2019.01.010","article-title":"Using wearables to screen motor performance deterioration because of cancer and chemotherapy-induced peripheral neuropathy (CIPN) in adults - toward an early diagnosis of CIPN","volume":"10","author":"Zahiri","year":"2019","journal-title":"J Geriatr Oncol"},{"issue":"11","key":"10.1016\/j.clinbiomech.2020.01.014_bb0210","doi-asserted-by":"crossref","first-page":"3939","DOI":"10.3390\/s18113939","article-title":"Hemodialysis impact on motor function beyond aging and diabetes\u2014objectively assessing gait and balance by wearable technology","volume":"18","author":"Zhou","year":"2018","journal-title":"Sensors"},{"key":"10.1016\/j.clinbiomech.2020.01.014_bb0215","first-page":"1","article-title":"Instrumented trail-making task: application of wearable sensor to determine physical frailty phenotypes","author":"Zhou","year":"2018","journal-title":"Gerontology"}],"container-title":["Clinical Biomechanics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0268003319306953?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0268003319306953?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T08:53:44Z","timestamp":1777539224000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0268003319306953"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":43,"alternative-id":["S0268003319306953"],"URL":"https:\/\/doi.org\/10.1016\/j.clinbiomech.2020.01.014","relation":{},"ISSN":["0268-0033"],"issn-type":[{"value":"0268-0033","type":"print"}],"subject":[],"published":{"date-parts":[[2020,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The impact of diabetic foot ulcers and unilateral offloading footwear on gait in people with diabetes","name":"articletitle","label":"Article Title"},{"value":"Clinical Biomechanics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.clinbiomech.2020.01.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 Elsevier Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}