{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T11:10:39Z","timestamp":1794049839238,"version":"4.8.0"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gait &amp; Posture"],"published-print":{"date-parts":[[2026,5]]},"DOI":"10.1016\/j.gaitpost.2026.110128","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:39:06Z","timestamp":1770856746000},"page":"110128","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"special_numbering":"C","title":["Device-dependent variability of plantar pressure thresholds: Consequences for clinical decision-making in diabetic foot care"],"prefix":"10.1016","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7072-1271","authenticated-orcid":false,"given":"Nachiappan","family":"Chockalingam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Giacomozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aoife","family":"Healy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renan L.","family":"Monteiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane S.S.P.","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel C.N.","family":"Sacco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.gaitpost.2026.110128_bib1","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3652","article-title":"Prevention of foot ulcers in persons with diabetes at risk of ulceration: A systematic review and meta-analysis","volume":"40","author":"van Netten","year":"2024","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib2","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3650","article-title":"Effectiveness of offloading interventions for people with diabetes-related foot ulcers: a systematic review and meta-analysis","volume":"40","author":"Lazzarini","year":"2024","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib3","doi-asserted-by":"crossref","DOI":"10.1111\/dme.14438","article-title":"Foot ulcer recurrence, plantar pressure and footwear adherence in people with diabetes and Charcot midfoot deformity: a cohort analysis","volume":"38","author":"Keukenkamp","year":"2021","journal-title":"Diabet. Med."},{"key":"10.1016\/j.gaitpost.2026.110128_bib4","doi-asserted-by":"crossref","first-page":"8","DOI":"10.2337\/diacare.14.1.8","article-title":"Relationship of limited joint mobility to abnormal foot pressures and diabetic foot ulceration","volume":"14","author":"Fernando","year":"1991","journal-title":"Diabetes Care"},{"key":"10.1016\/j.gaitpost.2026.110128_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.foot.2023.102046","article-title":"Commercially available pressure sensors for sport and health applications: a comparative review","volume":"56","author":"Burnie","year":"2023","journal-title":"Foot"},{"key":"10.1016\/j.gaitpost.2026.110128_bib6","doi-asserted-by":"crossref","DOI":"10.1016\/j.foot.2024.102094","article-title":"Testing protocols and measurement techniques when using pressure sensors for sport and health applications: a comparative review","volume":"59","author":"Burnie","year":"2024","journal-title":"Foot"},{"key":"10.1016\/j.gaitpost.2026.110128_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.foot.2025.102190","article-title":"Discrepancies between plantar pressure devices: evaluating cross-system reliability for biomechanics, clinical use and predictive modelling","volume":"64","author":"Chockalingam","year":"2025","journal-title":"Foot"},{"key":"10.1016\/j.gaitpost.2026.110128_bib8","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1016\/j.gaitpost.2010.03.014","article-title":"Appropriateness of plantar pressure measurement devices: a comparative technical assessment","volume":"32","author":"Giacomozzi","year":"2010","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2026.110128_bib9","first-page":"284","article-title":"Ulcer-risk classification and plantar pressure distribution in patients with diabetic polyneuropathy: exploring the factors that can lead to foot ulceration","volume":"54","author":"Giacomozzi","year":"2018","journal-title":"Ann. Ist. Super. Sanita"},{"key":"10.1016\/j.gaitpost.2026.110128_bib10","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1111\/j.1464-5491.2009.02835.x","article-title":"Plantar pressures in diabetic patients with foot ulcers which have remained healed","volume":"26","author":"Owings","year":"2009","journal-title":"Diabet. Med."},{"key":"10.1016\/j.gaitpost.2026.110128_bib11","doi-asserted-by":"crossref","first-page":"29672","DOI":"10.1016\/j.heliyon.2024.e29672","article-title":"In-shoe plantar pressure measurement technologies for the diabetic foot: a systematic review","volume":"10","author":"Castro-Martins","year":"2024","journal-title":"Heliyon"},{"key":"10.1016\/j.gaitpost.2026.110128_bib12","doi-asserted-by":"crossref","first-page":"4109","DOI":"10.2337\/dc13-0996","article-title":"Effect of custom-made footwear on foot ulcer recurrence in diabetes A multicenter randomized controlled trial","volume":"36","author":"Bus","year":"2013","journal-title":"Diabetes Care"},{"key":"10.1016\/j.gaitpost.2026.110128_bib13","doi-asserted-by":"crossref","first-page":"1714","DOI":"10.2337\/diacare.21.10.1714","article-title":"Role of neuropathy and high foot pressures in diabetic foot ulceration","volume":"21","author":"Frykberg","year":"1998","journal-title":"Diabetes Care"},{"key":"10.1016\/j.gaitpost.2026.110128_bib14","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.gaitpost.2011.09.010","article-title":"Increased plantar foot pressure in persons affected by leprosy","volume":"35","author":"Slim","year":"2012","journal-title":"Gait Posture"},{"key":"10.1016\/j.gaitpost.2026.110128_bib15","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S1067-2516(98)80066-5","article-title":"Is there a critical level of plantar foot pressure to identify patients at risk for neuropathic foot ulceration?","volume":"37","author":"Armstrong","year":"1998","journal-title":"J. Foot Ankle Surg."},{"key":"10.1016\/j.gaitpost.2026.110128_bib16","article-title":"Plantar pressure thresholds as a strategy to prevent diabetic foot ulcers: a systematic review","volume":"10","author":"Castro-Martins","year":"2024","journal-title":"Heliyon"},{"key":"10.1016\/j.gaitpost.2026.110128_bib17","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0224010","article-title":"Optimizing footwear for the diabetic foot: data-driven custom-made footwear concepts and their effect on pressure relief to prevent diabetic foot ulceration","volume":"15","author":"Zwaferink","year":"2020","journal-title":"PLoS One"},{"key":"10.1016\/j.gaitpost.2026.110128_bib18","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s40200-019-00387-1","article-title":"Plantar pressure distribution in diverse stages of diabetic neuropathy","volume":"18","author":"Abri","year":"2019","journal-title":"J. Diabetes Metab. Disord."},{"key":"10.1016\/j.gaitpost.2026.110128_bib19","doi-asserted-by":"crossref","first-page":"855","DOI":"10.2337\/diacare.20.5.855","article-title":"The role of dynamic plantar pressures in diabetic foot ulcers","volume":"20","author":"Stess","year":"1997","journal-title":"Diabetes Care"},{"key":"10.1016\/j.gaitpost.2026.110128_bib20","first-page":"229","article-title":"Predictive value of foot pressure assessment as part of a population-based diabetes disease management program","volume":"4","author":"Lavery","year":"2003","journal-title":"Clin. Diabetol."},{"key":"10.1016\/j.gaitpost.2026.110128_bib21","doi-asserted-by":"crossref","first-page":"343","DOI":"10.7547\/87507315-91-7-343","article-title":"A prospective study of predictors for foot ulceration in type 2 diabetes","volume":"91","author":"K\u00e4stenbauer","year":"2001","journal-title":"J. Am. Podiatr. Med. Assoc."},{"key":"10.1016\/j.gaitpost.2026.110128_bib22","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.2337\/diacare.25.6.1066","article-title":"The forefoot-to-rearfoot plantar pressure ratio is increased in severe diabetic neuropathy and can predict foot ulceration","volume":"25","author":"Caselli","year":"2002","journal-title":"Diabetes Care"},{"key":"10.1016\/j.gaitpost.2026.110128_bib23","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"},{"key":"10.1016\/j.gaitpost.2026.110128_bib24","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1007\/BF00400259","article-title":"The risk of foot ulceration in diabetic patients with high foot pressure: a prospective study","volume":"35","author":"Veves","year":"1992","journal-title":"Diabetologia"},{"key":"10.1016\/j.gaitpost.2026.110128_bib25","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1016\/j.fcl.2022.11.004","article-title":"Diabetic foot considerations related to plantar pressures and shear","volume":"28","author":"Martin","year":"2023","journal-title":"Foot Ankle Clin."},{"key":"10.1016\/j.gaitpost.2026.110128_bib26","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4137\/CMED.S17088","article-title":"Plantar pressure as a risk assessment tool for diabetic foot ulceration in Egyptian patients with diabetes","volume":"7","author":"Fawzy","year":"2014","journal-title":"Clin. Med. Insights Endocrinol. Diabetes"},{"key":"10.1016\/j.gaitpost.2026.110128_bib27","doi-asserted-by":"crossref","first-page":"166","DOI":"10.3390\/medicina58020166","article-title":"Site-specific, critical threshold barefoot peak plantar pressure associated with diabetic foot ulcer history: a novel approach to determine DFU risk in the clinical setting","volume":"58","author":"Abbott","year":"2022","journal-title":"Medicina"},{"key":"10.1016\/j.gaitpost.2026.110128_bib28","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1002\/dmrr.2319","article-title":"Predictive factors for diabetic foot ulceration: a systematic review","volume":"28","author":"Monteiro-Soares","year":"2012","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib29","first-page":"121","article-title":"Comparison of plantar pressure in three types of insole given to patients with diabetes at risk of developing foot ulcers \u2013 a two-year, randomized trial","volume":"1","author":"Hellstrand Tang","year":"2014","journal-title":"J. Clin. Transl. Endocrinol."},{"key":"10.1016\/j.gaitpost.2026.110128_bib30","article-title":"Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2023 update)","volume":"40","author":"Bus","year":"2024","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.jbiomech.2025.112502","article-title":"Unlocking the multidimensionality of plantar pressure measurements for the evaluation of footwear in people with diabetes","volume":"180","author":"Vossen","year":"2025","journal-title":"J. Biomech."},{"key":"10.1016\/j.gaitpost.2026.110128_bib32","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3266","article-title":"Practical Guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)","volume":"36","author":"Schaper","year":"2020","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib33","doi-asserted-by":"crossref","DOI":"10.1002\/dmrr.3276","article-title":"Guidelines on diagnosis, prognosis, and management of peripheral artery disease in patients with foot ulcers and diabetes (IWGDF 2019 update)","volume":"36","author":"Hinchliffe","year":"2020","journal-title":"Diabetes Metab. Res. Rev."},{"key":"10.1016\/j.gaitpost.2026.110128_bib34","first-page":"S77","article-title":"American Diabetes Association Professional Practice Committee. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes","volume":"47","year":"2024","journal-title":"Diabetes Care 2024"}],"container-title":["Gait &amp; Posture"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636226000366?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0966636226000366?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T02:19:07Z","timestamp":1777601947000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0966636226000366"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":34,"alternative-id":["S0966636226000366"],"URL":"https:\/\/doi.org\/10.1016\/j.gaitpost.2026.110128","relation":{},"ISSN":["0966-6362"],"issn-type":[{"value":"0966-6362","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Device-dependent variability of plantar pressure thresholds: Consequences for clinical decision-making in diabetic foot care","name":"articletitle","label":"Article Title"},{"value":"Gait & Posture","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gaitpost.2026.110128","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V.","name":"copyright","label":"Copyright"}],"article-number":"110128"}}