{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T07:00:54Z","timestamp":1794294054712,"version":"4.9.0"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2009,8,18]],"date-time":"2009-08-18T00:00:00Z","timestamp":1250553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetic Medicine"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aims\u2002<\/jats:bold> The recurrence of foot ulcers is a significant problem in people with diabetic neuropathy. The purpose of this study was to measure in\u2010shoe plantar pressures and other characteristics in a group of neuropathic patients with diabetes who had prior foot ulcers which had remained healed.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> This was an epidemiological cohort study of patients from diabetes clinics of two Swedish hospitals. From a database of 2625 eligible patients, 190 surviving patients with prior plantar ulcers of the forefoot (hallux or metatarsal heads) caused by repetitive stress were identified and 49 patients agreed to participate. Barefoot and in\u2010shoe plantar pressures were measured during walking. Data on foot deformity, activity profiles and self\u2010reported behaviour were also collected.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Mean barefoot plantar peak pressure at the prior ulcer site (556\u2003kPa) was lower than in other published series, although the range was large (107\u20131192\u2003kPa). Mean in\u2010shoe peak pressure at this location averaged 207\u2003kPa when measured with an insole sensor. Barefoot peak pressure only predicted \u223c35% of the variance of in\u2010shoe peak pressure, indicating variation in the efficacy of the individual footwear prescriptions (primarily extra\u2010depth shoes with custom insoles).<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> We propose that the mean value for in\u2010shoe pressures reported in these patients be used as a target in footwear prescription for patients with prior ulcers. Although plantar pressure is only one factor in a multifaceted strategy to prevent ulcer recurrence, the quantitative focus on pressure reduction in footwear is likely to have beneficial effects.<\/jats:p>","DOI":"10.1111\/j.1464-5491.2009.02835.x","type":"journal-article","created":{"date-parts":[[2009,8,18]],"date-time":"2009-08-18T07:24:48Z","timestamp":1250580288000},"page":"1141-1146","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":131,"title":["Plantar pressures in diabetic patients with foot ulcers which have remained healed"],"prefix":"10.1111","volume":"26","author":[{"given":"T. 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