{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T07:53:18Z","timestamp":1791100398714,"version":"4.1.0"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,8,13]],"date-time":"2014-08-13T00:00:00Z","timestamp":1407888000000},"content-version":"vor","delay-in-days":224,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Journal of Foot and Ankle Research"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Offloading is key to preventing or healing plantar neuropathic foot ulcers in diabetes. Total contact casts or walkers rendered irremovable are recommended in guidelines as first\u2010line options for offloading, however the use of such devices has been found to be low. This study aimed to investigate offloading practices for diabetes\u2010related plantar neuropathic ulcers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An online survey of closed and open\u2010ended questions was administered via SurveyMonkey\u00ae. Forty\u2010one podiatrists experienced in high\u2010risk foot practice, from 21 high\u2010risk foot services around Australia, were approached to participate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The response rate was 88%. Participants reported using 21\u00a0modalities or combinations of modalities, for offloading this ulcer type. The most frequently used modalities under the forefoot and hallux were felt padding, followed by removable casts or walkers, then non\u2010removable casts or walkers. Participants indicated that many factors were considered when selecting offloading modality, including: compliance, risk of adverse effects, psycho\u2010social factors, restrictions on activities of daily living, work needs and features of the wound. The majority of participants (83%) considered non\u2010removable casts or walkers to be the gold\u2010standard for offloading this ulcer type, however they reported numerous, particularly patient\u2010related, barriers to their use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Selecting offloading for the management of foot ulceration is complex. Felt padding, not the gold\u2010standard non\u2010removable cast or walker, was reported as the most commonly selected modality for offloading plantar neuropathic ulceration. However, further evaluation of felt padding in high quality clinical trials is required to ascertain its effectiveness for ulcer healing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13047-014-0035-8","type":"journal-article","created":{"date-parts":[[2014,8,12]],"date-time":"2014-08-12T12:07:37Z","timestamp":1407845257000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["A survey of offloading practices for diabetes\u2010related plantar neuropathic foot ulcers"],"prefix":"10.1002","volume":"7","author":[{"given":"Anita","family":"Raspovic","sequence":"first","affiliation":[{"name":"Department of Podiatry La Trobe University 3086 Bundoora, Melbourne Australia"},{"name":"Lower Extremity and Gait Studies Program La Trobe University 3086 Bundoora, Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl B","family":"Landorf","sequence":"additional","affiliation":[{"name":"Department of Podiatry La Trobe University 3086 Bundoora, Melbourne Australia"},{"name":"Lower Extremity and Gait Studies Program La Trobe University 3086 Bundoora, Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,8,13]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.007"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.13.5.513"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.21.10.1714"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00400259"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.23.5.606"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.850"},{"key":"e_1_2_9_8_1","doi-asserted-by":"crossref","unstructured":"LewisJ LippL: Pressure\u2010relieving interventions for treating diabetic foot ulcers (review).Cochrane Database Sys Rev2013 1. doi:10.1002\/14651858.CD14002302.pub14651852.","DOI":"10.1002\/14651858.CD002302.pub2"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc08\u20100771"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524\u2010475X.2010.00571.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464\u20105491.2008.02445.x"},{"key":"e_1_2_9_12_1","unstructured":"National Evidence\u2010Based Guideline on Prevention Identification and Management of Foot Complications in Diabetes (Part of the Guidelines on Management of Type 2 Diabetes)2011. Melbourne Australia: [] [http:\/\/www.bakeridi.edu.au\/Assets\/Files\/Foot_FullGuideline_23062011.pdf]"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2240"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja11.10347"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2002.35661"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20102002\u201034988"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.foot.2005.11.005"}],"container-title":["Journal of Foot and Ankle Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13047-014-0035-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s13047-014-0035-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1186\/s13047-014-0035-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s13047-014-0035-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:21:13Z","timestamp":1706833273000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1186\/s13047-014-0035-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["10.1186\/s13047-014-0035-8"],"URL":"https:\/\/doi.org\/10.1186\/s13047-014-0035-8","archive":["Portico"],"relation":{},"ISSN":["1757-1146","1757-1146"],"issn-type":[{"value":"1757-1146","type":"print"},{"value":"1757-1146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1]]},"assertion":[{"value":"4 June 2014","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 July 2014","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 August 2014","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"35"}}