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Controversies in off-loading: Should big brother be watching?

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References

  1. Brand PW: The diabetic foot. In Diabetes Mellitus, Theory and Practice, edn 3. Edited by Ellenberg M, Rifkin H. New York: Medical Examination Publishing; 1983:803–828.

    Google Scholar 

  2. Hamill J, Hardin EC: Special topics in biomechanics. In Foundations of Exercise Science. Edited by Kamen G. Baltimore: Lippincott Williams & Wilkins; 2001:177–189.

    Google Scholar 

  3. van Deursen R: Mechanical loading and off-loading of the plantar surface of the diabetic foot. Clin Infect Dis 2004, 39(Suppl 2):S87–S91.

    Article  PubMed  Google Scholar 

  4. Brand PW: The insensitive foot (including leprosy). In Disorders of the Foot and Ankle, edn 2. Edited by Jahss M. Philadelphia: W.B. Saunders; 1991:2170–2175.

    Google Scholar 

  5. Armstrong DG, Wu SC, Crews RT: Practical strategies for debridement, off-loading and healing the diabetic foot wound. In Trends in Vascular Surgery. Edited by Pearce WH, Matsumura JS, Yao JST. Evanston, IL: Greenwood Academic; 2006:461–472.

    Google Scholar 

  6. Wu SC, Crews RT, Armstrong DG: The pivotal role of offloading in the management of neuropathic foot ulceration. Curr Diab Rep 2005, 5:423–429.

    Article  PubMed  Google Scholar 

  7. Baumhauer JF, Wervey R, McWilliams J, et al.: A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and prefabricated pneumatic walking brace. Foot Ankle Int 1997, 18:26–33.

    CAS  PubMed  Google Scholar 

  8. Lavery LA, Vela SA, Lavery DC, Quebedeaux TL: Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations. A comparison of treatments. Diabetes Care 1996, 19:818–821.

    Article  CAS  PubMed  Google Scholar 

  9. Owings TM, Woerner JL, Frampton JD, et al.: Custom therapeutic insoles based on both foot shape and plantar pressure measurement provide enhanced pressure relief. Diabetes Care 2008, 31:839–844.

    Article  PubMed  Google Scholar 

  10. Armstrong DG, Nguyen HC, Lavery LA, et al.: Off-loading the diabetic foot wound: a randomized clinical trial. Diabetes Care 2001, 24:1019–1022.

    Article  CAS  PubMed  Google Scholar 

  11. Katz IA, Harlan A, Miranda-Palma B, et al.: A randomized trial of two irremovable off-loading devices in the management of plantar neuropathic diabetic foot ulcers. Diabetes Care 2005, 28:555–559.

    Article  PubMed  Google Scholar 

  12. Bus SA, Valk GD, van Deursen RW, et al.: The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review. Diabetes Metab Res Rev 2008, 24(Suppl 1):S162–S180.

    Article  PubMed  Google Scholar 

  13. Tsung BY, Zhang M, Mak AF, Wong MW: Effectiveness of insoles on plantar pressure redistribution. J Rehabil Res Dev 2004, 41(6A):767–774.

    Article  PubMed  Google Scholar 

  14. Schaff PS, Cavanagh PR: Shoes for the insensitive foot: the effect of a “rocker bottom” shoe modification on plantar pressure distribution. Foot Ankle 1990, 11:129–140.

    CAS  PubMed  Google Scholar 

  15. Chantelau E, Haage P: An audit of cushioned diabetic footwear: relation to patient compliance. Diabet Med 1994, 11:114–116.

    Article  CAS  PubMed  Google Scholar 

  16. Knowles EA, Boulton AJ: Do people with diabetes wear their prescribed footwear? Diabet Med 1996, 13:1064–1068.

    Article  CAS  PubMed  Google Scholar 

  17. Macfarlane DJ, Jensen JL: Factors in diabetic footwear compliance. J Am Podiatr Med Assoc 2003, 93:485–491.

    PubMed  Google Scholar 

  18. Crews RT, Armstrong DG, Boulton AJ: A method for assessing off-loading compliance. J Am Podiatr Med Assoc 2009, 99:100–103.

    PubMed  Google Scholar 

  19. Armstrong DG, Lavery LA, Kimbriel HR, et al.: Activity patterns of patients with diabetic foot ulceration: patients with active ulceration may not adhere to a standard pressure off-loading regimen. Diabetes Care 2003, 26:2595–2597.

    Article  PubMed  Google Scholar 

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Correspondence to Ryan T. Crews.

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Crews, R.T., Bowling, F.L. & Boulton, A.J.M. Controversies in off-loading: Should big brother be watching?. Curr Diab Rep 9, 417–419 (2009). https://doi.org/10.1007/s11892-009-0068-8

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