Year: 2026 | Month: May | Volume: 13 | Issue: 5 | Pages: 708-715
DOI: https://doi.org/10.52403/ijrr.20260570
Proper Foot Orthoses Type to Prevent Foot Ulcers in Patients with Diabetes: A Systematic Review
Dandy Drestanto Adiwignyo1, Syaifullah Asmiragani1, Adam Irsyaddyra1, Hudzaifah Al Azmi Manaf1
1Department of Orthopedic and Traumatology, Faculty of Medicine, Universitas Brawijaya – Dr. Saiful Anwar General Hospital, Malang, Indonesia
Corresponding Author: Dandy Drestanto Adiwignyo
ABSTRACT
Introduction: One form of diabetic polyneuropathy is the presence of ulcers in the limbs, where the most common location for ulcers is the plantar area. Various orthoses are prescribed for diabetic patients, but no results have been obtained on which orthoses are effective in these preventive efforts. This review aims to provide a general review of the efficacy of various foot orthoses for preventing foot ulcers in diabetic patients.
Methods: The following databases were used for a computerized literature search up to October 2022: PubMed, ScienceDirect, and Google Scholar. The modified Jadad score is used to assess the quality of this study. The PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines were followed while conducting this systematic review.
Results: In all, six papers met our inclusion criteria, with 2 receiving a low study quality rating and 4 a good rating. All the studies revealed a considerable use of the insole as an orthosis to prevent foot ulcers in diabetic patients. Some studies also mention plantar pressure to determine the effect of orthoses. The other evaluation is also about QoL and adherence, and it mentions ulcer recurrence within several months.
Conclusion: Foot orthoses can help prevent foot ulcers in diabetic patients, but due to the limited information (as all studies focus only on insoles and shoes), future studies should investigate other types of orthoses and their effects.
Keywords: diabetic foot, foot orthoses, foot ulcer
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