Footwear effects on biomechanical and user-related outcomes in individuals with diabetes at moderate-to-high risk of foot ulceration: a systematic review

This presentation will talk about a systematic review that we have conducted, that assesses how footwear components impact biomechanical and user-related outcomes in people with diabetes at moderate-to-high ulceration risk (direct evidence) and other populations (indirect evidence). Following PRISMA guidelines, 299 studies were analyzed. Key findings: rocker soles significantly reduce forefoot pressure but may affect stability; insoles redistribute pressure effectively; limited research exists on shoe uppers and shear stress. Comfort and aesthetics strongly influence footwear adherence, though evidence is indirect. Study quality was moderate overall. These insights help clinicians and technicians choose optimal footwear features, highlighting areas needing further exploration like upper design and user-related outcomes.