Reduction of peak plantar pressures in patients with peripheral neuropathy: an evaluation of the DH Pressure- Relief™ Shoe

Background Off-loading of plantar pressure is a key intervention strategy to prevent the formation of or to heal existing neuropathic plantar ulcers in diabetes. Walking casts (e.g. total contact cast) that reduce plantar pressures are currently considered the gold-standard for treating such neuropathic ulcers. However, alternative methods for off-loading that are as effective, but cheaper and easier to use are continually being sought. The aim of this study was to evaluate the effectiveness of the DH Pressure- Relief™ Shoe in off-loading high pressure areas in the neuropathic foot in diabetes. Methods A repeated measures design was used. Sixteen participants with diabetic peripheral neuropathy were recruited and three footwear conditions were evaluated in a randomised order: a canvas shoe (the control), the participants’ own shoe, and the DH shoe. The primary outcome was peak plantar pressure measured using the PedarX ® mobile in-shoe system between the 3 footwear conditions.