Evidence mapPaperPMID 40848549Full record

ArticleClinical biomechanics (Bristol, Avon)2025

Effects of standard of care and pressure-based 3D-printed custom accommodative insoles on static balance in individuals with diabetes: A pilot study.

Mathew Sunil Varre, Kimberly A Nickerson, Brittney C Muir

Abstract read
In one paragraph

Article in Clinical biomechanics (Bristol, Avon), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mathew Sunil VarreRR&D Center for Limb Loss and MoBility (CLiMB), Department of Veterans Affairs, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
Kimberly A NickersonRR&D Center for Limb Loss and MoBility (CLiMB), Department of Veterans Affairs, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA.
Brittney C MuirRR&D Center for Limb Loss and MoBility (CLiMB), Department of Veterans Affairs, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA. Electronic address: bcmuir@uw.edu.

Funding

RRD VA I01 RX003539
6 · The paper itself

Abstract

backgroundIndividuals with diabetes are often prescribed standard of care accommodative insoles to provide extra cushioning and prevent ulcers. Our pressure-based 3D printed custom accommodative insoles have proven effective in reducing plantar pressure in individuals with diabetes. Given that older adults with diabetes have exacerbated balance deficits due to neuropathy, it is essential to examine the impact of these custom accommodative insoles on postural balance in individuals with diabetes. Therefore, the purpose is to examine the effects of custom accommodative insoles on balance during quiet standing in individuals with diabetes.

methodsStandard of care and pressure-based 3D printed custom accommodative insoles were designed from foot impressions obtained from ten participants with diabetes. Postural balance was assessed during quiet standing for three conditions: no insole, standard of care, and pressure-based 3D printed custom accommodative insoles. Center of pressure measures were computed for all three conditions, and differences between the three insole conditions were evaluated.

findingsThere were no significant differences in the center of pressure measures across the insole conditions. Use of standard of care and pressure-based 3D printed custom accommodative insoles did not negatively affect the postural balance during quiet standing compared to the no insole condition.

interpretationThis pilot study provides useful information on how the custom accommodative insoles used to prevent ulcers in individuals with diabetes affect postural balance. Static postural balance is not adversely impacted with the use of custom accommodative insoles in individuals with diabetes.

Indexed as

Diabetes MellitusFoot OrthosesPostural BalancePrinting, Three-DimensionalAgedDiabetic FootEquipment DesignFemaleFootHumansMaleMiddle AgedPilot ProjectsPressureCenter of pressureDiabetes mellitusInsoleNeuropathyStatic balance

Identifiers

PMID40848549
PMCPMC12934256

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.