Publication
In-shoe plantar pressure measurement technologies for the diabetic foot: A systematic review
| datacite.subject.fos | Engenharia e Tecnologia | |
| datacite.subject.sdg | 09:Indústria, Inovação e Infraestruturas | |
| dc.contributor.author | Castro-Martins, Pedro | |
| dc.contributor.author | Marques, Arcelina | |
| dc.contributor.author | Coelho, Luís | |
| dc.contributor.author | Vaz, Mário | |
| dc.contributor.author | Baptista, João Santos | |
| dc.date.accessioned | 2025-02-12T18:48:55Z | |
| dc.date.available | 2025-02-12T18:48:55Z | |
| dc.date.issued | 2024 | |
| dc.description.abstract | Introduction Loss of cutaneous protective sensation and high plantar pressures increase the risk for diabetic foot patients. Trauma and ulceration are imminent threats, making assessment and monitoring essential. This systematic review aims to identify systems and technologies for measuring in-shoe plantar pressures, focusing on the at-risk diabetic foot population. Methods A systematic search was conducted across four electronic databases (Scopus, Web of Science, PubMed, Oxford Journals) using PRISMA methodology, covering articles published in English from 1979 to 2024. Only studies addressing systems or sensors exclusively measuring plantar pressures inside the shoe were included. Results A total of 87 studies using commercially available devices and 45 articles proposing new systems or sensors were reviewed. The prevailing market offerings consist mainly of instrumented insoles. Emerging technologies under development often feature configurations with four, six or eight resistive sensors strategically placed within removable insoles. Despite some variability due to the inherent heterogeneity of human gait, these devices assess plantar pressure, although they present significant differences between them in measurement results. Individuals with diabetic foot conditions appears exhibit elevated plantar pressures, with reported peak pressures reaching approximately 1000 kPa. The results also showed significant differences between the diabetic and non-diabetic groups. Conclusion Instrumented insoles, particularly those incorporating resistive sensor technology, dominate the field. Systems employing eight sensors at critical locations represent a pragmatic approach, although market options extend to systems with up to 960 sensors. Differences between devices can be a critical factor in measurement and highlights the importance of individualized patient assessment using consistent measurement devices. | eng |
| dc.description.sponsorship | This work was developed under a PhD grant (DOI: 10.54499/UI/BD/151285/2021) awarded to PCM and funded by the Portuguese Foundation for Science and Technology (FCT, Portugal). It also had the support of the “Smart-Health-4-All – Smart medical technologies for better health and care” project (POCI-01-0247-FEDER-046115; LISBOA-01-0247-FEDER-046115), which was co-financed by Portugal 2020, under the Operational Program for Competitiveness and Internationalization (COMPETE 2020) through the European Regional Development Fund (ERDF). | |
| dc.identifier.citation | Castro-Martins, P., Marques, A., Coelho, L., Vaz, M., Baptista, J. S. (2024). In-shoe plantar pressure measurement technologies for the diabetic foot: A systematic review. Heliyon, 10(9). https://doi.org/10.1016/j.heliyon.2024.e29672 | |
| dc.identifier.doi | 10.1016/j.heliyon.2024.e29672 | |
| dc.identifier.issn | 2405-8440 | |
| dc.identifier.uri | http://hdl.handle.net/10400.22/29489 | |
| dc.language.iso | eng | |
| dc.peerreviewed | yes | |
| dc.publisher | Elsevier | |
| dc.relation | Conceção e desenvolvimento de um sapato inteligente. | |
| dc.relation.hasversion | https://www.sciencedirect.com/science/article/pii/S2405844024057037 | |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | |
| dc.subject | Diabetic foot | |
| dc.subject | Plantar pressure | |
| dc.subject | In-shoe systems | |
| dc.subject | Instrumented insoles | |
| dc.subject | Systematic review | |
| dc.title | In-shoe plantar pressure measurement technologies for the diabetic foot: A systematic review | eng |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.awardTitle | Conceção e desenvolvimento de um sapato inteligente. | |
| oaire.awardURI | info:eu-repo/grantAgreement/FCT//UI%2FBD%2F151285%2F2021/PT | |
| oaire.citation.issue | 9 | |
| oaire.citation.title | Heliyon | |
| oaire.citation.volume | 10 | |
| oaire.version | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |
| project.funder.identifier | http://doi.org/10.13039/501100001871 | |
| project.funder.name | Fundação para a Ciência e a Tecnologia | |
| relation.isProjectOfPublication | 604dc6e8-648e-4ba8-b1fd-be9debf4d70c | |
| relation.isProjectOfPublication.latestForDiscovery | 604dc6e8-648e-4ba8-b1fd-be9debf4d70c |