Application progress on functional insoles in the prevention and treatment of diabetic foot.
10.12200/j.issn.1003-0034.20241234
- Author:
Heng-Yu LIU
1
;
Zhen-de JIANG
1
;
Yao-Kuan RUAN
1
;
Qiu-Ju LI
1
;
Si-Yuan CHEN
1
;
Shun-Yu WEI
1
;
Nan MEI
2
;
Chou WU
3
;
Fei CHANG
1
Author Information
1. Department of Foot and Ankle Surgery, the Second Hospital of Jilin University, Changchun 130041, Jilin, China.
2. Department of Orthopaedics, Nara Medical University Hospital, Nara 634-0051, Japan.
3. School of Sports and Health Technology Institute, Jilin Sport University, Changchun 130022, Jilin, China.
- Publication Type:English Abstract
- Keywords:
Diabetic foot;
Functional insoles;
Intelligent monitoring;
Pressure distribution;
Review
- MeSH:
Humans;
Diabetic Foot/therapy*;
Foot Orthoses
- From:
China Journal of Orthopaedics and Traumatology
2025;38(9):969-975
- CountryChina
- Language:Chinese
-
Abstract:
Diabetic foot (DF) is one of the most serious chronic complications of diabetes. The incidence rate among global diabetes patients is as high as 15% to 25%, and about 50% of patients will develop contralateral foot ulcers within 5 years after the first unilateral ulcer. As a non-invasive prevention and control solution, the application progress of functional insoles is mainly reflected in the following aspects:(1) Material innovation. The application of new composite materials and smart materials has significantly enhanced the pressure reduction effect and comfort. (2) Structural optimization. The development of multi-layer design and local pressure reduction structure has achieved more precise pressure distribution regulation. (3) Manufacturing process. 3D printing and parametric design have enabled the personalized customization of functional insoles. (4) Intelligent monitoring. It integrates functions such as pressure sensing and temperature monitoring, achieving real-time monitoring and early warning of foot conditions. Clinical research has confirmed that personalized functional insoles could reduce the incidence of foot ulcers and shorten the healing time of ulcers. At present, the research hotspots mainly focus on the development of smart materials, the construction of multi-functional integration and remote monitoring systems. However, in-depth research is still needed in the aspects of biomechanical mechanisms, standardized evaluation systems and long-term efficacy assessment. The development of future functional insoles should focus on the coordinated advancement of "personalization-intelligence-standardization", with the aim of providing more effective solutions for the prevention and treatment of DF.
