Evaluation of the use of therapeutic footwear in people with diabetes mellitus – a scoping review

  • Juliana Vallim JorgettoEmail author
  • Mônica Antar Gamba
  • Denise Miyuki Kusahara
Review article


Foot ulcers are one of the major complications of Diabetes Mellitus and are associated with increasing rates of morbidity and mortality. It is estimated that 2% of diabetic patients present lesions in the feet, with relapse rates between 30% and 40% in the first year after healing of the first ulcerations. Therapeutic footwear is one of the main strategies to prevent foot ulceration. OBJECTIVES: To identify in the literature aspects related to the recommendation of health professionals and the use of therapeutic footwear by patients with Diabetes Mellitus. MATERIALS AND METHODS: Scoping review of literature in the Scopus, Scielo, Pubmed and Cochrane databases, using diabetic foot crosswords and therapeutic footwear. RESULTS: Twenty-six articles were included in this review. The majority was systematic reviews (46.15%) with published date from 2016 (38.5%). Of the 26 articles included, 10 (38.5%) referred to adherence to the use of footwear, 10 (38.5%) the difficulty to evaluate the effectiveness of the intervention and 6 (23.0%) to changes in the balance and biomechanics patterns In the studies, the use of therapeutic footwear is linked to the reduction of the risk of ulceration or its recurrence in people with diabetes who already have diabetic neuropathy as chronic complication of the disease. CONCLUSIONS: Therapeutic footwear for diabetics was able to produce significant reductions of peak plantar pressure in static and dynamic analysis, being more efficient than a common footwear, and could contribute to the prevention of injuries associated with diabetic foot.


Diabetes mellitus Diabetic neuropathy Therapeutic footwear Diabetic foot 



Cochrane Library


Health Sciences Descriptores


Diabetes Mellitus


Internacional Diabetes Foot Consensus


Interpretive Phenomenological Analysis


Joanna Briggs Institute


Medical Subject Headings Section


Peripheral Diabetic Neuropathy


National health Medical Research Council


Patient, intervention, comparison and outcomes


National Library of Medicine of the USA


University of São Paulo



To the National Council of Scientific and Technological Development (CNPq) for fomenting the research process 433478 / 2018-7.


To the National Council of Scientific and Technological Development (CNPq) for fomenting the research process 433478 / 2018–7.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Public Health in the Collective Dimension, Paulista School of NursingFederal University of São Paulo – UNIFESPSão João da Boa Vista-SPBrazil
  2. 2.Department of Administration Applied to Nursing and Collective Health, School of NursingFederal University of São Paulo – UNIFESPSão PauloBrazil
  3. 3.Department of Pediatric Nursing of the Paulista School of NursingFederal University of São Paulo – UNIFESPSão PauloBrazil

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