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Physical Evaluation of Insole Materials Used to Treat the Diabetic Foot

Angel Camp Faulí Diabetic Foot Unit, Clínica Virgen del Consuelo, Valencia, Spain.

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Cristina Llobell Andrés INESCOP (Technological Institute for Footwear and Related Industries), Elda, Spain.

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Norberto Porta Rosas INESCOP (Technological Institute for Footwear and Related Industries), Elda, Spain.

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Maria José Fernández INESCOP (Technological Institute for Footwear and Related Industries), Elda, Spain.

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Enrique Montiel Parreño INESCOP (Technological Institute for Footwear and Related Industries), Elda, Spain.

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César Orgilés Barceló INESCOP (Technological Institute for Footwear and Related Industries), Elda, Spain.

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Background: The selection of materials for the production of multilayer insoles for diabetic feet is a difficult task owing to the lack of technical information about these materials. Therefore, objective criteria were established for the selection of these materials.

Methods: Mechanical- and comfort-related tests for the mechanical characterization of different materials and their combinations were considered. These tests were conducted according to standardized test methods for polymeric cellular materials.

Results: Criteria for the use of cellular materials were obtained. The properties of accommodation, cushioning, and filling materials were established and the most adequate polymer nature for each of the three applications was identified. Variables that affect the properties of these material combinations were studied.

Conclusions: These test results will allow podiatrists to select insoles in a more objective way, thus achieving a more successful treatment for diabetic foot-related injuries. (J Am Podiatr Med Assoc 98(3): 229–238, 2008)

Corresponding author: Angel Camp Faulí, DPM, Diabetic Foot Unit, Clinica Virgen del Consuelo, Callosa de Ensarria 12, Valencia, 46007 Spain. (E-mail: acamp@hospitales.nisa.es)