Effects of rocker-sole footwear on postural stability and plantar load distribution during standing: A Charcot foot case study
References
- Sun, H., Saeedi, P., Karuranga, S., Pinkepank, M., Ogurtsova, K., Duncan, B.B., et al., IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045, Diabetes Res. Clin. Pract., 2022, 183: 109119. 10.1016/j.diabres.2021.109119.
- Edmonds, M., Manu, C., Vas, P., The current burden of diabetic foot disease, J. Clin. Orthop. Trauma., 2021, 17: 1788–1793. 10.1016/j.jcot.2021.01.017.
- Trieb, K., The Charcot foot: pathophysiology, diagnosis and classification, Bone Joint J., 2016, 98-b(9): 1155–1159. 10.1302/0301-620X.98B9.37038.
- Jeffcoate, W., Lima, J., Nobrega, L., The Charcot foot, Diabet. Med., 2000, 17(4): 253–258. 10.1046/j.1464-5491.2000.00233.x.
- Stancu, B., Ilyés, T., Farcas, M., Coman, H.F., Chiș, B.A., Andercou, O.A., Diabetic Foot Complications: A Retrospective Cohort Study, Int. J. Environ. Res. Public Health, 2023, 20(1): 187. 10.3390/ijerph20010187.
- Yammine, K., Boulos, K., Assi, C., Hayek, F., Amputation and mortality frequencies associated with diabetic Charcot foot arthropathy: a meta-analysis, Foot Ankle. Surg., 2022, 28(8): 1170–1176. 10.1016/j.fas.2022.08.004.
- Bus, S.A., Armstrong, D.G., van Deursen, R.W., et al., IWGDF guidance on footwear and offloading interventions to prevent and heal foot ulcers in patients with diabetes, Diabetes Metab Res Rev., 2016, 32(S1): 25–36. 10.1002/dmrr.2697.
- Wrobel, J.S., Najafi, B., Diabetic foot biomechanics and gait dysfunction, J. Diabetes Sci. Technol., 2010, 4(4): 833–845. 10.1177/193229681000400411.
- Ružbarská, I., Gross motor coordination and physical fitness in overweight and obese primary school children compared with normal weight peers, Phys Act Rev., 2024, 12(2): 53–64. 10.16926/par.2024.12.21.
- Allet, L., Armand, S., De Bie, R.A., et al., The gait and balance of patients with diabetes can be improved: a randomised controlled trial, Diabetologia, 2010, 53(3): 458–466. 10.1007/s00125-009-1592-4.
- Alam, U., Riley, D.R., Jugdey, R.S., et al., Diabetic neuropathy and gait: A review, Diabetes Ther., 2017, 8(6): 1253–1264. 10.1007/s13300-017-0295-y.
- Hazari, A., Maiya, A.G., Shivashankara, K.N., et al., Kinetics and kinematics of diabetic foot in type 2 diabetes mellitus with and without peripheral neuropathy: a systematic review and meta-analysis, SpringerPlus, 2016, 5(1): 1819. 10.1186/s40064-016-3405-9.
- Wang, Z., Peng, S., Zhang, H., Sun, H., Hu, J., Gait Parameters and Peripheral Neuropathy in Patients With Diabetes: A Meta-Analysis, Front. Endocrinol., 2022, 13: 891356. 10.3389/fendo.2022.891356.
- Błażkiewicz, M., Sundar, L., Healy, A., Ramachandran, A., Chockalingam, N., Naemi, R., Assessment of lower leg muscle force distribution during isometric ankle dorsi and plantar flexion in patients with diabetes: A preliminary study, J. Diabetes Complications, 2015, 29(2): 282–287. 10.1016/j.jdiacomp.2014.10.007.
- Francia, P., Gulisano, M., Anichini, R., Seghieri, G., Diabetic foot and exercise therapy: step by step the role of rigid posture and biomechanics treatment, Curr. Diabetes Rev., 2014, 10(2): 86–99. 10.2174/1573399810666140507112536.
- Malki, A., Baltasar Badaya, M., Dekker, R., Verkerke, G.J., Hijmans, J.M., Effects of individually optimized rocker midsoles and self-adjusting insoles on dynamic stability in persons with diabetes mellitus and neuropathy, Gait Posture, 2024, 112: 112154–112158. 10.1016/j.gaitpost.2024.05.011.
- Van Schie, C.H., A review of the biomechanics of the diabetic foot, Int. J. Low. Extrem. Wounds, 2005, 4(3): 160–170.
- Chapman, J.D., Preece, S., Braunstein, B., et al., Effect of rocker shoe design features on forefoot plantar pressures in people with and without diabetes, Clin. Biomech. (Bristol, Avon), 2013, 28(6): 679–685. 10.1016/j.clinbiomech.2013.05.005.
- Dingwell, J.B., Ulbrecht, J.S., Boch, J., Becker, M.B., O’gorman, J.T., Cavanagh, P.R., Neuropathic gait shows only trends towards increased variability of sagittal plane kinematics during treadmill locomotion, Gait Posture, 1999, 10(1): 21–29. 10.1016/s0966-6362(99)00016-8.
- Hijmans, J.M., Geertzen, J.H., Zijlstra, W., Hof, A.L., Postema, K., Effects of vibrating insoles on standing balance in diabetic neuropathy, J. Rehabil. Res. Dev., 2008, 45(9): 1441–1449. 10.1016/j.gaitpost.2009.08.058. PMID: 19319766
- Healy, A., Naemi, R., Chockalingam, N., The effectiveness of footwear as an intervention to prevent or to reduce biomechanical risk factors associated with diabetic foot ulceration: a systematic review, J. Diabetes Complications, 2013, 27(4): 391–400. 10.1016/j.jdiacomp.2013.03.001.
- Richardson, J.K., Hurvitz, E.A., Peripheral neuropathy: A true risk factor for falls, J. Gerontol. A Biol. Sci. Med. Sci., 1995, 50(4): M211–215.
- Preece, S.J., Chapman, J.D., Braunstein, B., Brüggemann, G.P., Nester, C.J., Optimisation of rocker sole footwear for prevention of first plantar ulcer: comparison of group-optimised and individually-selected footwear designs, J. Foot Ankle Res., 2017, 1027. 10.1186/s13047-017-0208-3.
- Hortobágyi, T., Devita, P., Muscle pre- and coactivity during downward stepping are associated with leg stiffness in aging, J. Electromyogr. Kinesiol., 2000, 10(2): 117–126. 10.1016/s1050-6411(99)00026-7.
Language: English
Page range: 41 - 47
Submitted on: Mar 4, 2026
Accepted on: Apr 2, 2026
Published on: Sep 21, 2026
Published by: Wroclaw University of Science and Technology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
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© 2026 Sylwia Bęcławska, Michalina Błażkiewicz, Piotr Czyżewski, Jacek Wąsik, published by Wroclaw University of Science and Technology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.