PDF(Pubmed)
Abstract：
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
UNASSIGNED: 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.
摘要：
■皮肤保护性感觉丧失和高足底压力会增加糖尿病足患者的风险。创伤和溃疡是迫在眉睫的威胁，使评估和监测至关重要。本系统综述旨在确定用于测量鞋内足底压力的系统和技术，重点关注糖尿病足高危人群。
■在四个电子数据库（Scopus，WebofScience,PubMed,牛津期刊)使用PRISMA方法，涵盖1979年至2024年以英文发表的文章。仅包括针对专门测量鞋内足底压力的系统或传感器的研究。
■共审查了87项使用市售设备的研究和45篇提出新系统或传感器的文章。当前的市场产品主要包括仪表鞋垫。正在开发的新兴技术通常具有以下四种配置：六个或八个电阻传感器策略性地放置在可移动鞋垫内。尽管由于人类步态的固有异质性而存在一些变异性，这些设备评估足底压力，尽管它们在测量结果上存在显着差异。糖尿病足患者出现足底压力升高，报告的峰值压力达到约1000kPa。结果还显示了糖尿病组和非糖尿病组之间的显着差异。
■仪表鞋垫，特别是那些采用电阻传感器技术的，主导领域。在关键位置采用八个传感器的系统代表了一种务实的方法，虽然市场选择扩展到多达960个传感器的系统。设备之间的差异可能是测量中的关键因素，并且突出了使用一致的测量设备进行个性化患者评估的重要性。
■在四个电子数据库（Scopus，WebofScience,PubMed,牛津期刊)使用PRISMA方法，涵盖1979年至2024年以英文发表的文章。仅包括针对专门测量鞋内足底压力的系统或传感器的研究。
■共审查了87项使用市售设备的研究和45篇提出新系统或传感器的文章。当前的市场产品主要包括仪表鞋垫。正在开发的新兴技术通常具有以下四种配置：六个或八个电阻传感器策略性地放置在可移动鞋垫内。尽管由于人类步态的固有异质性而存在一些变异性，这些设备评估足底压力，尽管它们在测量结果上存在显着差异。糖尿病足患者出现足底压力升高，报告的峰值压力达到约1000kPa。结果还显示了糖尿病组和非糖尿病组之间的显着差异。
■仪表鞋垫，特别是那些采用电阻传感器技术的，主导领域。在关键位置采用八个传感器的系统代表了一种务实的方法，虽然市场选择扩展到多达960个传感器的系统。设备之间的差异可能是测量中的关键因素，并且突出了使用一致的测量设备进行个性化患者评估的重要性。
