الفهرس 
Effect of pressure relief insoles versus exercise therapy on prevention of ulceration in the neuropathic diabetic foot
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Abstract
Patients with diabetic peripheral neuropathy are at an increased risk for developing foot ulcerations, Early detection and effective management can reduce the severity of complications. The purpose of this study was to find out the effect of insole versus physiotherapeutic intervention on planter pressure distribution for ankle and foot. Sixty Saudi women with neuropathic diabetic foot, their ages ranged from 45-60 years, were assigned into three equal groups, study group 1 (G₁) used specifically prescribed insoles while study group 2 (G₂) received physiotherapeutic intervention 60 minutes per day, 3 sessions a week for 8 weeks. Control group (G₃) took only their medical treatment. A capacitance-based pressure platform was used for detecting the pattern of planter pressure and contact area. Results: Within group comparison showed a significant decrease in the planter pressure and increase of the contact area (p{u2264}0.05). Between groups comparison revealed a significant effect of both insoles and physiotherapeutic intervention (p{u2264}0.05). The calculated percentage of change showed that there is an improvement of G₂ more than G₁. Conclusion: Both Insole and physiotherapeutic intervention effectively prevent the diabetic foot ulceration supported by significant changes in peak plantar pressure distribution and foot contact area. This findings suggest that exercises are more effective than insoles in reducing peak pressure and increasing foot contact area and thus preventing foot ulcers