Role and Determinants of Adherence to Off-loading in Diabetic Foot Ulcer Healing: A Prospective Investigation.
Biing-Jiun ShenBiing-Jiun ShenLaura CampbellPeter J LamontAndrew J M BoultonMark PeyrotRobert S KirsnerLoretta VileikytePublished in: Diabetes care (2016)
Off-loading adherence is associated with the amount of DFU healing that occurs, while postural instability is a powerful predictor of nonadherence. Clinicians should take this neuropathic symptom into consideration when selecting an off-loading device, as off-loading-induced postural instability may further contribute to nonadherence.