Table 1 Patient-level listing of existing lower-limb complications and clinical application of pedobarographic measurements, stratified by clinic type

High risk/Ulcer

Current ulcer beneath Left 3rd and 4th metatarsal heads

Assess barefoot plantar loading under healing ulcer site

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Not documented

Assess in-shoe plantar loading with orthopaedic shoe and custom insoles

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Functional leg length discrepancy, has Left heel raise in shoes

Assess plantar loading, particularly around heel raise

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Current ulcer beneath Right forefoot

Compare in-shoe plantar loading between work boots and sports shoes, with offloading insole in both

Current ulcers on medial aspects of Left and Right hallux

Assess barefoot medial plantar loading and centre of pressure line

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Peripheral neuropathy

Assess barefoot loading, particularly under 1st and 5th metatarsal heads

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Not documented

Compare in-shoe plantar loading between no insole and custom orthotic insole

Peripheral neuropathy, severe burns under feet

General assessment of barefoot pressures, plus compare to in-shoe pressures to show benefit of orthotic shoe and insole

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Left hallux amputation

Assessment of in-shoe loading with orthotic footwear, with and without walking frame

Left 3rd toe amputation, Right 2nd toe amputation

Assessment of barefoot pressures, particularly around areas of digit amputation

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Current ulcer under Left forefoot; Left 2nd-4th toe amputation

Assessment of plantar offloading within surgical shoes with custom insoles

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Right foot 3rd-5th toe amputation; blister on side of Right 2nd toe

Assessment of barefoot pressures, particularly around areas of digit amputation

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Current ulcer under Right 1st metatarsal head

Compare in-shoes loading between Pedor (surgical offloading shoe) and ‘Crocs’ non-closed shoes

Current ulcer under Right heel

Assess in-shoe loading, particularly around Right heel wound

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Right hip osteoarthritis, Right knee brace, walks with stroller

Assess in-shoe loading within Pedor orthopaedic shoes

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Left 2nd toe amputation, Left 3rd toe deformity

Assess barefoot loading, particularly around area of amputation

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Current ulcers on medial side of Left and Right hallux

Assess barefoot loading, particularly around Left and Right hallux

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Current ulcer under medial aspect of Right hallux

Assess barefoot loading under healing ulcer site

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Peripheral neuropathy

General assessment of barefoot loading

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Acute Charcot foot

Assess in-shoe loading with shoes and orthotic insoles

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Current ulcer under Right hallux, painful and swollen Left foot

Assess barefoot loading under healing ulcer site

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Mod risk/Non-ulcer

Both knees partial amputation following car accident

Assess loading patterns with and without custom insoles

Severely enlarged Left and Right hallux (congenital deformity)

Assess barefoot loading, particularly hallux region

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Charcot deformity

Compare barefoot and in-shoe loading, show patient benefit of wearing offloading footwear

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None

General assessment of barefoot loading

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Gout

Compare old orthotic insoles with new custom orthotic insole

Flat feet

General assessment of barefoot loading

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Severe recurrent callous under metatarsal heads

Compare barefoot loading pre- and post-callous debridement

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Charcot deformity; former ulcers under Right forefoot and hallux

Assess in-shoe loading under former ulcer sites and Charcot deformity

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Veruca on medial aspect of Right heel

Compare barefoot and in-shoe loading, show patient benefit of wearing offloading footwear

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Left midfoot deformity

Assess barefoot loading, particularly around Left midfoot deformity

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Low risk/General

Peripheral neuropathy

General assessment of barefoot loading

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None

General assessment of barefoot loading

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None

General assessment of barefoot loading

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Arthritic pain in feet

General assessment of barefoot loading

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None

General assessment of barefoot loading

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Right foot pain under forefoot, callus under Right metatarsal heads

General assessment of barefoot loading

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Pain under Left and Right Forefoot

Assess barefoot loading under painful Left and Right forefoot

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