Table 2 Information identified for off-loading strategies and mapped against review objectives
Intervention/strategy and citation(s) | Citation(s) | Recommended or contraindicated for use in the presence of the named conditions or complications identified from the review | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Table key: ✓ Recommended X Not recommended - Unsure / insufficient information | |||||||||||||
Diabetic foot ulcer | Lower limb oedema | Both diabetic foot ulcer and lower limb oedema | Severe Peripheral arterial disease (ABPI < 0.5) | Moderate peripheral arterial disease (ABPI 0.5—0.8) | Peripheral neuropathy | Soft tissue infection including cellulitis | Osteomyelitis | Leg ulcer | Lymphorrhoea | Varicose veins | |||
Offloading devices or strategies for the management of diabetic foot ulcers | Total contact cast | Ho 2012 [2] | ✓ | - | - | - | - | - | X | X | - | - | - |
Riopelle 2021 [41] | ✓ | X | X | - | - | - | X | X | - | - | - | ||
Tickner 2016 [42] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
Naude 2015 [43] | ✓ | X | X | X | - | X | X | - | - | - | - | ||
Whitelaw 2012 [44] | ✓ | - | - | X | - | - | X | X | - | - | X | ||
Removable knee-high walking cast/boot | Dept.Health W.Aus 2013 [45] | ✓ | ✓ | ✓ | X | - | - | - | - | - | - | - | |
Oped 2022 [46] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
Oped 2022 [47] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
Edmonds 2008 [28] | ✓ | - | - | - | - | - | - | - | - | - | - | ||
Ankle-height removable cast | Oped 2022 [48] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | |
Glynn 2021 [27] | ✓ | - | - | - | - | - | - | - | - | - | - | ||
Back slab / bi-valve cast | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
Scotch cast boot | Edmonds 2008 [28] | ✓ | - | - | - | - | - | - | - | - | - | - | |
Off-loading shoe | Darco 2022 [50] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | |
Heel off-loading device | Darco 2022 [51] | ✓ | ✓ | ✓ | - | - | - | - | - | X | X | - | |