Table 4 Information identified for supplementary strategies and mapped against review objectives
Intervention/strategy | 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 | |||
Options or strategies for the management of DFU and lower limb oedema where both conditions occur together | Integrated working | Atkin 2018, McIntosh 2009, NICE 2021, SIGN 2010, Wounds UK 2015 [20, 25, 52,53,54]. | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ |
Leg elevation | Ho 2012, Atkin 2018, Hillson 2017, Park 2010 [2, 20, 58, 59]. | ✓ | ✓ | ✓ | X | - | - | - | - | - | - | - | |
Patient specific care plan | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ||
Dermal replacement allograft | ✓ | X | ✓ | - | - | - | - | - | - | - | - | ||
Elbow crutches | ✓ | X | ✓ | - | - | - | - | - | - | - | - | ||
Exercise (non-specific) | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
(Theraband) | Gastaldi 2021 [60] | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | |
Manual lymphatic drainage | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | ||
Weight control | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | ✓ | ||
Wound scoring tools | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | - | ||
Bed rest | Glynn 2021 [27]. | X | X | X | - | - | - | - | - | - | - | - | |
General skin care | McIntosh 2009 [25]. | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | |
Neuromuscular taping | Kristiano 2021 [61]. | ✓ | ✓ | ✓ | - | - | - | - | - | - | - | - | |
Patient education | Hillson 2017 [58]. | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | |
Pharmaological | Gastaldi 2021 [60]. | - | ✓ | ✓ | - | - | - | - | - | - | - | ✓ | |
Surgical | Lin 2013 [62]. | ✓ | ✓ | ✓ | X | - | - | - | - | - | - | - | |