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The Diabetic
Foot Journal

Response: Paucity of research on orthotic materials and diabetic ulceration

Keith Rome

I would like to thank Dr Jones for his comments about the above article. The references come from two sources:

  • Mooney J (1997) The management of foot ulcers. In:  Tollafield DR, Merriman LM, eds. Clinical skills in treating the foot. Churchill Livingstone, Edinburgh: 390
  • Thomson FJ, Veves A, Ashe E et al (1991) A team approach to diabetic foot care: The Manchester experience. The Foot 2: 75-82

I agree that broad and unsubstantiated statements need justification. However, with limited clinical research on the efficacy and effectiveness of orthotic materials to prevent ulceration in the diabetic population, there is always going to be empirical and anecdotal evidence. Therefore, the need for rigorous scientific research which produces measurable outcomes is essential. A review of the literature indicates such a paucity of information on Scotchcast boots.

I would like to thank Dr Jones for his comments about the above article. The references come from two sources:

  • Mooney J (1997) The management of foot ulcers. In:  Tollafield DR, Merriman LM, eds. Clinical skills in treating the foot. Churchill Livingstone, Edinburgh: 390
  • Thomson FJ, Veves A, Ashe E et al (1991) A team approach to diabetic foot care: The Manchester experience. The Foot 2: 75-82

I agree that broad and unsubstantiated statements need justification. However, with limited clinical research on the efficacy and effectiveness of orthotic materials to prevent ulceration in the diabetic population, there is always going to be empirical and anecdotal evidence. Therefore, the need for rigorous scientific research which produces measurable outcomes is essential. A review of the literature indicates such a paucity of information on Scotchcast boots.

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