Benazir S¹*, Manoj Abraham² and D Kannan³

¹MPT-Research Scholar, KG College of Physiotherapy, Coimbatore-641035, Affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai, India ²Principal, KG College of Physiotherapy, Coimbatore, Affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai-600032, India ³Principal, JKK Munirajah Medical Research Foundation College of Physiotherapy, Namakkal-638183, Affiliated to The Tamil Nadu Dr.M.G. R Medical University, Chennai-600032, India

*Corresponding Author: Benazir S, MPT-Research Scholar, KG College of Physiotherapy, Coimbatore-641035, Affiliated to The Tamil Nadu Dr.M.G.R Medical University, Chennai, India.

Received: October 05, 2026; Published: November 04, 2026

Abstract

Diabetic foot disease remains one of the most disabling and costly complications of diabetes mellitus, and elevated plantar pressure is a well-established mechanical precursor to ulceration in the insensate foot. Pedography, more widely known as pedobarography, is the clinical technique used to quantify the distribution of pressure between the plantar surface and the ground or shoe during standing and gait. This narrative review synthesises the literature based on the pathophysiological basis of abnormal loading in diabetic peripheral neuropathy, the principles and technology underlying platform-based and in-shoe pedobarographic systems, and the clinical evidence supporting pedography-guided risk stratification, footwear and insole prescription, identification of clinical pedography based on diabetic foot, deformities and foot postural abnormality and exercise-based physiotherapy intervention. Elevated forefoot peak pressure, particularly at the metatarsal heads, is consistently associated with a higher risk of ulceration, and pedobarographic feedback is essential to design offloading footwear and smart insole systems that reduce ulcer recurrence. Foot- ankle therapeutic exercise and intrinsic muscle strengthening also appear to favorably redistribute plantar load. Pedography emerges as a clinically valuable, non-invasive tool that can meaningfully inform physiotherapy assessment and management pathways for the at-risk diabetic foot.

Keywords: Pedography; Pedobarography; Diabetic Foot; Plantar Pressure; Peripheral Neuropathy; Offloading; Physiotherapy

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Citation

Citation: Benazir S. et al. “Pedography in the Diabetic Foot: A Narrative Review of Clinical Applications, Evidence, and Practice Implications". Acta Scientific Neurology 9.10 (2026): 40-57.

Copyright

Copyright: ©2026 Benazir S. et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.