Public Health of Indonesia
Vol. 11 No. 2 (2025): April - June

Palm Seed Insole Innovation for Alleviating Foot Numbness among Patients with Diabetes

Suwannarat, Piyanuch (Unknown)
Prom-in, Supattra (Unknown)
Aumpama, Benjawan (Unknown)
Noipha, Kusumarn (Unknown)



Article Info

Publish Date
12 Jun 2025

Abstract

Background: Previous reviews have demonstrated the effectiveness of Thai reflexology massage in alleviating symptoms of diabetic neuropathy. However, there remains a notable gap regarding its long-term sustainability and ease of implementation. To address this issue, the Palm Seed Insole Innovation has been proposed as a practical alternative, offering benefits such as self-administration and accessibility. Nonetheless, comprehensive research including clinical trials and economic evaluations is essential to validate the efficacy and safety of this innovation. Objective: The objectives of this study were to develop a reflexology massage tool, evaluate the effectiveness of the palm seed insole innovation in improving foot sensation among individuals with diabetes, and assess user satisfaction with the innovation. Methods: This study employed a single-group pre-test and post-test design to assess the impact of self-administered foot massage using palm seed insoles on foot numbness among individuals aged 40–70 years diagnosed with type 2 diabetes. A purposive sampling method was used to recruit 35 participants who experienced peripheral foot numbness. Participants performed self-foot massage using the insoles for approximately 15 minutes, three times per week, over a four-week period. After the intervention, user satisfaction with the innovation was measured. Data were analyzed using descriptive statistics (percentages, means, standard deviations) and inferential statistics (paired t-tests). Results: The findings indicated a statistically significant improvement in foot sensation following the four-week intervention (p = 0.000). The mean numbness score for the right foot decreased from 1.71 to 0.60, while the score for the left foot decreased from 2.09 to 0.60. Furthermore, participants reported a high level of satisfaction with the use of the palm seed insole in reducing diabetic neuropathy symptoms. Regarding the innovation’s design, the satisfaction score averaged 4.49 with a standard deviation of 0.76, indicating a positive user experience. Conclusion: The study concluded that self-administered foot massage using the palm seed insole innovation significantly reduced numbness in both feet among individuals with type 2 diabetes. These findings support the potential integration of this innovation into existing diabetic foot care regimens, potentially contributing to the prevention of foot ulcers and lower-limb amputations. Further research involving larger sample sizes and extended follow-up is recommended to confirm these results and assess long-term outcomes. Keywords: palm seed insole; diabetic neuropathy; foot numbness; reflexology; innovation; monofilament

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Journal Info

Abbrev

PHI

Publisher

Subject

Public Health

Description

Public Health of Indonesia is an International, peer-reviewed, and open access journal emphasizing on original research findings that are relevant for developing country perspectives including Indonesia. The journal considers publication of articles as original article, review article, short ...