Effects of Customized Silicone Digital Orthoses in People With Diabetic Neuropathy

Inclusion Criteria: * Diagnosed type 1 or 2 diabetes, with diabetic peripheral neuropathy confirmed by loss of sensitivity measured by 10 g Semmes-Weinstein monofilament or 128Hz tuning fork and by the fuzzy score (www.usp.br/labimph/fuzzy); * Presence of 1 or more deformities at the forefoot region (claw toes, hammer toes, mallet toes, overlapping toes, hallux valgus, prominence of the metatarsal heads or reduction/displacement of the fat pad); * Ability to walk independently with or without the aid of a walking device; Exclusion Criteria: * Presence of other diagnosed neurological diseases; * Presence of dementia or inability to give consistent information; * Presence of major vascular complications; * Receiving any physiotherapy intervention; * Major vascular complications (ischemia) * Presence of an active ulcer at the time of baseline assessment; * Major amputations; * Minor amputations, except toes.