AI Article Synopsis
- Incorrect shoe fit significantly contributes to callus formation and diabetic foot ulcers, yet there is a lack of consensus on proper shoe fitting guidelines, leading to confusion in practices and protocols.
- Current measurement methods for shoe fitting vary widely, with suggested toe gaps ranging from 6 to 20 mm, despite considerable investment in expensive prescription footwear.
- Future research should focus on standardizing shoe fitting definitions, exploring 3D scanning for accurate foot measurements, and investigating how foot shape changes in diabetics differ from non-diabetics to improve footwear fit and reduce ulcer risk.
Article Abstract
Aims: Incorrectly fitting shoes are implicated in callus formation and a significant proportion of diabetic foot ulcers, yet remain surprisingly prevalent. We review the current shoe fit guidelines for consistency and discuss ways in which technology may assist us in standardising methods of footwear assessment.
Methods: Narrative review.
Results: Incorrectly fitted shoes are implicated in the development of some diabetic foot ulcers yet surprisingly there's no consensus on shoe fit, despite substantial spending on prescription footwear. Suggested toe gaps vary from 6 to 20 mm and measurement methods also vary from Brannock Devices and callipers to manual measurement.
Conclusions: To prevent fit-related foot ulceration, we need to standardise our biomechanical definition of fit. Future research should (1) evaluate the potential use of 3D scanning technology to provide a standardised means of capturing foot morphology; (2) develop a working biomechanical definition of fit, including toe gap through the identification of key physiological markers that capture and predict dynamic foot shape changes during different physical activities and body weight loading conditions; and (3) determine whether changes in dynamic foot shape of those with diabetes differs from those without, impacting on their shoe fitting needs, potentially necessitating specialist footwear at an earlier stage to avoid ulceration.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.diabres.2019.05.017 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Using Fitness Tracker Data to Overcome Pressure Insole Wear Time Challenges for Remote Musculoskeletal Monitoring.
Sensors (Basel)
December 2024
Department of Mechanical Engineering, Vanderbilt University, Nashville, TN 37212, USA.
Tibia shaft fractures are common lower extremity fractures that can require surgery and rehabilitation. However, patient recovery is often poor, partly due to clinicians' inability to monitor bone loading, which is critical to stimulating healing. We envision a future of patient care that includes at-home monitoring of tibia loading using pressure-sensing insoles.
View Article and Find Full Text PDFManagement of Children with Megafoot Secondary to Proteus Syndrome: A Report of Three Cases with Long-Term Follow-Up.
J Am Podiatr Med Assoc
November 2024
*Department of Orthopaedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Background: Proteus syndrome is a rare disorder characterized by overgrowth of limbs and organs and neurocutaneous findings.
Methods: We examined three Proteus syndrome cases with unilateral foot enlargement, megafoot. The patients had ambulatory and cosmetic difficulties.
Hand and foot overestimation in visually impaired human adults.
Neuroscience
December 2024
Unit for visually impaired (UVIP), Italian Institute of Technology, Genova, Italy.
Previous research has shown that visual impairment results in reduced audio, tactile and proprioceptive ability. One hypothesis is that these issues arise from inaccurate body representations. Few studies have investigated metric body representations in a visually impaired population.
View Article and Find Full Text PDFA Reliability Study of the Load Distribution Percentage While Walking Using Curalgia Feet Sx Smart Insoles.
Cureus
August 2024
Incubation Center, Shriram institute for Industrial Research, Gurugram, IND.
Background Gait analysis has evolved through many years of research. Many methods are used to analyze the gait of a subject. Recent times have shown a high demand for wearable sensor-based insoles integrated with smartphone-based devices used for gait analysis due to ease of use.
View Article and Find Full Text PDFSilicone Shoes for the Treatment of Foot Pad Dermatitis (Bumblefoot) in Pet Chickens-A Retrospective Case Series.
Animals (Basel)
September 2024
Clinical Unit of Anaesthesiology and Perioperative Intensive-Care Medicine, University of Veterinary Medicine Vienna, Veterinärplatz 1, 1210 Vienna, Austria.
Backyard chickens often suffer from foot pad dermatitis (FPD), a condition exacerbated by poor husbandry, nutritional deficiencies, and obesity. Pressure-relieving bandages, commonly used in the treatment of FPD, are impractical for outdoor chickens as they quickly become wet and dirty, necessitating daily changes that are often unfeasible. This retrospective study explores the use of custom-fit silicone shoes created via 3D-printed molds as an alternative to traditional bandages.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!