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Kunkel D, Mamode L, Burnett M, Pickering R, Bader D, Donovan-Hall M, Cole M, Ashburn A, Bowen C. Footwear characteristics and foot problems in community dwelling people with stroke: a cross-sectional observational study. Disabil Rehabil 2023; 45:2630-2637. [PMID: 35968548 PMCID: PMC9612931 DOI: 10.1080/09638288.2022.2102679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2021] [Revised: 07/04/2022] [Accepted: 07/10/2022] [Indexed: 11/22/2022]
Abstract
PURPOSE To explore footwear characteristics and foot problems in community dwelling people with stroke as most research to date focused on the general elderly population. METHODS Thirty people with mild to moderate stroke (nine men, mean age 68, mean time since onset 67 months) attended a single session to assess footwear and foot problems using established podiatry foot (wear) and ankle assessments. RESULTS Most participants wore slippers indoors (n = 17, 57%) and walking shoes outdoors (n = 11, 37%). Over half wore unsupportive ill-fitting shoes indoors and 47% of outdoor shoes fitted badly. All participants had foot problems (mean 6.5 (3.1), 95% CI: 5.4-7.7), including impaired single limb heel raise (93%), reduced range of movement (77%), sensation (47%), and muscle strength (43%). Many had foot-pain, hallux valgus (both 50%), or swollen feet (40%). Foot problems were associated with reduced balance confidence, activity, and community participation (all p < 0.05). A greater proportion of fallers (13/16) than non-fallers (4/14) reported foot problems (p = 0.029). CONCLUSIONS Many community-dwelling people with stroke wore poorly fitting shoes; all had foot problems. Foot problems were linked to reduced mobility. Finding more effective pathways to support people with stroke to select supportive, well-fitting indoor and outdoor footwear is indicated.Implications for rehabilitationPeople with stroke often wear unsupportive ill-fitting shoes and experience foot problems.Assessment of foot problems and footwear advice should be considered during stroke rehabilitation particularly when interventions target fall prevention or improvements in balance and mobility.Information on appropriate footwear and signposting that new shoe purchases should include measuring feet to ensure a good fit is recommended.
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Affiliation(s)
- Dorit Kunkel
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Louis Mamode
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Malcolm Burnett
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Ruth Pickering
- Faculty of Medicine, University of Southampton, Southampton, UK
| | - Dan Bader
- School of Health Sciences, University of Southampton, Southampton, UK
| | | | - Mark Cole
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Ann Ashburn
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Catherine Bowen
- School of Health Sciences, University of Southampton, Southampton, UK
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Navarro-Flores E, Losa-Iglesias ME, Casado-Hernández I, Becerro-de-Bengoa-Vallejo R, Romero-Morales C, Palomo-López P, López-López D, Jiménez-Cebrián AM. Repeatability and reliability of the footwear assessment tool in Spanish patients: A transcultural adaptation. J Tissue Viability 2023; 32:26-32. [PMID: 36564255 DOI: 10.1016/j.jtv.2022.12.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 11/28/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND The footwear assessment tool was designed to advise an appropriate footwear for each situation and patient. Footwear alterations structures can influence in musculoskeletal disorders, developing foot ulcers, increase the peak plantar pressure, bacterial growth, low back pain. METHODS To validate the study 101 subjects were recruited. The study was tested by two expert podiatrists using the tool for the assessment of footwear characteristics that is composed by five domains, fit, general features, general structure, motion control properties and cushioning system. Each domain analyzes different shoe items. RESULTS An excellent agreement between the test-retest. A suitable Cronbach's α was suggested for the five domains of fit (α = 0.952), general features (α = 0.953), general structure (α = 0.947), motion control properties (α = 0.951), and cushioning system (α = 0.951). Test-retest reliability was excellent for all domains. There were no significant differences between any domain (p > 0.05). There was only statistically significant difference in the item forefoot height (p = 0.011). For all the domains items there were no statistically significant difference (p > 0.05). CONCLUSIONS The tool for the assessment European footwear is a suitable repeatability and reliability footwear tool that can be used in Spanish language subjects.
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Affiliation(s)
- Emmanuel Navarro-Flores
- Faculty of Nursing and Podiatry, Department of Nursing, University of Valencia, Frailty Research Organizaded Group, Spain.
| | | | - Israel Casado-Hernández
- Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, 28040, Madrid, Spain.
| | | | - Carlos Romero-Morales
- Faculty of Sport Sciences, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, Spain.
| | | | - Daniel López-López
- Industrial Campus of Ferrol. Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403, Ferrol, Spain.
| | - Ana María Jiménez-Cebrián
- Department Nursing and Podiatry, Faculty of Health Sciences, University of Málaga, c/ Arquitecto Francisco Peñalosa 3, Ampliación del Campus de Teatinos, 29071, Málaga, Instituto de Investigación Biomédica de Málaga, Spain.
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Keukenkamp R, van Netten JJ, Busch-Westbroek TE, Nollet F, Bus SA. Users' needs and expectations and the design of a new custom-made indoor footwear solution for people with diabetes at risk of foot ulceration. Disabil Rehabil 2022; 44:8493-8500. [PMID: 34846977 DOI: 10.1080/09638288.2021.2003878] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
PURPOSE To assess users' needs and expectations regarding custom-made indoor footwear, and to design such footwear with similar biomechanical efficacy and better usability compared to regular custom-made footwear in people with diabetes at risk for foot ulceration. MATERIALS AND METHODS Multidisciplinary systematic design approach. Needs and expectations regarding indoor footwear were evaluated via a questionnaire in 50 high foot ulcer risk people with diabetes using custom-made footwear. We systematically designed indoor footwear, and manufactured this for nine participants. Primary requirement was similar plantar pressure compared to participants' regular custom-made footwear. RESULTS Eighty-two percent of participants expressed a need for custom-made indoor footwear and 66% expected such footwear to increase their adherence. The custom-made indoor footwear had the same bottom construction as participants' regular custom-made footwear, but with softer and more light-weight upper materials. Peak pressures were similar or lower, while qualitative evaluation showed better usability and lower costs for indoor footwear. CONCLUSIONS People with diabetes at risk of foot ulceration expressed a clear need for custom-made indoor footwear, and expected such footwear to increase their adherence. Our indoor footwear design provides adequate pressure relief, with better usability, and can be produced at lower costs compared to regular custom-made footwear.Implications for rehabilitationPeople with diabetes at risk of foot ulceration express a need for special indoor footwear.We developed indoor footwear with similar offloading capacity as regular custom-made footwear.The indoor footwear is lighter in weight, easier to don/doff and lower in costs.At-risk people with diabetes expect this footwear to increase their footwear adherence.
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Affiliation(s)
- Renske Keukenkamp
- Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Jaap J van Netten
- Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Tessa E Busch-Westbroek
- Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Frans Nollet
- Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands
| | - Sicco A Bus
- Department of Rehabilitation, Amsterdam Movement Sciences, Amsterdam UMC, Location AMC, University of Amsterdam, Amsterdam, The Netherlands
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Amiez N, Cometti C, Mouillon É, Teisseire MJ, Chenut P, Paizis C, Babault N. Effects of Balance Shoes on Balance and Postural Stability in the Elderly: A Crossover, Controlled, Randomized Single-Blind Study. Healthcare (Basel) 2021; 9:179. [PMID: 33567648 PMCID: PMC7915041 DOI: 10.3390/healthcare9020179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2021] [Revised: 01/29/2021] [Accepted: 02/04/2021] [Indexed: 11/30/2022] Open
Abstract
The risk of falling increases with age. Individuals wearing unadapted shoes present an aggravating risk factor. The objective of this study was to determine the effectiveness of specifically designed balance shoes on balance and postural stability in healthy elderly people compared to that of their usual shoes. In total, 21 healthy individuals aged 65-84 years (76.0 ± 8.0 years) performed balance tests (bipedal with open or closed eyes, unipedal with open eyes, limits of stability, and step cadence) while wearing their (i) personal shoes or (ii) balance shoes (Axis Comfort Development©). Three test sessions were conducted with personal and balance shoes. The first served as the baseline, and the other two were performed after a familiarization period of several days with the personal or balance shoes. The perception of balance shoe efficiency was documented using a questionnaire. The balance shoes significantly improved bipedal balance with closed eyes. Moreover, the familiarization period significantly improved unipedal balance with open eyes. Most subjects felt safer and stabler using balance shoes. The investigated specifically designed balance shoes were effective in elderly individuals in improving postural balance compared to personal shoes. The balance shoes could, therefore, reduce the falling risk in healthy elderly people.
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Affiliation(s)
- Nicolas Amiez
- Center for Performance Expertise, CAPS, U1093 INSERM, Faculty of Sport Sciences, University of Bourgogne-Franche-Comté, 21000 Dijon CEDEX, France; (N.A.); (C.C.); (C.P.)
| | - Carole Cometti
- Center for Performance Expertise, CAPS, U1093 INSERM, Faculty of Sport Sciences, University of Bourgogne-Franche-Comté, 21000 Dijon CEDEX, France; (N.A.); (C.C.); (C.P.)
| | - Éric Mouillon
- Axis Comfort Development, 81 Avenue des Bourdettes, 31250 Revel, France; (É.M.); (M.J.T.); (P.C.)
| | - Marie José Teisseire
- Axis Comfort Development, 81 Avenue des Bourdettes, 31250 Revel, France; (É.M.); (M.J.T.); (P.C.)
| | - Pascal Chenut
- Axis Comfort Development, 81 Avenue des Bourdettes, 31250 Revel, France; (É.M.); (M.J.T.); (P.C.)
| | - Christos Paizis
- Center for Performance Expertise, CAPS, U1093 INSERM, Faculty of Sport Sciences, University of Bourgogne-Franche-Comté, 21000 Dijon CEDEX, France; (N.A.); (C.C.); (C.P.)
| | - Nicolas Babault
- Center for Performance Expertise, CAPS, U1093 INSERM, Faculty of Sport Sciences, University of Bourgogne-Franche-Comté, 21000 Dijon CEDEX, France; (N.A.); (C.C.); (C.P.)
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