+44 (0)1509 263171
Please use this identifier to cite or link to this item:
|Title: ||A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers|
|Authors: ||Jones, Petra J.|
Bibb, Richard J.
Davies, Melanie J.
Fong, Daniel Tik-Pui
|Issue Date: ||2019|
|Publisher: ||© Elsevier|
|Citation: ||JONES, P.J. ... et al, 2019. A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers. Diabetes Research and Clinical Practice, doi:10.1016/j.diabres.2019.05.017.|
|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 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 6-20mm 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.|
|Description: ||This paper is in closed access until 22 May 2020.|
|Version: ||Accepted for publication|
|Publisher Link: ||https://doi.org/10.1016/j.diabres.2019.05.017|
|Appears in Collections:||Closed Access (Design School)|
Files associated with this item:
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.