Jones et al - a fitting problem - Diabetes Research and Clinical Practice.pdf (1.42 MB)
A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers
journal contribution
posted on 2019-05-21, 12:49 authored by Petra J. Jones, Richard Bibb, Melanie J. Davies, Kamlesh Khunti, Matthew McCarthy, Daniel FongDaniel Fong, David WebbAims: 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.
History
School
- Design
Published in
Diabetes Research and Clinical PracticeVolume
154Pages
66 - 74Citation
JONES, P.J. ... et al, 2019. A fitting problem: Standardising shoe fit standards to reduce related diabetic foot ulcers. Diabetes Research and Clinical Practice, 154, pp.66-74.Publisher
© ElsevierVersion
- AM (Accepted Manuscript)
Publisher statement
This paper was accepted for publication in the journal Diabetes Research and Clinical Practice and the definitive published version is available at https://doi.org/10.1016/j.diabres.2019.05.017.Acceptance date
2019-05-15Publication date
2019-05-22ISSN
0168-8227Publisher version
Language
- en