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Medical-grade footwear: : the impact of fit and comfort

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contributor authorHurst, Bessie
contributor authorBranthwaite, Helen
contributor authorGreenhalgh, Andrew
contributor authorChockalingam, Nachiappan
date accessioned2018-04-13T15:06:49Z
date available2018-04-13T15:06:49Z
date issued2017-01-05
identifier citationHurst , B , Branthwaite , H , Greenhalgh , A & Chockalingam , N 2017 , ' Medical-grade footwear: : the impact of fit and comfort ' Journal of Foot and Ankle Research , vol 10 , no. 2 . DOI: 10.1186/s13047-016-0184-zen
identifier issn1757-1146
identifier otherPURE: 11396686
identifier otherPURE UUID: 68415443-88e2-423b-8ca8-810fe033bb8b
identifier otherPubMed: 28070223
identifier otherPubMedCentral: PMC5217416
identifier otherScopus: 85008402213
identifier uri
descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License CC BY 4.0, (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.en
description abstractBACKGROUND: Pressure-related skin lesions on the digits are a significant cause of discomfort. Most foot pain related to ill-fitting shoes occurs in the forefoot and digital areas. Pain has been associated with poor shoe fit, reduced toe box volume, as well as contour and shape of the shoe Off-the-shelf medical-grade footwear is designed as an intervention for chronic lesions on the digits. These shoes are designed with a flexible neoprene fabric upper that is thought to reduce pressure on the forefoot and reduce discomfort associated with ill-fitting shoes. The aim of this study was to investigate the effect of an off-the-shelf, medical-grade shoe on dorsal digital pressure and perceived comfort when compared to participant's own preferred shoe. METHODS: Thirty participants (18 females, 12 males) scored their perceived comfort whilst wearing each footwear style using a visual analog comfort scale. Dorsal digital and interdigital pressures were measured in using the WalkinSense® in-shoe pressure system. Sensors were placed on predetermined anatomical landmarks on the digits. Participants were randomly assigned the test shoe and their own shoe. Once wearing the shoe, the participants walked across a 6 m walkway and pressure data from each sensor was collected and processed to obtain peak pressure, time to peak pressure and contact time. RESULTS: Participants scored the test shoe with higher comfort points than their own footwear. Overall peak pressure, pressure time integral and contact time decreased, whilst the time taken to reach peak pressure increased across all anatomical landmarks whilst wearing the test shoe. Statistically significant changes were observed for all of the measured variables relating to pressure on the medial border of the first metatarsophalangeal joint. CONCLUSION: The test shoe provided greater comfort and reduced the amount of pressure on the forefoot. The medical-grade footwear therefore, is a viable alternative to custom made prescription footwear and is more suitable than a regular everyday shoe when treating digital lesions associated with pressure.en
language isoeng
relation ispartofJournal of Foot and Ankle Researchen
subjectJournal Articleen
titleMedical-grade footwear: : the impact of fit and comforten
contributor institutionDepartment of Psychology and Sports Sciencesen
contributor institutionSchool of Life and Medical Sciencesen
contributor institutionCentre for Research in Psychology and Sport Sciencesen
contributor institutionHealth and Wellbeingen
contributor institutionFunctional Therapy and Biomechanicsen
contributor institutionSport, Health and Exerciseen
identifier doi
description versionpublishersversionen
description statusPeer revieweden

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