Show simple item record

dc.contributor.authorHurst, Bessie
dc.contributor.authorBranthwaite, Helen
dc.contributor.authorGreenhalgh, Andrew
dc.contributor.authorChockalingam, Nachiappan
dc.date.accessioned2018-04-13T15:06:49Z
dc.date.available2018-04-13T15:06:49Z
dc.date.issued2017-01-05
dc.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-z
dc.identifier.issn1757-1146
dc.identifier.otherPURE: 11396686
dc.identifier.otherPURE UUID: 68415443-88e2-423b-8ca8-810fe033bb8b
dc.identifier.otherPubMed: 28070223
dc.identifier.otherPubMedCentral: PMC5217416
dc.identifier.otherScopus: 85008402213
dc.identifier.urihttp://hdl.handle.net/2299/19983
dc.descriptionThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License CC BY 4.0, (http://creativecommons.org/licenses/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.
dc.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
dc.language.isoeng
dc.relation.ispartofJournal of Foot and Ankle Research
dc.rights/dk/atira/pure/core/openaccesspermission/open
dc.subjectJournal Article
dc.titleMedical-grade footwear: : the impact of fit and comforten
dc.contributor.institutionDepartment of Psychology and Sports Sciences
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionCentre for Research in Psychology and Sport Sciences
dc.contributor.institutionHealth and Wellbeing
dc.contributor.institutionFunctional Therapy and Biomechanics
dc.contributor.institutionSport, Health and Exercise
dc.description.statusPeer reviewed
dc.relation.schoolSchool of Life and Medical Sciences
dc.description.versiontypeFinal Published version
dcterms.dateAccepted2016-12-12
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1186/s13047-016-0184-z
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeopenAccess


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record