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Diabetes Care 24:705-709, 2001
© 2001 by the American Diabetes Association, Inc.

Emerging Treatments and Technologies
Original Article

Therapeutic Footwear for the Neuropathic Foot: An algorithm

Rutger Dahmen, MD1, Rob Haspels2, Bart Koomen2 and Agnes F. Hoeksma, MD3

1 Department of Rehabilitation Medicine, Slotervaartziekenhuis and Jan van Breemen Institute
2 Centre for Orthopedic Technology
3 Department of Rehabilitation Medicine, Academical Medical Centre, Amsterdam, The Netherlands

Neuropathy may bring about changes in form and function of the foot, which may lead to ulceration and progressive deformity. These manifestations often require specially adapted footwear. A comprehensive concept of the medical, functional, and technical requirements for this type of footwear is still lacking to date. In this article, we present an algorithm that should facilitate prescription and manufacture of adequate shoes. This algorithm attempts to establish a link between the requirements from a medical and functional point of view and the technical possibilities of orthopedic shoe technology.

Abbreviations: LJM, limited joint mobility • MTP, metatarsophalangeal joints


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Copyright © 2001 by the American Diabetes Association.