Therapeutic Footwear for the Neuropathic Foot: An algorithm
- Rutger Dahmen, MD1,
- Rob Haspels2,
- Bart Koomen2 and
- Agnes F. Hoeksma, MD3
- 1Department of Rehabilitation Medicine, Slotervaartziekenhuis and Jan van Breemen Institute
- 2Centre for Orthopedic Technology
- 3Department of Rehabilitation Medicine, Academical Medical Centre, Amsterdam, The Netherlands
Abstract
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.
Footnotes
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Address correspondence and reprint requests to Rutger Dahmen, Psysiatrist, Slotervaartziekenhuis, Department of Rehabilitation Medicine, P.O. Box 90440, 1006 BK Amsterdam, The Netherlands. E-mail: fyrda{at}slz.nl.
Received for publication 5 May 2000 and accepted in revised form 28 September 2000.
A table elsewhere in this issue shows conventional and Système International (SI) units and conversion factors for many substances.
