The Use of Custom-Made Shoes in Patients with Foot
Deformities in Foot Clinic, Siriraj Hospital
Siranya Paecharoen MD*,
Navaporn Chadchavalpanichaya MD, CPed*
Affiliation :
* Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To study the frequency, result, and concomitant factors of the use of custom-made shoes in Foot Clinic, Siriraj
Hospital.
Material and Method: Studying from patient records and interviewing the patients who had foot deformities without
numbness and received custom-made shoes from the Foot Clinic, Siriraj Hospital between January 2009 and December
2011 about the latest custom-made shoes after the first three months of use.
Results : Sixty-seven participants were reviewed and included eight males (11.9%) and 59 females (88.1%) with an average
age of 57.1 years. The majority had congenital foot deformity (19.4%). Most of them received sandal-type shoes (34.3%)
and total contact orthosis (52.2%). The use of custom-made shoes that the participants had to use for more than 3 days/week
and for more than or equal to 50% of daily walking and standing duration was 47.8%. Using these shoes reduced foot pain
and increased walking stability (p-value = 0.007 and 0.023). Factors associated with the use of custom-made shoes were
no previous callus (odds ratio = 25.30, 95% CI 2.20-290.56), decreasing callus after using the shoes (odds ratio = 23.54,
95% CI 1.65-335.23), decreasing foot pain after using the shoes (odds ratio = 5.01, 95% CI 1.20-20.95), and overall
satisfaction (odd ratio = 21.47, 95% CI 3.81-121.04).
Conclusion : The use of custom-made shoes from the Foot Clinic, Siriraj Hospital was 47.8%. Using the shoes could reduce
foot pain and increase walking stability. Factors associated with the use of custom-made shoes were no previous callus,
decreasing callus, decreasing foot pain, and overall satisfaction.
Keywords : Use of shoes, Custom-made shoes, Foot deformity
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