Social aspects of assessing the quality of complex orthopedic shoes

Authors:

Skirmont Elena Ivanovna — senior researcher of Department of orthopedic shoes and special clothing for the disabled of Institute Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: 812skirmont@mail.ru; http://orcid.org/0000-0002-7924-2445.

Zimina Elena L’vovna — senior researcher of Department of orthopedic shoes and special clothing for the disabled of Institute Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: 8120zimina@mail.ru; http://orcid.org/0000-0003-3121-6237.

Lade Aleksandra Sergeyevna — junior researcher of Department of orthopedic shoes and special clothing for the disabled of Institute Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: aleksa.lade@mail.ru; http://orcid.org/0000-0001-6078-268X.

Zarezina Galina Nikolayevna — junior researcher of Department of orthopedic shoes and special clothing for the disabled of Institute Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: 812gzarezina@mail.ru.

Kovalevich-Bot’ Viktoriya Aleksandrovna — researcher of Department of orthopedic shoes and special clothing for the disabled of Institute Prosthetics and Orthotics, Albrecht Federal Scientific and Educational Centre of Medical and Social Expertise and Rehabilitation, 50 Bestuzhevskaya Street, 195067 St. Petersburg, Russian Federation; e-mail: kovalevich.albreht.lab@yandex.ru.

Annotation:

Introduction. Functional and anatomical disorders of the musculoskeletal system cause difficulties or even inability to move when using standard shoes. The solution to this problem is not only to provide patients with high-quality orthopedic shoes, but also their constant use. When prescribing and evaluating the quality of orthopedic shoes, specialists should focus on the effectiveness and aspects of user satisfaction.

Aim. The aim of the study was to assess the quality of orthopedic shoes with individual manufacturing parameters, taking into account user satisfaction.

Materials and methods. The research material was information obtained from a survey of 24 users of orthopedic shoes. The research methods used were a sociological method based on collecting user responses to the questions posed and analyzing their opinions on orthopedic shoes presented in the questionnaire. A comparative analysis of the information obtained with the data presented in the current Russian regulatory and technical documents is carried out.

Results. Studies have shown that the ease of use and the nature of wear of orthopedic shoes are directly correlated with the anatomical and functional condition of the feet, as well as the frequency and duration of its use. It is necessary to take into account the identified priority reasons for satisfaction or dissatisfaction of users with orthopedic shoes when evaluating their quality.

Discussion. When evaluating medical (functional) quality indicators of orthopedic shoes made for a specific user, one should take into account the level of his motor activity, occupation, mobility, life situation, etc. Special orthopedic parts should create a form-resistant frame in orthopedic shoes and keep the foot in a corrected position throughout its service life. The wear of orthopedic shoes is directly dependent on the rationality of the design for a particular user.

Conclusion. Even a slight deviation from medical and technical requirements leads to a negative effect in the form of complaints of pain and instability when walking in orthopedic shoes and, as a result, a reduction in the time of its operation. A prerequisite for a patient with foot pathology to have a rehabilitation effect from the prescribed complex orthopedic shoes is, first of all, their constant use outdoors and indoors.

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