System of tests for appointment and manufacture of complex orthopaedic shoes for disabled with foot defects and deformations

Authors:

Yulia B. Golubeva, Head of the Department of orthopedic footwear and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: 812golub@mail.ru

Irina K. Gorelova, senior researcher of the Department of orthopedic shoes and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: 812gorelova@mail.ru

Elena I. Skirmont, senior researcher of the Department of orthopedic shoes and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: 812skirmont@mail.ru

Elena L. Zimina, senior researcher of the Department of orthopedic shoes and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: 8120zimina@mail.ru

Galina N. Zaresina, junior researcher of the Department of orthopedic shoes and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail:812gzarezina@mail.ru

Veniamin F. Nikolaev, PhD Med. Sci., Deputy Director of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: doc.nikolaev@mail.ru

Alla O. Andrievskaya, PhD Med. Sci., Associate Professor, senior researcher of the Department of orthopedic shoes and special clothing for the disabled of Institute of Prosthetics and Orthotics of the Federal Scientific Center of Rehabilitation of the Disabled named after G.A. Albrecht, 50 Bestuzhevskaya Street, 195067 Saint-Petersburg, Russian Federation, е-mail: alandrievskaya@yandex.ru

Annotation:

Introduction. The complexity and often impossibility of independent movement when using standard shoes by disabled persons with anatomical defects and functional disorders of the musculoskeletal system leads to restriction of life activity and deterioration of the quality of life. The solution to this problem is to provide orthopedic footwear.
According to the data of the Ministry of Labor for 2018, the 859,027 of disabled persons was provided with orthopedic footwear.
Determination of indications for the appointment of a particular design, the development of technologies, the production and provision of disabled persons with technical means of rehabilitation, including complicated ortho- pedic footwear, is a complex process that requires knowledge in various fields, such as medicine, biomechanics, tech- nology, materials science. In recent years, there has been an increase in claims to unsatisfactory quality or unsuit- ability for using existing technical means of rehabilitation (orthopedic shoes). The development of algorithms for the appointment and manufacture of complex orthopedic shoes for people with disabilities with foot defects and defor- mations will help solve this problem.

Aim. The aim of this work is to develop a draft production and practical manual that will allow for objectification of the choice of design of complicated orthopedic shoes, as well as prepare the production process of orthopedic sup- port for digitalization.

Materials and methods. The study was conducted on the basis of analysis of literature data, existing Russian regulatory documents, state standards (GOSTs), methodological materials, the range of manufactured products and regulatory support for prosthetic and orthopedic enterprises of the Russian Federation, analysis of 67 pairs of com- plicated orthopedic shoes.
Additional research materials are reviews of specialists who participated in the designation and manufacture of complex orthopedic shoes.
As research methods applied: retrospective analysis of the problem; theoretical method, including analysis, syn- thesis and analogy; system analysis method.

Results. An analysis of the legislative framework for providing disabled people with technical rehabilitation equipment, as well as the results of examining complex orthopedic shoes of various manufacturers, allowed us to develop a system of evidence-based tests that determine the rational orthopedic provision of disabled people with defects and deformations of the feet.

Conclusion. The result of the work is the optimization of informativeness and objectivity of the choice of ortho- pedic shoe design for specific types of foot deformation.

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