Research Article

A proposed design framework for the provision of appropriate footwear for people suffering with diabetics

TAGANG J. I1*, CHEN C C2, PEI E3, HIGGETT N2
1 Footwear Technology Department, Nigerian Institute of leather and Science Technology, Zaria, Nigeria.
2 School of Design, Faculty of Art, Design and Humanities. De Montfort University, Leicester, UK.
3 Dept. of Design, School of Engineering Design & Physical Sciences, Brunnel University, London, UK.
* Corresponding author: jerrytagang@yahoo.com
Published: Dec, 2014
Pages: 28-34

Abstract

A frequently referenced component in the prevention of diabetic foot problems is the use of therapeutic footwear. Thus, footwear should be designed to relieve pressure areas, reduce shock and shear forces and be able to accommodate foot deformities by supporting and stabilizing them. There is however lack of adequate knowledge about the role of footwear and multidisciplinary approach in the management of foot related problems among diabetic patients and health care providers. This study is the first of its kind to be done in Nigeria with an aim to develop a design framework that would help to identify appropriate footwear designs for people suffering with diabetes. The proposed design framework was developed based on information gathered through questionnaires and interview surveys of diabetic patients and medical doctors in Nigeria respectively. The design framework shows three step-by-step procedures for provision of appropriate footwear to people suffering with diabetes. Product Design Specification was also formulated to determine key elements that could be considered in the design and selection of appropriate materials for diabetic footwear manufacture. Three functional prototypes (footwear) were made and used to test various usability aspects of the product with the prospective users. It was concluded that the high rate of amputation reported amongst diabetic patients could be drastically reduced through effective use of the proposed design frame work. Finally, limitations of this work and areas that would require further research were also outlined.

Keywords

Design Framework Footwear Diabetics Foot Problems and Nigeria

References

  1. Abbas, Z. G. And Archibald, L. K. (2007) Challenges for management of the diabetic foot in Africa: doing more with less. International Wound Journal, 4. (4), pp. 305-313.
  2. Bus S. A, D. Ralk G. D, Van, D. R. W, Armstrong D.G, Caravaggi C, Hlayacek P. Bakker K, and Cavanagh P. R. (2008) The effectiveness of footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in diabetes: a systematic review. Diabetes/ metabolism research and reviews. 24 (1): pp. S162-S180. [WWW] Available from: www.iterscience.wiley.com. (Accessed on 31/10/11).
  3. Covington, T. (2009) Tanning Chemistry: The Science of Leather. Cambridge. The Royal Society of Chemistry.
  4. Davia, M. Jimeno-Morenilla, A. & Salas, F. (2013) Footwear Bio-Modelling: An industry Approach. Computer Aided Design, Vol. 45. pp. 1575-1590.
  5. Ellis E, Balance H, Lunt H, and Lewis D. (2010) Diabetes outpatient care before and after admission for diabetic foot complications. Journal of Wound Care, 19 (4), pp. 150-152.
  6. Erasmus, A. And Jorgensen, A. (2008) Foot at Risk. In: Nather, A. (2008) Diabetic foot problems. Singapore. Fulsland offset printing (s) pte,
  7. Forlee, M. (2010) What is the diabetic foot? CME 28 (4), pp. 152-156.
  8. Harvey, A. J. (1992) Footwear materials and process technology. N. Z. Leather and Shoe Research Association, pp. 120-121.
  9. International Diabetes Federation (2013) Diabetes Atlas. [WWW] Available from: www.idf.org/diabetesatlas/5e/africa. (Accessed ob 11/11/2013).
  10. Janisse, D. J & Janisse (2006) Pedorthic and Orthotic management of the diabetic foot. Foot Ankle Clin, 11 (4), pp. 717-734.
  11. Leese, G. P. (2009) The varied attractions of the diabetic foot. The British Journal of Diabetes and Vascular Disease, 9 (4), pp. 155-159
  12. McInnes, A. Jeffcoate W, Vileikyte L, Game F, Lucas N, Higson N, Stuart L, Stuart A, Scanlan J, and Anders J. (2011) Foot care education in patients with diabetes at low risk of complications: a consensus statement. Diabetic Medicine. Vol. 28, pp. 162-167.
  13. Nather, A. And Signh, G. (2008) Diabetic Footwear: Current Status and Future Directions. In: Aziz Nather, Diabetic Foot Problems. Singapore. World Scientific Publishing, Co. Pte. Ltd.
  14. Nather, A. Bee C. S, Lin W. K, Valerie C. X, Liang S, Tambyah P. A, Jorgensen A, and Nambiar, A. (2010) Value of team approach combined with clinical pathway for diabetic foot problems: a clinical evaluation. Diabetic Foot and Ankle. Vol.1. [WWW] Available from: www.diabeticfootankle.net/index.php/dfa/articl e/view/5731/html-69. (Accessed on 03/05/2012).
  15. Noble-Bell, G. And Forbes, A. (2008) A systematic review of the effectiveness of negative pressure wound therapy in the management of diabetes foot ulcers. International Wound Journal, 5 (2), pp. 233-242.
  16. Sheridan, S. (2012) The Need for a Comprehensive Food Care model. Nephrology Nursing Journal, 39 (5), pp. 397-400.
  17. Steed, D. L. Attinger C, Brem H, Colaizi T, Crossland M, Franz M, Harkless L, Johnson A, Moosa H, Robson M, Serena T, Sheeha P, Veves A, and Wiersma-Bryant L. (2008) Guidelines for the prevention of diabetic ulcers. Would repair and regeneration. Wound Healing Society. Issue 16. pp.169-174.
  18. Tyrrell, W. and CARTER, G. (2009) Therapeutic Footwear: A comprehensive Guide. China. ChurchHill Livingstone, Elsevier.
  19. Usman, T. I. (2013) Interview conducted on 1st February, 2013 at Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
  20. Vernon, W, Borthwick, A. M, Walker, J, Hardy, B, Dunning, D, Denton, C, Drew, C, Nunn, M. (2007) Expert Group Criteria for the recognition of healthy footwear. British Journal of Podiatry, 10 (4), pp. 127-133.
How to Cite

I, T. J., C, C. C., E, P., & N, H. (2014). A proposed design framework for the provision of appropriate footwear for people suffering with diabetics. Nigerian Journal of Materials Science and Engineering, 5(1), 28-34.

T. J. I, C. C. C, P. E, and H. N, "A proposed design framework for the provision of appropriate footwear for people suffering with diabetics," Nigerian Journal of Materials Science and Engineering, vol. 5, no. 1, pp. 28-34, December 2014.

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