Moustafa, A., Khalil, N., Sharqawy, M., Viswanathan, V., El Hady, K. (2023). Design Specifications of Proper Footwear to Prevent Diabetic Complications and Enhance Ergonomic Comfort. test, 13(4), 367-383. doi: 10.21608/idj.2023.416404
Ahmed Waheed Moustafa; Nadia Mahmoud Khalil; Mohammed Ibrahim Sharqawy; Vijay Viswanathan; Khlood El Sayed Mohamed El Hady. "Design Specifications of Proper Footwear to Prevent Diabetic Complications and Enhance Ergonomic Comfort". test, 13, 4, 2023, 367-383. doi: 10.21608/idj.2023.416404
Moustafa, A., Khalil, N., Sharqawy, M., Viswanathan, V., El Hady, K. (2023). 'Design Specifications of Proper Footwear to Prevent Diabetic Complications and Enhance Ergonomic Comfort', test, 13(4), pp. 367-383. doi: 10.21608/idj.2023.416404
Moustafa, A., Khalil, N., Sharqawy, M., Viswanathan, V., El Hady, K. Design Specifications of Proper Footwear to Prevent Diabetic Complications and Enhance Ergonomic Comfort. test, 2023; 13(4): 367-383. doi: 10.21608/idj.2023.416404

Design Specifications of Proper Footwear to Prevent Diabetic Complications and Enhance Ergonomic Comfort

International Design Journal
Article 26, Volume 13, Issue 4, July and August 2023, Pages 367-383    PDF (963.9 K)
Document Type: Original Article
DOI: 10.21608/idj.2023.416404
Authors
Ahmed Waheed Moustafa1; Nadia Mahmoud Khalil2; Mohammed Ibrahim Sharqawy3; Vijay Viswanathan4; Khlood El Sayed Mohamed El Hady5
1Faculty of Applied Arts, Helwan University, Orman Giza
2Emeritus professor, Founder and former head of the Leather Industries Department, Faculty of Home Economics, Helwan University,
3Professor of Vascular Surgery, Department of Vascular Surgery, Faculty of Medicine (Kasr Al Ainy), Cairo University
4Head & chief diabetologist, Center of Excellence in Diabetes care, International Diabetis Fedration
5PhD Candidate, Leather Industries Department, Faculty of Home Economics, Helwan University
Abstract
Foot-related complications are common among people with diabetes and are important causes of hospitalization and amputation. Recommendations for persons with diabetes include wearing suitable shoes to reduce foot complications, but such shoes are generally not readily available. This study aims to improve foot comfort and prevent foot complications by modifying conventional design requirements for shoes. Traditional requirements include lightweight construction, good plantar contact, anatomical last, and good side support. However, many commercial shoes deviate from these requirements, leading to interest among occupational therapists. The study focuses on well-structured shoes with ergonomic comfort, focusing on the design of the last and shock-absorbing element. It also suggests foot orthoses and shoe dimensions that approximate the natural plantar contour to prevent ulceration in diabetic neuropathic feet. The ultimate objective is to reduce healthcare costs for hospitals, factory workers, and mountaineers by providing proper footwear. The research aims to provide better autochthonous windy footwear and address the growing diabetic population's needs. Proper footwear is represented by a specific area in the footwear field, which has as its main objective providing biomechanical support in a comfortable way for the entire biological variation of the human foot. Findings: The study illustrated a precise quantitative grid of the scientific findings in the area of diabetes-related foot complications and also in the technological advancements for creating the proper shoe. It provided an updated footwear design specifications based on the feedback obtained from expert fitting specialists. Also, a set of updated standards for classifying the established specifications, checking their relevance to these stakeholders' competence and daily work activity has been designed. A convenient criteria from the study which might significantly influence a favorable position and unique function regarding the appropriate foot presentation concerning footwear ergonomics was concluded. 
Keywords
Foot-related complications; Diabetes; footwear design; ergonomic comfort; Foot Health
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