State of the Art in Custom-Made Footwear, From a Clinical, Biomechanics and User-related Perspective
A condition such as a foot ulcer affects up to 34% of people with diabetes during their life, creating a major health challenge with high risk of recurrence and lower limb amputation. These conditions, as many others, have a significant impact on multiple levels; individual (i.e. quality of life), societal (i.e. treatment costs), and planetary (i.e. resources), highlighting the need for effective and sustainable solutions. Therapeutic or custom-made footwear is often recommended for people who are at high risk of foot ulceration, mainly due to its biomechanical offloading features. Despite these features, footwear use adherence remains challenging, necessitating transdisciplinary collaborations to design effective footwear that is used to help prevent major clinical outcomes. For such footwear to be effective and used, both biomechanical and user-related aspects need to be considered in the design
Prof. Sicco Bus will present the current state of the art in custom-made footwear, integrating perspectives from clinical practice, biomechanics, and user experience. Drawing on his latest research, and that of others, he will explore advances in assessment methods, material innovations, and design approaches, and discuss how these developments translate into improved biomechanical function, clinical outcome and satisfaction for end-users. The presentation will also highlight ongoing challenges and future directions in the field.
After the session, participants will understand the state-of-the-art evidence on biomechanical and user-related principles in footwear design, be able to evaluate factors influencing patient adherence, and identify strategies for translating scientific evidence into clinical practice.
Dr Sicco Bus
Dr Sicco Bus
Professor and Human Movement Scientist ||
Amsterdam University Medical Center
Professor Dr Sicco Bus is a human movement scientist and a professor of clinical biomechanics and principle investigator at the Amsterdam University Medical Center (UMC) in the Netherlands. Sicco completed his doctoral dissertation on the structural and functional aspects of the neuropathic foot in diabetes. In his work at the department of Rehabilitation Medicine at Amsterdam UMC, Sicco leads and supervises research on lower-extremity biomechanics and injury prevention in diabetes and sports. Sicco is a member of the board and program leader for Rehabilitation & Development of the Amsterdam Movement Sciences research institute. He is also member of the editorial board and past-chair of the Ulcer Prevention and Offloading Working Groups of the International Working Group on the Diabetic Foot (IWGDF) on guideline development. Sicco is chair of the study group of Neurovascular Complications of Diabetes in the Netherlands.
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