Case Study 1: Neurological Disorder Compare the traditional with the new approach
63-year-old male
Left extremities partly paralysed after brain tumour removal.
Unstable ankle despite metal calliper medial as seen on the video.
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Traditional approach
Custom MGF with integrated AFO video shows improved more stable walking pattern
Boots with metal lower leg caliper
These pictures compare the 2 types of footwear and orthotic appliance in a similar stage of the walking
phase.
The left picture shows the person using a traditional custom made surgical boot together with a metal
calliper.
Despite the metal calliper the foot and ankle twists with every step.
The right is the boot from Shoetech. You can see the foot and ankle is far more stable with our boots.
There is no “twisting” in the ankle with our boots. We have reviewed this person over several years and the boot performs the same after using it for several years. However, some repair of worn heels and soles need to be done from time to time.
Case Study 2: Polio (in 1934)
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80-year-old male Right ankle fused in 1991 Bilateral partial paralysis lower leg video shows very limited ability to walk barefoot.
Wearing custom made MGF with integrated orthosis. Can walk unaided. Relatively smooth walking pattern demonstrated on video.
With the Shoetech boots he can walk unaided and pain free. What a difference.
This person is barely able to walk barefoot and needs to hold on to a railing while attempting a few steps. There is pain in every step from the
repeated ankle twisting.
Case Study 3: Charcot Foot
51 year old male long term diabetic developed a charcot foot insulin
depended neuropathy with loss of sensation in both feet Ulcer was
present for 12 months.
The ulcer closed after using a total contact cast for 4 months, follow up
with medical grade footwear (MGF) ulcer closed after 4 years wearing
MGF.
Plantar pressure distribution map
Several dynamic plantar pressure readings were performed. For
more details about the technology refer to plantar pressure
reading.
The left picture shows the plantar pressure values in a neutral shoe. The neutral shoe is simulating a “normal-standard” footwear without an specific feature and is our base reference recording. Plantar pressure in the neutral shoe is very high as you can see on the red color.
The middle picture shows the plantar pressure values as measured in the total contact cast that facilitated healing of the ulcer. The right picture shows the plantar pressure measurement in the custom made medical grade footwear. You can see clearly that the medical grade footwear provided by ShoeTech provided peak plantar pressure reduction better than the total contact cast and protected the foot successfully from further ulcers for many years.
This chart shows the evaluation of the plantar forces for the Charcot foot over several steps.
It compared the total forces in the neutral shoe, the total contact cast and the medical grade footwear provided by Shoetech.
It compared 3 sections of the foot. On the very left the entire force acting on the foot is displayed.
That shows an increase of overall plantar forces with the total contact cast and the medical grade footwear by Shoetech.
This is a positive sign as it indicates that the person is now walking with more confidence by placing more overall load on this foot.
The middle graph identifies the plantar forces for the areas where the ulcer was. Here it is very clear that the forces have been reduced comprehensively by the Shoetech shoes. The right graph includes the area around the ulcer and again the Shoetech shoe identifies the best result.
Case Study 4: Multiple Trauma – Motor Cycle Accident
36 year old male
Tibia, fibular and metatarsal bone 2 fractures
Left partial paralysis (drop foot)
Mechanical stress caused direct pain, suggesting ongoing micro-instability