School of Health Sciences, University of Southampton, Southampton, UK.
Faculty of Medicine, University of Southampton, Southampton, UK.
Disabil Rehabil. 2023 Aug;45(16):2630-2637. doi: 10.1080/09638288.2022.2102679. Epub 2022 Aug 14.
To explore footwear characteristics and foot problems in community dwelling people with stroke as most research to date focused on the general elderly population.
Thirty people with mild to moderate stroke (nine men, mean age 68, mean time since onset 67 months) attended a single session to assess footwear and foot problems using established podiatry foot (wear) and ankle assessments.
Most participants wore slippers indoors ( = 17, 57%) and walking shoes outdoors ( = 11, 37%). Over half wore unsupportive ill-fitting shoes indoors and 47% of outdoor shoes fitted badly. All participants had foot problems (mean 6.5 (3.1), 95% CI: 5.4-7.7), including impaired single limb heel raise (93%), reduced range of movement (77%), sensation (47%), and muscle strength (43%). Many had foot-pain, hallux valgus (both 50%), or swollen feet (40%). Foot problems were associated with reduced balance confidence, activity, and community participation (all < 0.05). A greater proportion of fallers (13/16) than non-fallers (4/14) reported foot problems ( = 0.029).
Many community-dwelling people with stroke wore poorly fitting shoes; all had foot problems. Foot problems were linked to reduced mobility. Finding more effective pathways to support people with stroke to select supportive, well-fitting indoor and outdoor footwear is indicated.Implications for rehabilitationPeople with stroke often wear unsupportive ill-fitting shoes and experience foot problems.Assessment of foot problems and footwear advice should be considered during stroke rehabilitation particularly when interventions target fall prevention or improvements in balance and mobility.Information on appropriate footwear and signposting that new shoe purchases should include measuring feet to ensure a good fit is recommended.
探索社区居住的中风患者的鞋类特征和足部问题，因为迄今为止大多数研究都集中在一般老年人群体上。
30 名轻度至中度中风患者（9 名男性，平均年龄 68 岁，发病后平均时间 67 个月）参加了一次会议，使用已建立的足病学足部（鞋）和踝关节评估来评估鞋类和足部问题。
大多数参与者在室内穿拖鞋（ = 17，57%），在室外穿步行鞋（ = 11，37%）。超过一半的人在室内穿不合适的不合脚的鞋子，47%的户外鞋不合脚。所有参与者都有足部问题（平均 6.5（3.1），95%置信区间：5.4-7.7），包括单肢跟腱抬高受损（93%）、活动范围减小（77%）、感觉（47%）和肌肉力量（43%）。许多人有足部疼痛、拇囊炎（均为 50%）或肿胀的脚（40%）。足部问题与平衡信心、活动和社区参与度降低有关（均 < 0.05）。跌倒者（13/16）报告足部问题的比例高于非跌倒者（4/14）（ = 0.029）。
许多社区居住的中风患者穿着不合脚的鞋子；所有人都有足部问题。足部问题与活动能力降低有关。表明需要找到更有效的途径来支持中风患者选择支撑性、合脚的室内和室外鞋类。
中风患者经常穿不合适的不合脚的鞋子，并出现足部问题。在中风康复期间，特别是在干预措施针对预防跌倒或改善平衡和活动能力时，应考虑足部问题评估和鞋类建议。建议提供有关合适鞋类的信息，并指出新鞋购买时应包括测量脚以确保合适的尺码。
