what-when-how
In Depth Tutorials and Information
with their previous pair(s) and previous normal shoes. This different frame
of reference influences expectations and experiences of a user's (future)
pair of OS, and thereby the outcomes of MOS. When MOS is adminis-
tered to a group of patients, therefore, the outcomes of first-time users
and experienced users should be separated. Further, keep in mind that
some questions might have to be added when MOS is administered to
experienced users, for example with regard to the number of pairs that
are being, or have been, used.
MOS is the first evaluation instrument that can be used to gain an
insight to the most relevant aspects of use and usability of footwear,
which can be used for all patients to whom footwear is provided
independent of disorder, and which is short and easy to complete
(see Appendix).
summary
In addition to ensuring that the footwear is suitable for purpose, and the
design of the footwear is such that no harm is inflicted on the feet, foot-
wear it is crucial in achieving and maintaining good foot health. This is
particularly so for those people who have systemic diseases that affect
the feet. The next chapter explores footwear for people with diabetes,
rheumatoid arthritis and for those with problems associated with the aging
process.
Review questions
Reflection
1. Do I know how to arrange specialist footwear for my patients? Who
is my contact in this area?
2. Do I know which patients would benefit from specialist footwear?
Self-assessed questions
1. What are the factors that make a good shoe?
2. Describe the difference between stock and bespoke therapeutic
footwear.
3. Which outer sole adaptation is useful if the patient has a fixed
excessively pronated foot?
4. How much internal elevation can be achieved in the average shoe?
5. Why is the heel counter important?
 
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