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The impacts of inappropriate footwear and physiotherapy strategies to correct selected disorders
MALÍNSKÁ, Veronika
The thesis consists of practical and theoretical part. The theoretical part focuses on the fundamental information on foot anatomy, kinesiology and the examination of walking process. In this part I have also included the negative effects of footwear and the description of apparatus I have worked with during the practical part of my work. I have determined two goals for my thesis. First goal is to search out possibilities of suitable physiotherapy for patients suffering from inappropriate footwear. Second goal is to suggest a training unit and create educational materials for these patients. In my research I have selected a group of five females aged 22 to 25 years, who are used to wear different kinds of footwear (common shoes, high heels, orthopaedic shoes, barefoot shoes, no shoes at all, etc.). I have design the therapeutic plan in a way the group sessions differentiate from each other in order to have more variety of exercises for the patients to choose from after the end of the therapy session. For home workout I have selected set of eight exercises, each to be done twenty times with three such sets per day. One set takes up about 5 to 10 minutes. My findings conclude that the exercises have positive effect on walking, body stability and weight distribution between feet. There was a significant improvement of walking kinesiology with proper forward rolling onto the ball of foot and big toe push off during the propulsive phase. The improvement occurred especially with high heels, orthopaedic shoes and common shoes. When checking out, patients had better weight distribution between feet, toes were more spread, all toes had contact with the floor ant there was also one case of partial flat feet improvement. The results of my work may be valuable for other physiotherapist in their clinical practice or for educational purposes. There is a leaflet attached that can be used as an educational material for patients, public or for parents of children for whom the proper development of foot is essential.
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