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"Shoes Netherlands Design."
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De schoen van Jan Jansen = Jan Jansen's shoe
Jan Jansen (b. 1941) has been turning heads with his voluptuous, baroque and experimental footwear for more than 40 years. He made his international breakthrough in 1973 with his now world-famous bamboo shoe, an icon beloved by fashion and art lovers alike. In this publication author Lisa Goudsmit looks at the bamboo shoe as fashion item and art object and relates how this shoe design grew into an icon. The book also highlights other designs in Jan Jansen's extensive oeuvre. In addition, Goudsmit examines Prada's notorious 2005 copy, which Jansen cynically dubbed 'an affectionate adoption', and the possible impact of this copy on the image of both the shoe and of the designer. Lisa Goudsmit is a design historian and fashion journalist, with a special interest in the intersection of fashion, design and art.
Book
Outcomes and potential mechanism of a protocol to optimize foot orthoses in patients with rheumatoid arthritis
Background
Foot problems are highly prevalent in patients with rheumatoid arthritis. Treatment of foot problems related to rheumatoid arthritis often consists of custom made foot orthoses. One of the assumed working mechanisms of foot orthoses is redistribution of plantar pressure by creating a larger weight bearing area. Overall, the reported treatment effect of foot orthoses on foot pain in rheumatoid arthritis is small to medium. Therefore, we developed a foot orthoses optimization protocol for evaluation and adaptation of foot orthoses by using the feedback of in-shoe plantar pressure measurements. The objectives of the present study were: 1) to evaluate the 3-months outcomes of foot orthoses developed according to the protocol on pain, physical functioning and forefoot plantar pressure in patients with foot problems related to rheumatoid arthritis, and 2) to determine the relationship between change in forefoot plantar pressure and change in pain and physical functioning.
Methods
Forty-five patients with foot problems related to rheumatoid arthritis were included and received foot orthoses developed according to the protocol. Outcome measures were assessed at baseline and after three months of wearing foot orthoses in 38 patients. Change scores and effect sizes (ES) were calculated for pain, physical functioning and plantar pressure. In a subgroup of patients with combined forefoot pain and high plantar pressure, the relationship between change in plantar pressure and change in pain and physical functioning was analyzed.
Results
In the total group of 38 patients, statistically significant changes in pain (ES 0.69), physical functioning (ES 0.82) and forefoot plantar pressure (ES 0.35) were found. In the subgroup (
n
= 23) no statistically significant relationships were found between change in plantar pressure and change in pain or physical functioning.
Conclusion
Foot orthoses developed according to a protocol for improving the plantar pressure redistribution properties lead to medium to large improvements in pain and physical functioning. The hypothesis that more pressure reduction would lead to better clinical outcomes could not be proven.
Journal Article