Ergonomic footwear design for Rheumatoid Arthritis patients: A Systematic review of Anthropometric and Footwear solutions
DOI:
https://doi.org/10.37134/kupasseni.vol13.2.4.2025Keywords:
Rheumatoid Arthritis , Elderly , Footwear , Anthropometric Dimension , FootAbstract
Rheumatoid arthritis (RA) is an autoimmune disease that gets worse over time. It can cause stiffness, pain, and trouble moving around, which can make daily life very difficult. For RA patients, proper shoes are extremely important for increasing mobility, lowering pain, and improving general quality of life. Focusing on anthropometric data, material advancements, and smart footwear technologies, this systematic review investigates ergonomic footwear solutions created especially for RA patients. Custom-made therapeutic shoes, orthotic insoles, and sensor-integrated shoes were evaluated using a methodical literature search of Google Scholar, Scopus, PubMed, and Web of Science. The results s how different methods, such as 3D scanning for a precise fit, IoT-enabled smart insoles for real-time gait monitoring, and tailored midsole density for better pressure distribution. Material developments, such as sustainable and antimicrobial insole materials, also help to improve both comfort and durability. Findings show sensible RA shoes need appropriate arch support, cushioning, pressure distribution, and lightweight materials. Although tailored therapeutic shoes are still the most efficient, retail footwear options with ergonomic changes provide good substitutes for everyday usage. Still major obstacles, though, are aesthetic issues, cost, and lack of uniformity in anthropometric data. This study emphasises the need to combine medical, technical, and user-centred design strategies to provide practical yet comfortable shoes for RA patients. It also stresses the need for more study to standardise foot measurement methods, improve smart shoe use, and create creative ideas that balance medical advantages and daily wearability, hence supporting ongoing work in this vital area.
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Aletaha, D., Neogi, T., Silman, A. J., Funovits, J., Felson, D. T., Bingham, C. O., Birnbaum, N. S., Burmester, G. R., Bykerk, V. P., Cohen, M. D., Combe, B., Costenbader, K. H., Dougados, M., Emery, P., Ferraccioli, G., Hazes, J. M. W., Hobbs, K., Huizinga, T. W. J., Kavanaugh, A., . . . Hawker, G. (2010). 2010 Rheumatoid arthritis classification criteria: An American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis & Rheumatism, 62(9), 2569–2581. https://doi.org/10.1002/art.27584
AlMurid, D. I. F., Othman, M. R., Mustafa, M. K., Saleh, N., & Nahrawi, S. (2022). A new Bunion shoe design using geometric analysis: Hallux valgus angle (HVA) for Malaysian women. Kupas Seni, 10, 1–10. https://doi.org/10.37134/kupasseni.vol10.2.1.2022
Anderson, J., Williams, A. E., & Nester, C. (2020). Development and evaluation of a dual density insole for people standing for long periods of time at work. Journal of Foot and Ankle Research, 13(1). https://doi.org/10.1186/s13047-020-00402-2
Bechsgaard, T., Hønge, J., Nygaard, H., Nielsen, S., & Johansen, P. (2017). Biomechanical assessment of the aortic root using novel force transducers. Journal of Biomechanics, 61, 58–64. https://doi.org/10.1016/j.jbiomech.2017.07.003
Cabrera-Sánchez, J. M., Reina-Bueno, M., Palomo-Toucedo, I. C., Del Carmen Vázquez-Bautista, M., Núñez-Baila, M., & González-López, J. R. (2024). Effect of Foot Orthoses and Footwear in People with Rheumatoid Arthritis: An Updated Systematic Review. Healthcare, 12(20), 2017. https://doi.org/10.3390/healthcare12202017
Charlon, Y., Piau, A., Brulin, D., & Campo, E. (2019). Design and evaluation of a connected insole to support healthy aging of frail patients at home. Wireless Sensor Network, 11(05), 67–80. https://doi.org/10.4236/wsn.2019.115005
Chaturvedi, D., & Verma, N. (2024). The Future of Footwear: A survey on smart shoe. Preprints.org. https://doi.org/10.20944/preprints202408.1736.v1
Cross, M., Smith, E., Hoy, D., Carmona, L., Wolfe, F., Vos, T., Williams, B., Gabriel, S., Lassere, M., Johns, N., Buchbinder, R., Woolf, A., & March, L. (2014). The global burden of rheumatoid arthritis: estimates from the Global Burden of Disease 2010 study. Annals of the Rheumatic Diseases, 73(7), 1316–1322. https://doi.org/10.1136/annrheumdis-2013-204627
Dahmen, R., Buijsmann, S., Siemonsma, P., Boers, M., Lankhorst, G., & Roorda, L. (2014). Use and effects of custom-made therapeutic footwear on lower-extremity-related pain and activity limitations in patients with rheumatoid arthritis: A prospective observational study of a cohort. Journal of Rehabilitation Medicine, 46(6), 561–567. https://doi.org/10.2340/16501977-1807
De Souza, S., & Lempp, H. (2015). PARE0019 Patient Perspectives on Footwear in Rheumatoid Arthritis – A Patient-Led Qualitative Study. Annals of the Rheumatic Diseases, 74(Suppl 2), 1364.2-1364. https://doi.org/10.1136/annrheumdis-2015-eular.1183
Ferreira, H. A., Ramos, G. C., & De Andrade Barbosa, T. M. G. (2021). Smart shoes to avoid falls in the elderly people. International Journal of Computer Applications, 174(12), 1–6. https://doi.org/10.5120/ijca2021920994
Fransen, M., McConnell, S., Harmer, A. R., Van Der Esch, M., Simic, M., & Bennell, K. L. (2015). Exercise for osteoarthritis of the knee. Cochrane Library, 2015(1). https://doi.org/10.1002/14651858.cd004376.pub3
González, I., Fontecha, J., Hervás, R., & Bravo, J. (2015). An ambulatory system for GAIT monitoring based on wireless sensorized insoles. Sensors, 15(7), 16589–16613. https://doi.org/10.3390/s150716589
Hunter, L., Madeline, S., Shea, Q., Lauren, C., & Ryan, T. (2020). Footwear for Psoriasis and Psoriatic Arthritis: A Systematic Review. https://www.semanticscholar.org/paper/Footwear-for-Psoriasis-and-Psoriatic-Arthritis%3A-A-Hunter-Madeline/38d68992edf48738bef85e52c2cc29572fd844cb
Lamb, J. M., & Kallal, M. J. (1992). A conceptual framework for apparel design. Clothing and Textiles Research Journal, 10(2), 42–47. https://doi.org/10.1177/0887302x9201000207
Menz, H. B., & Golightly, Y. M. (2024). Foot and footwear considerations for Older People: a special article collection for Gerontology. Gerontology, 1–2. https://doi.org/10.1159/000542899
Moon, J., Pathak, P., Kim, S., Roh, S., Roh, C., Shim, Y., & Ahn, J. (2020). Shoes with active insoles mitigate declines in balance after fatigue. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-58815-9
Naseem, Z., Zainab, I., Batool, S. R., Uzun, M., Ioanid, A., & Nazeer, M. A. (2024). An innovative approach to enhance the durability and sustainability of shoe insoles. Sustainability, 16(21), 9195. https://doi.org/10.3390/su16219195
Othman, M. R., Farahanies Almurid, D. I., Said Ahmad @ Syed Ahmad, S. H., Ibrahim, N. I., & Mustapha, S. F. (2022). An investigation of design features in upcycled fashion. Kupas Seni, 10, 11–21. https://doi.org/10.37134/kupasseni.vol10.2.2.2022
Razak, A. H. A., Zayegh, A., Begg, R. K., & Wahab, Y. (2012). Foot Plantar Pressure Measurement System: a review. Sensors, 12(7), 9884–9912. https://doi.org/10.3390/s120709884
Sasaki, K., Neptune, R. R., Burnfield, J. M., & Mulroy, S. J. (2007). Muscle compensatory mechanisms during able-bodied toe walking. Gait & Posture, 27(3), 440–446. https://doi.org/10.1016/j.gaitpost.2007.05.012
Scott, D. L., Wolfe, F., & Huizinga, T. W. (2010). Rheumatoid arthritis. The Lancet, 376(9746), 1094–1108. https://doi.org/10.1016/s0140-6736(10)60826-4
Smolen, J. S., Aletaha, D., & McInnes, I. B. (2016). Rheumatoid arthritis. The Lancet, 388(10055), 2023–2038. https://doi.org/10.1016/s0140-6736(16)30173-8
Sorrentino, I., Chavez, F. J. A., Latella, C., Fiorio, L., Traversaro, S., Rapetti, L., Tirupachuri, Y., Guedelha, N., Maggiali, M., Dussoni, S., Metta, G., & Pucci, D. (2020). A novel sensorised insole for sensing feet pressure distributions. Sensors, 20(3), 747. https://doi.org/10.3390/s20030747
Stavropoulos, T. G., Papastergiou, A., Mpaltadoros, L., Nikolopoulos, S., & Kompatsiaris, I. (2020). IoT Wearable Sensors and Devices in Elderly Care: a literature review. Sensors, 20(10), 2826. https://doi.org/10.3390/s20102826
Tan, A. M., Fuss, F. K., Weizman, Y., Woudstra, Y., & Troynikov, O. (2015). Design of low cost smart insole for real time measurement of plantar pressure. Procedia Technology, 20, 117–122. https://doi.org/10.1016/j.protcy.2015.07.020
Tehan, P. E., Morpeth, T., Williams, A. E., Dalbeth, N., & Rome, K. (2019). “Come and live with my feet and you’ll understand” – a qualitative study exploring the experiences of retail footwear in women with rheumatoid arthritis. Journal of Foot and Ankle Research, 12(1). https://doi.org/10.1186/s13047-019-0328-z
Tehan, P. E., Taylor, W. J., Carroll, M., Dalbeth, N., & Rome, K. (2019). Important features of retail shoes for women with rheumatoid arthritis: A Delphi consensus survey. PLoS ONE, 14(12), e0226906. https://doi.org/10.1371/journal.pone.0226906
Uddin, K. Z., Nguyen, H. A., Nguyen, T. T., Trkov, M., Youssef, G., & Koohbor, B. (2024). In-plane density gradation of shoe midsoles for optimized cushioning performance. arXiv (Cornell University). https://doi.org/10.48550/arxiv.2401.06940
Vos, T., Lim, S. S., Abbafati, C., Abbas, K. M., Abbasi, M., Abbasifard, M., Abbasi-Kangevari, M., Abbastabar, H., Abd-Allah, F., Abdelalim, A., Abdollahi, M., Abdollahpour, I., Abolhassani, H., Aboyans, V., Abrams, E. M., Abreu, L. G., Abrigo, M. R. M., Abu-Raddad, L. J., Abushouk, A. I., . . . Murray, C. J. L. (n.d.). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1204–1222. https://doi.org/10.1016/s0140-6736(20)30925-9
Williams, A. E., Nester, C. J., & Ravey, M. I. (2007). Rheumatoid arthritis patients’ experiences of wearing therapeutic footwear - A qualitative investigation. BMC Musculoskeletal Disorders, 8(1). https://doi.org/10.1186/1471-2474-8-104
Wilson, O., Kirwan, J., Dures, E., Quest, E., & Hewlett, S. (2017). The experience of foot problems and decisions to access foot care in patients with rheumatoid arthritis: a qualitative study. Journal of Foot and Ankle Research, 10(1). https://doi.org/10.1186/s13047-017-0188-3
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