Case Report


Biomimetic shoes use in a child with epidermolysis bullosa: Case report

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1 Anamê Science and Technology in Child Health Products, Belo Horizonte, Brazil

2 Physical Therapy Departament, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil

3 SOS-EB Kids, New York, USA

4 Pediatry Department, Universidade Regional de Blumenau, Blumenau, Brazil

5 Physical Therapy Course, Universidade de Brasília, Brasília, Brazil

6 Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil

Address correspondence to:

Liria A Okai-Nobrega

Department of Physical Therapy, EEFFTO - Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Av. Presidente Antônio Carlos, Belo Horizonte 6627,

Brazil

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Article ID: 101354Z01LO2022

doi: 10.5348/101354Z01LO2022CR

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How to cite this article

Okai-Nobrega LA, Tossato PS, Rezende ACRE, Magno JA, Paz CCSC, Lage APP, Camargos ACR. Biomimetic shoes use in a child with epidermolysis bullosa: Case report. Int J Case Rep Images 2022;13(2):171–175.

ABSTRACT


Introduction: Epidermolysis bullosa (EB) is a rare disease with skin fragility that develops blisters with a minimum trauma. Feet blisters are a challenge to develop walking milestone. Shoes are the primary interface between the body and the ground, protecting feet and affecting how ground reaction forces are applied to the foot and transferred to the entire body. The effect of shoes on children’s gait is poorly understood, especially in children with EB. The selection of appropriate footwear may help reduce blisters and improve foot function in EB.

Case Report: This case report investigated the use of Biomimetic Shoe over EB’s child gait. We tested a commercially available shoe for toddlers that used sand as a model to develop its midsole. As a nature-inspired design, this shoe claims to respect the morphology of the toddler’s feet and provide better conditions for foot development.

Conclusion: Offering walking experiences similar to barefoot conditions improved the child walking pattern, empowering the child to stay mobile and allowing the foot to function as it would naturally.

Keywords: Case report, Child, Epidermolysis bullosa, Shoes

SUPPORTING INFORMATION


Author Contributions

Liria A Okai-Nobrega - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Patricia S Tossato - Conception of the work, Design of the work, Acquisition of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Ana Carolina RE Rezende - Acquisition of data, Analysis of data, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Jeanine A Magno - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Clarissa CS Couto Paz - Conception of the work, Design of the work, Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Ana Paula P Lage - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Ana Cristina R Camargos - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Liria A Okai-Nobrega et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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