RESUMO
BACKGROUND: According to the verdict of the Supreme Court in 2005, an employer may dismiss an employee if their conduct (including dress) exposes the employer to losses or threatens his interests. The aim of the study was a holistic assessment of the pleiotropic effects of high-heeled pointed shoes on the health condition of women's feet, wearing them at work, in accordance with the existing rules of the "business dress code". MATERIALS AND METHODS: A holistic multidisciplinary analysis was performed. It takes into account: 1) women employees of banks and other large corporations (82 persons); 2) 2D FEM computer model developed by the authors of foot deformed by pointed high-heeled shoes; 3) web site found after entering the code "business dress code". RESULTS: Over 60% of women in the office wore high-heeled shoes. The following has been found among people walking to work in high heels: 1) reduction in the quality of life in about 70% of cases, through periodic occurrence of pain and reduction of functional capacity of the feet; 2) increase in the pressure on the plantar side of the forefoot at least twice; 3) the continued effects the forces deforming the forefoot. CONCLUSIONS: 1. An evolutionary change of "dress code" shoes is necessary in order to lead to a reduction in non-physiological overload of feet and the consequence of their disability. 2. These changes are particularly urgent in patients with so-called "sensitive foot".
Assuntos
Deformidades Adquiridas do Pé/etiologia , Deformidades Adquiridas do Pé/psicologia , Doenças Profissionais/psicologia , Qualidade de Vida/psicologia , Sapatos/efeitos adversos , Sapatos/legislação & jurisprudência , Mulheres Trabalhadoras/legislação & jurisprudência , Adulto , Simulação por Computador , Feminino , Pé/diagnóstico por imagem , Deformidades Adquiridas do Pé/diagnóstico por imagem , Saúde Holística , Humanos , Modelos Biológicos , Doenças Profissionais/diagnóstico por imagem , Dor/etiologia , Polônia , Tomografia Computadorizada por Raios X , Saúde da MulherRESUMO
Skewfoot is a rare deformity characterized by forefoot adduction and hindfoot valgus. Its etiology and natural history are unknown, although congenital and syndromic forms are observed. Currently, there is no consent about the treatment of skewfoot. Due to its potential resistance to the effects of therapy, it must be differentiated from other, more common deformities. Treatment involves conservative and, most often, operative measures.