Abstract
We previously initiated weekly foot care consultation services in collaboration with a shoe salesperson and a physical therapist who were both members of the Foot Care Education Promotion Council of City A. However, evaluating the services proved challenging due to a lack of data on subsequent changes. In 2020, we conducted a study commissioned by the city to examine the effects of a combined intervention for citizens with foot problems. This study was performed in collaboration with a German Orthopedic Shoe Meister who live in Japan, neighborhood shoe store keepers, and a few nurses, and physical therapists. The intervention improved footprints, walking speed, and gait pattern. Furthermore, we observed reduction of calluses, corns, and other conditions associated with hyperkeratosis. Positive changes were also observed in the physical and mental well-being of the monitors, including subjective symptoms and perceptions. To disseminate and enhance awareness of this intervention, it is important to implement sustainable measures, such as integrating the intervention into workplace health examinations, defining the role of neighborhood shoe stores, and promoting behavioral changes among participants, in the future.
