Making footwear based on industry 4.0 for people with loss of plantar sensitivity: a product with social impact
Leprosy, Shoe Making, Industry 4.0.
Walking is an activity inherent to man, which gives him autonomy for daily life and the commitment of the lower limbs makes this activity difficult, often restricting the right to come and go (BRASIL, 2008). Loss of sensation in the feet is an alteration that can compromise the activity of walking. One possibility to avoid damage to insensitive feet is the use of appropriate shoes that protect the affected area, which is why this work aims to develop a process for creating customized shoes for people with altered plantar sensitivity. Through a retrospective cross-sectional study of leprosy medical records from Hospital Giselda Trigueiro, identify the target audience, manufacture and validate the product through a case-control study of patients to create a startup with social impact. Results identified that the target audience with the highest incidence diagnosed with leprosy who presented loss of plantar sensitivity were multibacillary patients, both genders, aged over 50 years. A minimum viable prototype was made using CAD/CAM technology for a patient evaluated in the dermatology clinic with loss of plantar sensitivity and ulcer to assess the impact of wearing footwear in her daily routine. It is expected that through the union of the triple helix, a flow of care can be created for patients with loss of sensitivity in Rio Grande do Norte to enable the delivery of the orthosis.