"Women are four times more likely to experience foot problems than men. "
Featuring
SORBOTHANE Insoles with 94.7% Impact Shock Absorption capabilities
SPENCO, PORON & SORBOTHANE Insole is endorsed by APMA - AMERICAN PODRIATIC MEDICAL ASSOCIATION.Founded in 1912, the American Podiatric Medical Association (APMA), headquartered in Bethesda, Maryland, is the leading resource for foot and ankle health information. Currently, the organization represents a vast majority of the estimated 15,000 podiatrists in the country. In addition to the national headquarters, APMA boasts 53 state component locations throughout the United States and its territories, as well as affiliated societies. APMA’s staff, comprised of approximately 60 professionals, is dedicated to promoting foot and ankle health, member service and professional excellence. Looking toward the future, the APMA will continue to advance the growth and stability of podiatric medicine by increasing nationwide awareness of foot and ankle health through public education and legislative advocacy. Quote:"Women are four times more likely to experience foot problems than men. "
Monday, 22 August 2011
STRIDER SHOES WITH RxSORBO SORBOTHANE INSOLES
"Women are four times more likely to experience foot problems than men. "
Thursday, 18 August 2011
All you need to know about Shoes and Shoe making -General Information
Parts of a Shoe
A shoe consists of sole, insole, outsole, midsole, heel, and vamp (upper). They are the basic parts of a shoe that are mostly included in all types off shoes. Other parts of a shoe are lining, tongue, quarter, welt and backstay. These parts are included as per the design of the shoes.
Sole: The exterior bottom part of a shoe is the sole.
Insole: The interior bottom of a shoe, which sits directly beneath the foot, is its insole. They can be removable and replaceable too. In some of the shoes, extra insoles are often added for comfort, health or other reasons, such as to control the shape, moisture, or smell of the shoe.
Outsole: It is that layer of the shoe that is in direct contact with the ground. These can be made of various materials like leather, natural or synthetic rubber etc. Often the heel of the sole is made from rubber for durability and traction and the front is made of leather for style. Special purpose shoes often have refined modifications, for example, athletic cleats have spikes embedded in the outsole to grip the ground,dance shoes have much softer or harder soles.
Midsole: The layer that lies between the outsole and the insole for shock absorption, is the midsole. Some special shoes, like running shoes have other materials for shock absorption, that usually lie beneath the heel where one puts the most pressure down. Materials used for midsoles depend on the shoe manufacturers. Some shoes can be made even without a midsole.
Heel: The rear part at the bottom of a shoe is the heel. It supports the heels of the feet. Heels of a shoe are often made from the same material as the sole of the shoe. It can be high for fashion purpose or for making a person look taller. They are also flat for comfort and practical use.
Vamp, or upper: The upper part of a shoe that helps in holding the shoe onto the foot is the vamp or simply called the upper. This part is often embellished or given different styles to make shoes attractive.
Shoe Making Process
A footwear company has mainly four departments in which a progressive route is followed for producing finished shoes. These are- Clicking or Cutting Department, Closing or Machining Department, Lasting & Making Department, Finishing Department and the Shoe Room.
Clicking or Cutting Department
In this department, the top part of the shoe or the "upper" is made. The clicking operative is given skins of leather, mostly cow leather but not restricted to this type of leather. Using metal strip knives, the worker cuts out pieces of various shapes that will take the form of "uppers". This operation needs a high level of skill as the expensive leather has to be wasted at the minimum level possible. Leather may also have various defects on the surface such as barbed wire scratches which needs to be avoided, so that they are not used for the uppers.
Closing or Machining Department
Here the component pieces are sewn together by highly skilled machinists so as to produce the completed upper. The work is divided in stages. In early stages, the pieces are sewn together on the flat machine. In the later stages, when the upper is no longer flat and has become three-dimensional, the machine called post machine is used. The sewing surface of the machine is elevated on a post to enable the operative to sew the three dimensional upper. Various edge treatments are also done onto the leather for giving an attractive look to the finished upper. At this stage only, the eyelets are also inserted in order to accommodate the laces in the finished shoes.
Lasting & Making Department
The completed uppers are molded into a shape of foot with the help of a "Last". Last is a plastic shape that simulates the foot shape. It is later removed from the finished shoe to be used further in making other shoes. Firstly, an insole to the bottom of the last is attached. It is only a temporary attachment. Sometimes, mostly when welted shoes are manufactured, the insole has a rib attached to its under edge. The upper is stretched and molded over the last and attached to the insole rib. After the procedure completes, a "lasted shoe" is obtained. Now, the welt- a strip of leather or plastic- is sewn onto the shoe through the rib. The upper and all the surplus material is trimmed off the seam. The sole is then attached to the welt and both are stitched together. The heel is then attached which completes the "making" of the shoe.
A shoe consists of sole, insole, outsole, midsole, heel, and vamp (upper). They are the basic parts of a shoe that are mostly included in all types off shoes. Other parts of a shoe are lining, tongue, quarter, welt and backstay. These parts are included as per the design of the shoes.
Sole: The exterior bottom part of a shoe is the sole.
Insole: The interior bottom of a shoe, which sits directly beneath the foot, is its insole. They can be removable and replaceable too. In some of the shoes, extra insoles are often added for comfort, health or other reasons, such as to control the shape, moisture, or smell of the shoe.
Outsole: It is that layer of the shoe that is in direct contact with the ground. These can be made of various materials like leather, natural or synthetic rubber etc. Often the heel of the sole is made from rubber for durability and traction and the front is made of leather for style. Special purpose shoes often have refined modifications, for example, athletic cleats have spikes embedded in the outsole to grip the ground,dance shoes have much softer or harder soles.
Midsole: The layer that lies between the outsole and the insole for shock absorption, is the midsole. Some special shoes, like running shoes have other materials for shock absorption, that usually lie beneath the heel where one puts the most pressure down. Materials used for midsoles depend on the shoe manufacturers. Some shoes can be made even without a midsole.
Heel: The rear part at the bottom of a shoe is the heel. It supports the heels of the feet. Heels of a shoe are often made from the same material as the sole of the shoe. It can be high for fashion purpose or for making a person look taller. They are also flat for comfort and practical use.
Vamp, or upper: The upper part of a shoe that helps in holding the shoe onto the foot is the vamp or simply called the upper. This part is often embellished or given different styles to make shoes attractive.
A footwear company has mainly four departments in which a progressive route is followed for producing finished shoes. These are- Clicking or Cutting Department, Closing or Machining Department, Lasting & Making Department, Finishing Department and the Shoe Room.
Clicking or Cutting Department
In this department, the top part of the shoe or the "upper" is made. The clicking operative is given skins of leather, mostly cow leather but not restricted to this type of leather. Using metal strip knives, the worker cuts out pieces of various shapes that will take the form of "uppers". This operation needs a high level of skill as the expensive leather has to be wasted at the minimum level possible. Leather may also have various defects on the surface such as barbed wire scratches which needs to be avoided, so that they are not used for the uppers.Closing or Machining Department
Here the component pieces are sewn together by highly skilled machinists so as to produce the completed upper. The work is divided in stages. In early stages, the pieces are sewn together on the flat machine. In the later stages, when the upper is no longer flat and has become three-dimensional, the machine called post machine is used. The sewing surface of the machine is elevated on a post to enable the operative to sew the three dimensional upper. Various edge treatments are also done onto the leather for giving an attractive look to the finished upper. At this stage only, the eyelets are also inserted in order to accommodate the laces in the finished shoes.Lasting & Making Department
The completed uppers are molded into a shape of foot with the help of a "Last". Last is a plastic shape that simulates the foot shape. It is later removed from the finished shoe to be used further in making other shoes. Firstly, an insole to the bottom of the last is attached. It is only a temporary attachment. Sometimes, mostly when welted shoes are manufactured, the insole has a rib attached to its under edge. The upper is stretched and molded over the last and attached to the insole rib. After the procedure completes, a "lasted shoe" is obtained. Now, the welt- a strip of leather or plastic- is sewn onto the shoe through the rib. The upper and all the surplus material is trimmed off the seam. The sole is then attached to the welt and both are stitched together. The heel is then attached which completes the "making" of the shoe.Tuesday, 9 August 2011
NURSING & DIABETES SHOES
Foreword on Foot Care
The scenario in Malaysia is that there are no proper guidelines on footwear for nurses, doctors and teachers. They form a sizeable number in the public workforce. Teachers (http://gauge.u-gakugei.ac.jp/apeid/apeid06/PAPERS/Malaysia.htm) alone account for the largest percentage of public servants in Malaysia, approximately 300,000 , of which more than 60% are female.
Nurses ( http://www.etawau.com/edu/IndexCollegeNursing.htm ) number around 75000, but another 135000 is requred by 2020 in order to achieve the the nurse-to-resident ration of 1:200.
They wear shoes as long as it is comfortable and of a certain colour, thus observing the minimum requirement. This leads to non-uniformity and most certainly non-conformity to safety standards. There are two major categories of work-related foot injuries.. The first category includes foot injuries from punctures, crushing, sprains, and lacerations which account for 10% of all reported disabling injuries. The second includes injuries resulting from slips, trips and falls, This account for 15% of all reported disabling injuries. Slips and falls do not always result in a foot injury, but a lack of attention to foot safety plays an important role in their occurrence.
.
These two categories of foot injuries, however, do not exhaust the whole range of foot problems at work. There are also other conditions such as calluses, ingrown toenails or simply tired feet that are common among workers. Although these may not be considered as occupational injuries in the strictest sense, they can have serious consequences for health and safety at the workplace. They cause discomfort, pain and fatigue. Fatigue sets up the worker for further injuries affecting the muscles and joints. Also, a worker who is tired and suffering pain is less alert and more likely to act unsafely.
There is no workplace where a worker is immune to foot injury, nor is there safe jobs that is cognisant of the need for healthy foot care. Statistically ,those presumably in the safe job categories like clericals, medical sector and teachers, account for 15% to 20% of foot disabling injuries in this country.
Foot Problems & Common Causes
Severely aching feet,
Blisters,
Calluses,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002212/
Corns, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002212/
Rheumatism,
Arthritis, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002223/
Malformations of toes,
Fallen arches (flat feet), http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002242/
Bunions, http://foothealth.about.com/od/bunions/ig/Photos-Bunions-HAV/
Sprains,
Ulcers, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004443/
Athelete's foot,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001878/
Hammertoe,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002215/
Osteoporosis (brittle bones), http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004420/
Heel Spur,http://www.ncbi.nlm.nih.gov/pubmedhealth/?term=heel+spur
The above are common foot problems caused by one or more of the following;
- long periods of standing, hard flooring
- poorly fitted footwear
- high heels
- pointed shoes
- lack of arch support
- flat feet
- too loose or too tight footwear
- weakening of foot muscles causing shortened
tendons and a retracted toe curling inwards. This
also creates a bump at the joint on the top of the toe
- neuropathy, a reduced or lack of feeling in the
feet due to nerve damage caused by elevated
blood glucose levels.
- Sweaty feet, fungal infections (athlete's foot)
However, the hazards differ according to the workplace and the types of tasks the worker does. The first step in developing a strategy to reduce foot problems is to identify the relevant hazards at the workplace. Such hazards should be assessed in each workplace, no matter how safe or how dangerous it may seem. The following are some of the reasons contributing to poor foot care.
STANDING LONG HOURS
Standing long hours, daily, not only tires the feet but can also cause permanent damage. Continuous standing can cause the joints of bones to become misaligned (eg., cause flat feet) and can cause inflammation which potentially can lead to rheumatism and arthritis. Workers group most susceptible to this scenario are teachers, nurses, airlines stewards/stewardess and those in the service sectors like hoteliers, just to name a few.
FLOORING TYPES
The type of flooring used in the workplace has an influence on comfort, especially on tender feet. Hard, unyielding floors like concrete are the least comfortable surfaces to work on. Working on a hard floor has the impact of a hammer, pounding the heel at every step. Read more on this under the caption STEPSHOCK. Slippery floors are hazardous for slips and falls that can result in sprained or broken foot bones .
FOOTWEAR DESIGN
Footwear that fits poorly or is in need of repair also contributes heavily to foot discomfort. Pointed toes and high heels are particularly inappropriate for workplace. Prolonged standing, hard flooring and inappropriate footwear are common conditions that contribute to poor footcare.
It is vital that those suffering from diabetes related peripheral neuropathy have their shoes customised by trained professionals, or obtain ready made diabetes shoes which has the endorsement of the relevant governing bodies or agencies.
CAUSES OF OTHER COMMON FOOT PROBLEMS
The severity of these commons problems need mention.
Bunions: A bump which forms at the base of the big toe. It can get sore, turn red and infected.
Hammertoe: Caused by motor neuropathy which weakens the foot muscles, shortening of the tendons which then retracts the toe, causing it to curl under the foot and creating a bump at the top of the toe.
Ulcers: Patients who have diabetes can develop neuropathy, a reduced or lack of sensation in the feet due to nerve damage caused by increased blood sugar levels.
Osteoporosis: Neuropathy and blood circulation change increases the risk of bone fracture.
Blisters: Ill fitting shoes can cause repeated friction at the same spot.
WALKABOUT® NURSES SHOES 85% SHOCK ABSORPTION
CUSTOMISED DETAIL
Properly fitted shoes are essential in preventing work related injuries. Companies specializing in pedorthics -- the design of footwear and specialty insoles, help to alleviate prevention of foot pain and injury.
Pellicoz Engineering Sdn Bhd which has the proprietary rights to the WALKABOUT® range of nurses shoes, pays attention to design which entails a roomy and wider square box-toe construction at the front with sufficient padding, air circulation for the skin to breathe and seamless inner lining, especially for Diabetes shoes, to avoid stitching joints which over time contributes to abrasions, pinching and rubbing. Promoting good air circulation involves the use of choice fabric and practical design. Using the right type of insole encourages good blood circulation .
Pedorthic insoles are generally custom made for the patient's feet, to ensure proper fit so as to minimize rubbing or abrasion. Another salient criteria in the design is the even weight distribution. This entails two aspects, one of which is ensuring shock absorbing insoles of the highest quality with proven research and development and tested over time is used.
Pellicoz Engineering guarantees use of the award winning PORON insole from the US. This product is extensively used in the design and manufacture of space suits for astronauts. The other is to ascertain the correct heel height to ensure correct distribution of pressure and step shock, in this case the recommended 25mm.
WALKABOUT® shoes’ design through its extensive R&D and years of expertise and more so its collaboration with an international company in the US, namely Roger’s Corporation, with more than 177 years of innovation expertise, incorporates specific focus in arresting problems contributing to poor foot care.
Much of the process is dependant on manual application. .
MATERIAL COMPOSITION
SHOE UPPER
The upper material is of water-resistant micro fiber which will remain soft & supple. It does not turn brittle or crack like other syntactic materials. The whiteness will remain same for a long period of time.
Micro fiber is durable and has a good anti peeling strength. A microfiber is a fiber which is thinner than a denier i.e. almost 10 times thinner than a strand of hair. They are made up of high quality materials which give it a very smooth finish.
There are many advantages of using microfiber sheets. They are durable and very easy to clean and available in a wide variety of colours and designs so that you can choose one according to your needs. Microfiber is typically made up of a combination of nylon and polyester which makes it very easy to care for. It can be washed in the washing machine and they retain their shape and sheen forever. The combined strength of the fibers makes microfiber sheets very strong and difficult to tear.
Microfiber is stain resistant and therefore you can easily use them without worrying about stains and spills and wear and tear. Another big advantage of microfiber sheets is that they are resistant to dust, pollen, and dust mites and other allergy causing materials.
UPPER LINNG
Micro Fiber and nylon are used as upper lining. The lining are well padded with PU foam to enhance comfort during wear and durability.
OUTSOLE
The outsole is made of 100% natural rubber, which is durable, slip resistant, noise free and also absorbs a certain percentage of STEP SHOCK (More information on step shock provided below).
Rubber-soled shoes are performance-oriented, for specific sports or casual occasions. Rubber-soled shoes were first designed for mountain climbing. In 1936, Italian mountain climber Vitale Bramani developed the rubber sole, influenced by the Pirelli automotive tire. The rubber sole was designed for traction. The Vibram Company continues to be a leading manufacturer of rubber soles today.
Podiatrist Arnold Ravick of the American Podiatric Medical Association states a typical men's leather sole weighs about five pounds compared to the 2-1/2 pound rubber sole. Running shoe soles weigh only 10 ounces, on average. Rubber soles absorb a greater amount of shock due to their flexibility. Podiatry is the branch of medicine devoted to the diagnosis and treatment of disorders, diseases and injuries of the foot, ankle, and lower leg. Podiatrists, also known as doctors of podiatric medicine (DPMs), treat ankle and foot injuries, deformities and infections including corns, calluses, ingrown toenails, bunions, heel spurs, arch problems, heal pain, and diabetes foot care.
INSOLE LINING 
The shoe design also incorporates COOLMAX advanced insole lining, which is structured to speed up evaporation, without retaining moisture or perspiration, and actively resists mildew and odours. It is an international trademark product of the highest accepted norm.
Workout clothing, shoes and socks are made of synthetic or occasionally a natural/synthetic blend. These polyester-based fabrics - Coolmax, Dri-Fit and Capilene - are designed to pull perspiration off your skin and help it evaporate or be absorbed by the next layer. This way, your skin is drier and less likely to chafe, and in the case of your feet, to blister. In cold/wet weather, it’s very important to stay as dry as possible.
Coolmax products are designed to wick away perspiration [and] insulate and or vent when you generate too much heat.

The insole also feature the arch cookies using TArch Support to preserve sole contour and provide the required resting surface.

PORON® INSOLE
PORON® high performance cushioning materials for footwear are available in a wide variety of colors, thicknesses, densities and surface textures to accommodate almost any activity, from everyday use to the rigorous demands of high-impact sports and exercise. The Poron material is a microporous polyurethane foam which is able to cushion effectively the 'stepshock' of walking and running. It has a bacteria prohibitive ingredient to keep feet cool, comfortable and fresh. Poron boosts the foot’s natural cushioning, making walking or running easier.
And if the precise PORON material doesn't already exist, one can be custom formulated for the needs of a specific manufacturer's physical and aesthetic requirements. Its noted qualities are as follows:
Maximum retention of comfort and flexibility PORON urethanes are made without plasticizers, which means the material will not shrink or become brittle and crack with age. PORON urethanes retain "like-new" softness and flexibility.
The highest degree of impact absorption (stepshock). More shock absorption means less impact to feet and joints. In side-by-side drop weight tests, PORON materials outperformed vinyl sponge, neoprene sponge, sponge rubber, latex foam and solid viscoelastic.
A breathable layer to help feet stay dry and cool, PORON urethane materials form permeable layers that draw water vapor and perspiration away. This is a key ingredient in footwear design to help keep your feet stay cool and dry because perspiration evaporates quickly and heat to dissipate.
Working closely with these and other medical professionals, our line of insoles have been expertly designed to address a wide array of foot care needs from extra cushioning to orthotic arch support.
PORON Insole’s performance and endurance is guaranteed to last for the lifespan of the shoes.
The following testimonies from many who were cured or had their feet health improved will allay any form of doubt in the readers minds.
PORON Insoles or Urethanes are a proprietary product of Roger's Corporation USA, which has been involved in innovation products for more than 177 years.
For more detailed information about PORON Insoles, please refer to this website:
http://www.poronurethanes.com
Which product is right for your footwear application? Try our new material section tool
http://www.poroncushioning.com
STEPSHOCK (What You Need To Know )
Each step you take generates a jarring force 50 percent greater than your body weight. We call this painful impact “step shock.” The average person walks as many as three to four miles everyday on hard surfaces. Incredibly, the feet of a 165-pound man bear a cumulative weight of 660 tons a day! Women who wear high heels endure even more foot pain than men. That's because wearing high heels doubles the weight borne by the ball of the foot. No wonder millions of people experience foot pain. Step shock has been proven by sports medicine to be the leading cause of foot pain.
Unfortunately, step shock doesn’t stop at your feet. The pain-causing shock waves travel upward into your knees, hips and back, which causes knee pain, hip pain, backache and back pain.
No part of your body needs more protection from pressure and impact than the soles of your feet. That’s the reason the skin on the bottom of your feet is thicker and denser than on the rest of your body. The fatty pads on the soles of your feet are your natural shock absorbers. After enduring years of step shock, your natural shock absorbers begin to thin and wear out. So, you suffer more foot pain as you get older. You have to replace the natural shock absorbers on the bottom of your feet after years of wear and tear – just like you have to replace your car’s shock absorbers after a certain number of miles.
As we get older our feet lose some of the natural cushioning that absorbs the impact of walking. This “step shock” can travel up legs and spine causing pain and discomfort in the feet, knees, hips, back and even be the cause of headaches. This “step shock” is likely to occur in patients that have arthritis, diabetes or sensitive feet.
PORON Insole Shock Absorption Test
View this video clip of Poron Insole’s remarkable shock absoption qualities:
http://www1.thetvnet.com/watch-HzDE0S45F1s/gravis-poron-sole.aspx
Note: Only PORON PERFORMANCE Urethanes, used in our Nurses, Diabetes and Casual Wear shoes has the ability to withstand or absorb effects of step shock, with maximum retention of comfort and flexibility, enhances performance and provides a breathe-able layer to keep feet dry and cool, while running or walking.
In short it features:
· Long-term Comfort
· Compression-set Resistance
· Open Cell – Breathable
· Microcellular Structure
· Fungal Resistant

ADDRESSING FOOT CARE FOR DIABETICS
85% SHOCK ABSORPTION
Foreword on Diabetes
It is estimated approximately 8.2% of the population or approximately 2.3million of the current population of 28 million have diabetes in Malaysia and this is on the rise. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands. The trend does not seen to abate.
Second National Health and Morbidity Survey - Diabetes(DIABETES MELLITUS)
Diabetes is fast becoming a dreaded illness in Malaysia. Whilst much effort is being put in place by the relevant authorities to stem this menace, not much is done at the highest level to zoom in particualrly on foot care for those already suffering from diabetes. To a diabetic, besides prescribed medication, avoiding cuts, bruises and injuries becomes a paramount criteria. One area most susceptible to this is the feet which comes into contact with shoes worn and surface treaded. There are no comprehensive statistics on these kind of problems with feet. Survey suggests, two out of every three workers suffer from some form of a foot problem.
A common side effect of diabetes is "peripheral neuropathy," which causes loss of sensation in the extremities. Ill-Fitting shoes which rub or pinch the feet excessively over prolonged time, can lead to ulceration (pressure ulcers) and foot injury. Diabetics with peripheral neuropathy will not feel the injury until it is too late. A common probability when a diabetic suffers from ulceration or injury , is the setting-in of gangrene. Medically, gangrene related amputation of limbs is an accepted occurrence.
WALKABOUT® diabetes shoes comes with seamless inner lining to avoid cuts or abrasions, adjustable flap to allow feet movement and air circulation. The WB-D168 model has provision for interchangeability of insoles. Apart from this, much of its other features are explained under the Nursing Shoes product factfile.
This model is a hit among after-golfers and travellers. Extensively used by haj pilgrims due to the excellent performance of the PORON insole and seamless internal walls.
PELLICOZ ENGINEERING SDN BHD
Due to its avid knowledge of the local industry in Malaysia, Pellicoz Engineering Sdn Bhd has formulated material specifications which caters to the local scene, in that it has ensured avoiding use of animal skin in the shoe-making process and replaced it with synthetic materials.
The method statement for shoe manufacturing involves planning aspect, design concept, material identification and matching, assembly process for framework, handcraft element , automated assembly line and quality control. These are done in three different locations abroad due to their pecularity and environmental requirements.
Pellicoz Engineering Sdn Bhd in collaboration with an established market research and designer team in the footwear field with over 30 years experience and the award winning PORON insole’ Roger’s Corporation, USA with over 177 years of innovation technology has created a niche in piecing together an enduring and purpose built product.
WALKABOUT® Nursing and Diabetes shoes are a proprietary product of Pellicoz Engineering Sdn Bhd. By virtue of its usage of PORON insole and colloboration with Roger's Corporation. USA, the AMERICAN PODRIATIC MEDICAL ASSOCIATION has granted product recognition. Malaysian Diabetes Association (Selangor) endorses sale of the Diabetes Shoes in all its outlets under an OEM branding arrangement.
The scenario in Malaysia is that there are no proper guidelines on footwear for nurses, doctors and teachers. They form a sizeable number in the public workforce. Teachers (http://gauge.u-gakugei.ac.jp/apeid/apeid06/PAPERS/Malaysia.htm) alone account for the largest percentage of public servants in Malaysia, approximately 300,000 , of which more than 60% are female.
Nurses ( http://www.etawau.com/edu/IndexCollegeNursing.htm ) number around 75000, but another 135000 is requred by 2020 in order to achieve the the nurse-to-resident ration of 1:200.
They wear shoes as long as it is comfortable and of a certain colour, thus observing the minimum requirement. This leads to non-uniformity and most certainly non-conformity to safety standards. There are two major categories of work-related foot injuries.. The first category includes foot injuries from punctures, crushing, sprains, and lacerations which account for 10% of all reported disabling injuries. The second includes injuries resulting from slips, trips and falls, This account for 15% of all reported disabling injuries. Slips and falls do not always result in a foot injury, but a lack of attention to foot safety plays an important role in their occurrence.
.
These two categories of foot injuries, however, do not exhaust the whole range of foot problems at work. There are also other conditions such as calluses, ingrown toenails or simply tired feet that are common among workers. Although these may not be considered as occupational injuries in the strictest sense, they can have serious consequences for health and safety at the workplace. They cause discomfort, pain and fatigue. Fatigue sets up the worker for further injuries affecting the muscles and joints. Also, a worker who is tired and suffering pain is less alert and more likely to act unsafely.
There is no workplace where a worker is immune to foot injury, nor is there safe jobs that is cognisant of the need for healthy foot care. Statistically ,those presumably in the safe job categories like clericals, medical sector and teachers, account for 15% to 20% of foot disabling injuries in this country.
Foot Problems & Common Causes
Severely aching feet,
Blisters,
Calluses,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002212/
Corns, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002212/
Rheumatism,
Arthritis, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002223/
Malformations of toes,
Fallen arches (flat feet), http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002242/
Bunions, http://foothealth.about.com/od/bunions/ig/Photos-Bunions-HAV/
Sprains,
Ulcers, http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004443/
Athelete's foot,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001878/
Hammertoe,http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002215/
Osteoporosis (brittle bones), http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0004420/
Heel Spur,http://www.ncbi.nlm.nih.gov/pubmedhealth/?term=heel+spur
The above are common foot problems caused by one or more of the following;
- long periods of standing, hard flooring
- poorly fitted footwear
- high heels
- pointed shoes
- lack of arch support
- flat feet
- too loose or too tight footwear
- weakening of foot muscles causing shortened
tendons and a retracted toe curling inwards. This
also creates a bump at the joint on the top of the toe
- neuropathy, a reduced or lack of feeling in the
feet due to nerve damage caused by elevated
blood glucose levels.
- Sweaty feet, fungal infections (athlete's foot)
However, the hazards differ according to the workplace and the types of tasks the worker does. The first step in developing a strategy to reduce foot problems is to identify the relevant hazards at the workplace. Such hazards should be assessed in each workplace, no matter how safe or how dangerous it may seem. The following are some of the reasons contributing to poor foot care.
STANDING LONG HOURS
Standing long hours, daily, not only tires the feet but can also cause permanent damage. Continuous standing can cause the joints of bones to become misaligned (eg., cause flat feet) and can cause inflammation which potentially can lead to rheumatism and arthritis. Workers group most susceptible to this scenario are teachers, nurses, airlines stewards/stewardess and those in the service sectors like hoteliers, just to name a few.
FLOORING TYPES
The type of flooring used in the workplace has an influence on comfort, especially on tender feet. Hard, unyielding floors like concrete are the least comfortable surfaces to work on. Working on a hard floor has the impact of a hammer, pounding the heel at every step. Read more on this under the caption STEPSHOCK. Slippery floors are hazardous for slips and falls that can result in sprained or broken foot bones .
FOOTWEAR DESIGN
Footwear that fits poorly or is in need of repair also contributes heavily to foot discomfort. Pointed toes and high heels are particularly inappropriate for workplace. Prolonged standing, hard flooring and inappropriate footwear are common conditions that contribute to poor footcare.
It is vital that those suffering from diabetes related peripheral neuropathy have their shoes customised by trained professionals, or obtain ready made diabetes shoes which has the endorsement of the relevant governing bodies or agencies.
CAUSES OF OTHER COMMON FOOT PROBLEMS
The severity of these commons problems need mention.
Bunions: A bump which forms at the base of the big toe. It can get sore, turn red and infected.
Hammertoe: Caused by motor neuropathy which weakens the foot muscles, shortening of the tendons which then retracts the toe, causing it to curl under the foot and creating a bump at the top of the toe.
Ulcers: Patients who have diabetes can develop neuropathy, a reduced or lack of sensation in the feet due to nerve damage caused by increased blood sugar levels.
Osteoporosis: Neuropathy and blood circulation change increases the risk of bone fracture.
Blisters: Ill fitting shoes can cause repeated friction at the same spot.
WALKABOUT® NURSES SHOES 85% SHOCK ABSORPTION
Properly fitted shoes are essential in preventing work related injuries. Companies specializing in pedorthics -- the design of footwear and specialty insoles, help to alleviate prevention of foot pain and injury.
Pellicoz Engineering Sdn Bhd which has the proprietary rights to the WALKABOUT® range of nurses shoes, pays attention to design which entails a roomy and wider square box-toe construction at the front with sufficient padding, air circulation for the skin to breathe and seamless inner lining, especially for Diabetes shoes, to avoid stitching joints which over time contributes to abrasions, pinching and rubbing. Promoting good air circulation involves the use of choice fabric and practical design. Using the right type of insole encourages good blood circulation .
Pedorthic insoles are generally custom made for the patient's feet, to ensure proper fit so as to minimize rubbing or abrasion. Another salient criteria in the design is the even weight distribution. This entails two aspects, one of which is ensuring shock absorbing insoles of the highest quality with proven research and development and tested over time is used.
Pellicoz Engineering guarantees use of the award winning PORON insole from the US. This product is extensively used in the design and manufacture of space suits for astronauts. The other is to ascertain the correct heel height to ensure correct distribution of pressure and step shock, in this case the recommended 25mm.
WALKABOUT® shoes’ design through its extensive R&D and years of expertise and more so its collaboration with an international company in the US, namely Roger’s Corporation, with more than 177 years of innovation expertise, incorporates specific focus in arresting problems contributing to poor foot care.


The upper material is of water-resistant micro fiber which will remain soft & supple. It does not turn brittle or crack like other syntactic materials. The whiteness will remain same for a long period of time.
Micro fiber is durable and has a good anti peeling strength. A microfiber is a fiber which is thinner than a denier i.e. almost 10 times thinner than a strand of hair. They are made up of high quality materials which give it a very smooth finish.
There are many advantages of using microfiber sheets. They are durable and very easy to clean and available in a wide variety of colours and designs so that you can choose one according to your needs. Microfiber is typically made up of a combination of nylon and polyester which makes it very easy to care for. It can be washed in the washing machine and they retain their shape and sheen forever. The combined strength of the fibers makes microfiber sheets very strong and difficult to tear.
Microfiber is stain resistant and therefore you can easily use them without worrying about stains and spills and wear and tear. Another big advantage of microfiber sheets is that they are resistant to dust, pollen, and dust mites and other allergy causing materials.
UPPER LINNG
Micro Fiber and nylon are used as upper lining. The lining are well padded with PU foam to enhance comfort during wear and durability.
OUTSOLE
The outsole is made of 100% natural rubber, which is durable, slip resistant, noise free and also absorbs a certain percentage of STEP SHOCK (More information on step shock provided below).
Rubber-soled shoes are performance-oriented, for specific sports or casual occasions. Rubber-soled shoes were first designed for mountain climbing. In 1936, Italian mountain climber Vitale Bramani developed the rubber sole, influenced by the Pirelli automotive tire. The rubber sole was designed for traction. The Vibram Company continues to be a leading manufacturer of rubber soles today.
Podiatrist Arnold Ravick of the American Podiatric Medical Association states a typical men's leather sole weighs about five pounds compared to the 2-1/2 pound rubber sole. Running shoe soles weigh only 10 ounces, on average. Rubber soles absorb a greater amount of shock due to their flexibility. Podiatry is the branch of medicine devoted to the diagnosis and treatment of disorders, diseases and injuries of the foot, ankle, and lower leg. Podiatrists, also known as doctors of podiatric medicine (DPMs), treat ankle and foot injuries, deformities and infections including corns, calluses, ingrown toenails, bunions, heel spurs, arch problems, heal pain, and diabetes foot care.
Podiatrists use several techniques to evaluate and treat these problems including prescribing drugs and physical therapy, ordering x-rays, analyzing patients’ walk and weight distribution, setting fractures, fitting corrective shoe inserts called orthotics, designing custom-made shoes, and performing podiatric surgery. More about Dr Arnold Ravick:
Dr. Arnold Ravick
Summary of Expertise
Dr. Arnold Ravick is a board certified podiatric surgeon with more than 25 years of foot care experience in the Washington, DC, area. While sports medicine and foot surgery are his areas of specialty, he often addresses patients’ foot problems related to improper footwear, such as bunions, neuromas and plantar fasciitis. In addition to running his own practice, Capital Podiatry Associates, Dr. Ravick currently serves on the staff of Sibley Memorial Hospital and The Center for Ambulatory Surgery in Washington, DC.
Professional Achievements
Dr. Ravick is an active member of the American Podiatric Medical Association (APMA) and has served on its Private Insurance Advisory and Public Education and Information Committees. He has also served as president of the DC Podiatric Medical Association. In 1996, Dr. Ravick was appointed to the Carrier Advisory Committee of Trailblazer Medicare Carriers.
Education
DPM, Doctor of Podiatric Medicine, Pennsylvania College of Podiatric Medicine, Philadelphia, PA; Bachelor of Arts in psychology, Emory University, Atlanta, GA.
Experience with News Media
As a podiatric expert, he has contributed to the American Podiatric Medical Association’s Journal of the American Podiatric Medical Association (JAPMA) and an on-line publication for New Balance, one of the country’s leading athletic shoe manufacturers. He has also been interviewed for articles in Men’s Health, Reader’s Digest, Prevention, Health and YM magazines and the Washington Post and USA Today. His broadcast experience includes WTTG-TV and WTOP-FM radio, both located in DC
INSOLE LINING 
Workout clothing, shoes and socks are made of synthetic or occasionally a natural/synthetic blend. These polyester-based fabrics - Coolmax, Dri-Fit and Capilene - are designed to pull perspiration off your skin and help it evaporate or be absorbed by the next layer. This way, your skin is drier and less likely to chafe, and in the case of your feet, to blister. In cold/wet weather, it’s very important to stay as dry as possible.
Coolmax products are designed to wick away perspiration [and] insulate and or vent when you generate too much heat.

The insole also feature the arch cookies using TArch Support to preserve sole contour and provide the required resting surface.

PORON® INSOLE
PORON® high performance cushioning materials for footwear are available in a wide variety of colors, thicknesses, densities and surface textures to accommodate almost any activity, from everyday use to the rigorous demands of high-impact sports and exercise. The Poron material is a microporous polyurethane foam which is able to cushion effectively the 'stepshock' of walking and running. It has a bacteria prohibitive ingredient to keep feet cool, comfortable and fresh. Poron boosts the foot’s natural cushioning, making walking or running easier.
And if the precise PORON material doesn't already exist, one can be custom formulated for the needs of a specific manufacturer's physical and aesthetic requirements. Its noted qualities are as follows:
Maximum retention of comfort and flexibility PORON urethanes are made without plasticizers, which means the material will not shrink or become brittle and crack with age. PORON urethanes retain "like-new" softness and flexibility.
The highest degree of impact absorption (stepshock). More shock absorption means less impact to feet and joints. In side-by-side drop weight tests, PORON materials outperformed vinyl sponge, neoprene sponge, sponge rubber, latex foam and solid viscoelastic.
A breathable layer to help feet stay dry and cool, PORON urethane materials form permeable layers that draw water vapor and perspiration away. This is a key ingredient in footwear design to help keep your feet stay cool and dry because perspiration evaporates quickly and heat to dissipate.
PORON insoles have been proven to reduce jarring, fatigue and impact-related pain and injuries. That's why doctors, sports medicine specialists and professional trainers now regularly recommend PORON insoles as an effective means of relieving foot and back pain and reducing the risk of injuries such as plantar fasciitis, Achilles tendonitis, ITBS and shin splints. In addition, PORON is accepted by the American Podiatric Medical Association (APMA), a network of podiatric physicians dedicated to providing the public with the latest information on foot and ankle health.
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| PORON PERFORMANCE INSOLE CATALOGUE |
PORON Insole’s performance and endurance is guaranteed to last for the lifespan of the shoes.
Orthopaedic Research Laboratories (ORL) in Cleveland, Ohio, (http://orl-inc.com/ ,http://www.footshox.com/ ) recruited patients involved in an exercise research program at the Arthritis Research Institute in the US, to test PORON's shock absorbing insoles. All the patients suffered from foot pain and joint pain caused by osteoarthritis and other forms of arthritis. After a month's usage of PORON insole, 95% of the patients in the test said their foot pain and joint pain was eliminated or reduced and 85% felt less fatigued.
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| STRESS CHART |
Click on any of the testimonial letters below to see a larger version.
Customers Rave About Foot Shox's PORON Insoles | ||||||||||
http://www.poronurethanes.com
http://www.poroncushioning.com
STEPSHOCK (What You Need To Know )
Each step you take generates a jarring force 50 percent greater than your body weight. We call this painful impact “step shock.” The average person walks as many as three to four miles everyday on hard surfaces. Incredibly, the feet of a 165-pound man bear a cumulative weight of 660 tons a day! Women who wear high heels endure even more foot pain than men. That's because wearing high heels doubles the weight borne by the ball of the foot. No wonder millions of people experience foot pain. Step shock has been proven by sports medicine to be the leading cause of foot pain.
Unfortunately, step shock doesn’t stop at your feet. The pain-causing shock waves travel upward into your knees, hips and back, which causes knee pain, hip pain, backache and back pain.
No part of your body needs more protection from pressure and impact than the soles of your feet. That’s the reason the skin on the bottom of your feet is thicker and denser than on the rest of your body. The fatty pads on the soles of your feet are your natural shock absorbers. After enduring years of step shock, your natural shock absorbers begin to thin and wear out. So, you suffer more foot pain as you get older. You have to replace the natural shock absorbers on the bottom of your feet after years of wear and tear – just like you have to replace your car’s shock absorbers after a certain number of miles.
As we get older our feet lose some of the natural cushioning that absorbs the impact of walking. This “step shock” can travel up legs and spine causing pain and discomfort in the feet, knees, hips, back and even be the cause of headaches. This “step shock” is likely to occur in patients that have arthritis, diabetes or sensitive feet.
PORON Insole Shock Absorption Test
View this video clip of Poron Insole’s remarkable shock absoption qualities:
http://www1.thetvnet.com/watch-HzDE0S45F1s/gravis-poron-sole.aspx
In short it features:
· Long-term Comfort
· Compression-set Resistance
· Open Cell – Breathable
· Microcellular Structure
· Fungal Resistant

ADDRESSING FOOT CARE FOR DIABETICS
85% SHOCK ABSORPTION
MODEL: WB-D168
Foreword on Diabetes
It is estimated approximately 8.2% of the population or approximately 2.3million of the current population of 28 million have diabetes in Malaysia and this is on the rise. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands. The trend does not seen to abate.
Second National Health and Morbidity Survey - Diabetes(DIABETES MELLITUS)
Through the Ministry of Health's six year thematic Healthy Lifestyle Campaign which began in 1991, diabetes mellitus was the theme for the year 1995. Here, the promotion of adopting healthy lifestyle practices relating to the prevention of diabetes namely creating awareness and balance diet, maintain ideal body weight and physical activities were encouraged. The campaign also emphasised on creating, awareness of the disease and its complications to the public. Guidelines on management of diabetes and patient education to the diabetes were also developed. In addition, many small studies about diabetes had been conducted either on hospital base or selected communities The first National Health and Morbidity survey included diabetes as a major component in the survey This second National Health and Morbidity Survey, attempted to provide a comparative picture of the epidemiology of diabetes in Malaysia within the last 10 years on a wide population based.
For the purpose of analysis in this survey, the respondents were categorised into 3 categories. The known diabetes were the adult respondents who self-professed they were diabetics and diagnosed by medical personnel. Those non-diabetics who had undergone the 2 hour - post glucose load test and whose blood glucose measurement level of 11.1 mmol/1 or more were categorised as undiagnosed diabetes. Those with blood glucose measurement of 7.8 - < 11.1 mmol/1 were classified as impaired glucose tolerance (IGT)
From the survey, the national prevalence of known diabetes in Malaysia was found to be 5.7% (5.4% - 6.1%). However, through the 2 hour- post- glucose load test, the national prevalence of undiagnosed diabetes was 2.5% (2.3-2. 7%). Taking into account these 2 categories of diabetes, hence the prevalence of diabetes in Malaysia would be 8.3% (7.8% - 8.7%). From other studies conducted in Malaysia, the prevalence seemed to be on the rise. In 1986, the prevalence of diabetes in Peninsular Malaysia as reported in the first National Health and Morbidity Survey was 6.3% and in 1995 as reported by the Cardiovascular Unit in the Department of Public Health, Ministry of Malaysia was 7.7%.
If estimating the population of Malaysia in 1996 to be approximately 21 million, the total number of diabetic sufferers would approximately be 1.7 million. With further industrialisation plus modernisation, the number of people affected by diabetes may double by 2010. By far, Asia was recognised as having the potential increase with 2.5 to 3 times more common diabetes then it is today. Hence, by 2010, Asia was projected to have 138 million diabetic sufferers.
Data on diabetes was obtained from adult respondents 30 years and above through interviews by trained nurses using precoded questionnaires. A 2-hour-post - glucose load test was conducted by the nurses to the respondents who self-professed that they were non-diabetics and have not been diagnosed by any, medical personnel. These non-diabetes were measured for their blood glucose level using glucophotometer in a dry non-wipe technique.
For the purpose of analysis in this survey, the respondents were categorised into 3 categories. The known diabetes were the adult respondents who self-professed they were diabetics and diagnosed by medical personnel. Those non-diabetics who had undergone the 2 hour - post glucose load test and whose blood glucose measurement level of 11.1 mmol/1 or more were categorised as undiagnosed diabetes. Those with blood glucose measurement of 7.8 - < 11.1 mmol/1 were classified as impaired glucose tolerance (IGT)
From the survey, the national prevalence of known diabetes in Malaysia was found to be 5.7% (5.4% - 6.1%). However, through the 2 hour- post- glucose load test, the national prevalence of undiagnosed diabetes was 2.5% (2.3-2. 7%). Taking into account these 2 categories of diabetes, hence the prevalence of diabetes in Malaysia would be 8.3% (7.8% - 8.7%). From other studies conducted in Malaysia, the prevalence seemed to be on the rise. In 1986, the prevalence of diabetes in Peninsular Malaysia as reported in the first National Health and Morbidity Survey was 6.3% and in 1995 as reported by the Cardiovascular Unit in the Department of Public Health, Ministry of Malaysia was 7.7%.
If estimating the population of Malaysia in 1996 to be approximately 21 million, the total number of diabetic sufferers would approximately be 1.7 million. With further industrialisation plus modernisation, the number of people affected by diabetes may double by 2010. By far, Asia was recognised as having the potential increase with 2.5 to 3 times more common diabetes then it is today. Hence, by 2010, Asia was projected to have 138 million diabetic sufferers.
Foot problems are a big risk in diabetics. Diabetics must constantly monitor their feet or face severe consequences, including amputation. With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can lead to a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When a wound is not healing, is at risk for infection and infections spread quickly in diabetics.
Prevalence of diabetes in Malaysia was found to be 8.2%. There was an increase in prevalence as compared to the NHMS in 1986, which only reported 6.3% in Peninsular Malaysia.
Information reproduced from The Second National Health and Morbidity Survey II - Diabetes Epidemic in Malaysia was published in 1997 by the Public Health Institute, Ministry of Health, Malaysia
This report is used to primarily focus on the need for diabetes related footwear, an area which is gaining more health focused awareness lately.
Prevalence of diabetes in Malaysia was found to be 8.2%. There was an increase in prevalence as compared to the NHMS in 1986, which only reported 6.3% in Peninsular Malaysia.
Information reproduced from The Second National Health and Morbidity Survey II - Diabetes Epidemic in Malaysia was published in 1997 by the Public Health Institute, Ministry of Health, Malaysia
This report is used to primarily focus on the need for diabetes related footwear, an area which is gaining more health focused awareness lately.
Diabetes is fast becoming a dreaded illness in Malaysia. Whilst much effort is being put in place by the relevant authorities to stem this menace, not much is done at the highest level to zoom in particualrly on foot care for those already suffering from diabetes. To a diabetic, besides prescribed medication, avoiding cuts, bruises and injuries becomes a paramount criteria. One area most susceptible to this is the feet which comes into contact with shoes worn and surface treaded. There are no comprehensive statistics on these kind of problems with feet. Survey suggests, two out of every three workers suffer from some form of a foot problem.
A common side effect of diabetes is "peripheral neuropathy," which causes loss of sensation in the extremities. Ill-Fitting shoes which rub or pinch the feet excessively over prolonged time, can lead to ulceration (pressure ulcers) and foot injury. Diabetics with peripheral neuropathy will not feel the injury until it is too late. A common probability when a diabetic suffers from ulceration or injury , is the setting-in of gangrene. Medically, gangrene related amputation of limbs is an accepted occurrence.
It is very important for a diabetic to have their shoes custom fitted by a trained professional, since they may not be able to feel an improper fit, due to peripheral neuropathy. By ensuring proper fit and good air circulation, properly designed diabetic shoes and insoles prevent pressure ulcers, encourage good blood circulation, and allow the skin to breathe.
Some things to look for in good shoe designs for diabetics are:
- Diabetic Shoes need to have a breathable construction - fabric shoes are good for this.
- Deep and wide designs that allow room for custom pedorthic insoles.
- Designs with no interior seams (or covered seams) to prevent rubbing injuries.
- Diabetic Shoes need a roomy "toe box" to prevent pinching or squeezing of the toes.
- Elastic or easily adjustable fit, to prevent the diabetic shoe from sliding around on the feet
WALKABOUT® diabetes shoes comes with seamless inner lining to avoid cuts or abrasions, adjustable flap to allow feet movement and air circulation. The WB-D168 model has provision for interchangeability of insoles. Apart from this, much of its other features are explained under the Nursing Shoes product factfile.
Due to its avid knowledge of the local industry in Malaysia, Pellicoz Engineering Sdn Bhd has formulated material specifications which caters to the local scene, in that it has ensured avoiding use of animal skin in the shoe-making process and replaced it with synthetic materials.
The method statement for shoe manufacturing involves planning aspect, design concept, material identification and matching, assembly process for framework, handcraft element , automated assembly line and quality control. These are done in three different locations abroad due to their pecularity and environmental requirements.
Pellicoz Engineering Sdn Bhd in collaboration with an established market research and designer team in the footwear field with over 30 years experience and the award winning PORON insole’ Roger’s Corporation, USA with over 177 years of innovation technology has created a niche in piecing together an enduring and purpose built product.
WALKABOUT® Nursing and Diabetes shoes are a proprietary product of Pellicoz Engineering Sdn Bhd. By virtue of its usage of PORON insole and colloboration with Roger's Corporation. USA, the AMERICAN PODRIATIC MEDICAL ASSOCIATION has granted product recognition. Malaysian Diabetes Association (Selangor) endorses sale of the Diabetes Shoes in all its outlets under an OEM branding arrangement.
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