担任の先生より OT・PT・ST

4)”shoes” seen at special needs schools in Japan

From the homeroom teacher of a former occupational therapist

 
This time, I will write about shoes that are common in special needs schools from the perspective of my homeroom teacher.

In order to correspond to the sharp feet that become legs like toe standing, there seem to be a lot of shoe type braces with both sides (one side) strut, a set of shoephone braith and large athletic shoes, and a high-cut shoe type brace if it is a special support school for physically handicapped people.
(Shoephone Braith: An L-shaped plastic brace that keeps the ankle close to 90 degrees)

There are children and students who wear high-cut shoe-shaped braces because their ankles tend to be external and the areas without treading tend to be flat if they are in a special needs school for intellectual disabilities.

I feel that it is considerably thin compared with the clinical site to ask the preservation and the therapeutic meaning to wear shoes already in some scenes where the homeroom teacher
changes shoes.(Japan have a culture indoor⇒off the shoes, outdoor⇒put on the shoes)

As a homeroom teacher, I try to write the points when wearing shoes while I come up with them.
[Points to look at when wearing shoes]

(1) Do you know where your shoes are in the shoebox

 (2) Can you return the shoes you took off to your shoebox

(3) Do you sit and wear them or stand still?
(4) If you sit down, can you raise your feet and hold your hands on your feet while you put them on and off

(5) Hold your feet in space?
(6) Can students definitely wear left and right

(7) Can children and students themselves notice the mistakes on the left and right

(8) Can they put their feet in the mouth without stepping on the bero (tan)?
(9) What should theback of the foot be d’enough to stop? (Velcro, shoelaces, chuck…?

(10) Can the back part of the foot be taken to a fit state after wearing it

(11) Whether the heel is in [What to take care of] The homeroom teacher often thinks that wearing and taking off shoes is one of the procedures to move to the next step at school.
 When you lead multiple children and students to travel, you’re looking at where to encourage them to wear shoes and where they need help while keeping everyone safe.

・ Heavy shoes may stumble with →(4) (5) to ensure stability when walking ・ Shoes with high soles may have poor balance during standing and walking, such as → (3) due to decompression, and stairs are dangerous


・ If you want to stabilize theoot using a hard → may stumble with (8) (11) Shoes  Take a look at the photos. It is a common type.
 Roughly speaking, compared to commercial shoes, the material is hard, and if you pull the beltout from the part where you reverse the belt, you may not be able to return it, but there is a ring etc. so that the belt does not come out of the metal fittings … I understand.


Recently, I feel a little dissatisfied: Recently, I feel a little dissatisfied that the person who makes the shoes is too much of an eye for orthopedic values such as protecting the foot, and may be dingy about the operation side.

In the check-out scene, I carefully look at the appearance of walking and how my feet fit in the ideal position, but until I take it out of the shoebox and put it on, from taking it off to put it in the shoe box, what posture do I wear, how far can I do it myself, what kind of support is needed, and how do I do it when moving the slope or stairs?

The shoes are not use only flat road, a student use it everywhere ,and a teacher needs a therapyst to guess who support to take on or off the shoes .