Identifying Data 2020/21
Subject (*) Digital Orthopedics and Footwear Therapy Code 750G02020
Study programme
Grao en Podoloxía
Descriptors Cycle Period Year Type Credits
Graduate 2nd four-month period
 Third Obligatory 6
Language
Galician
Teaching method Hybrid
Prerequisites
Department Ciencias da Saúde
Coordinador
López López, Daniel
 E-mail
daniel.lopez.lopez@udc.es
Lecturers
López López, Daniel
 E-mail
daniel.lopez.lopez@udc.es
Web http://moodle.udc.es/
General description A asignatura de ortesioloxía dixital e calzadoterapia posee unha clara importancia de cara a que o alumnado desenrole coñecementos, habilidades e destrezas importantes no proceso ensinanza – aprendizaxe do seu proceso formador para mellorar a saúde das persoas.

O valor é moi significativo para o futuro podólogo, de cara a comprender, actuar e profundizar no campo terapéutico da ortoprótesis, no uso e a indicación de productos sanitarios podolóxicos, proporcionándolle unha formación básica de coñecementos teóricos e destrezas prácticas, co fin de que adquira as competencias básicas relacionadas ca prescripción, deseño e obtención das principais orteses dixitales e próteses do pe e coñeza a súa relación co resto do membro inferior.

Mediante a prescripción de dispositivos orto-protésicos a medida ou prefabricados, numerosos estudios demostraron a eficacia destes dispositivos tanto na reducción da sintomatoloxía, como na recuperación da funcionalidade de diversas situacións patolóxicas debidas a alteracións estructurais ou funcionais do pe ou dalgunha outra estructura do membro inferior.
Contingency plan 1. Modificacións nos contidos.
– Non se realizarán cambios.

2. Metodoloxías.
*Metodoloxías docentes que se manteñen:

- Sesión maxistral.
- Foro Virtual.
– Atención personalizada.

*Metodoloxías docentes que se modifican:

– Seminarios a través do Moodle (computa na avaliación). As actividades relacionadas cos seminarios consistirán en traballos tutelados a entregar a través da plataforma de teleensinanza moodle.

– Prácticas de Laboratorio a través do Moodle (computa na avaliación). As actividades relacionadas cas prácticas de laboratorio consistirán en traballos tutelados a entregar a través da plataforma de teleensinanza moodle.

– Proba Mixta a través do Moodle (computa na avaliación).

3. Mecanismos de atención personalizada ao alumnado.

– Correo electrónico: Diariamente. De uso pra facer consultas, solicitar encontros virtuais para resolver dúbidas e facer o seguimento das metodoloxías de aprendizaxe previstas na materia.
– Moodle: Diariamente. Segundo a necesidade do alumnado a tráves do Foro Virtual.
– Teams: sesión semanal en gran grupo para o avance dos contidos teóricos e prácticos. Esta dinámica permite facer un seguimento normalizado e axustado as necesidades da aprendizaxe do alumnado para desenvolver o traballo da materia.

4. Modificacións na avaliación.
– Non se realizarán cambios.

*Observacións de avaliación.
Mantéñense as mesmas que figuran na guía docente, agás que:

- As referencias ao cómputo da asistencia, que só se realizará respecto das sesións que houbo presencial ate o momento no que se suspendeu a actividade presencial.
- A segunda oportunidade estará sometida aos mesmos criterios que a primeira oportunidade.

5. Modificacións da bibliografía ou webgrafía.
– Non se realizarán cambios

Study programme competencies
Code Study programme competences
A22 Deseñar, obter e aplicar mediante diferentes técnicas e materiais os ortesis plantares e ortesis dixitais, próteses, férulas. Ortesioloxía plantar e digital. Estudo do calzado e calzadoterapia. Prescrición de tratamentos ortopédicos da extremidade inferior.
B7 Comunicarse de maneira efectiva nun entorno de traballo.
C7 Asumir como profesional e cidadán a importancia da aprendizaxe ao longo da vida.

Learning aims
Learning outcomes Study programme competences
Designing, obtaining and applying different techniques and materials by the orthotics and digital orthoses, prostheses, splints. Plantar and digital orthotics . Study of footwear and therapy shoes. Orthotic treatment prescription lower extremity. A22
 B7
 C7
Design, procure and implement using different techniques and the orthotics digital. A22
 B7
 C7
Prescribe and implement plantar and digital orthoses on podiatric conditions Morphological and functional. A22
 B7
 C7
Meet and develop scanning techniques, to make a diagnosis and prognosis, and plan deseñar orthosis treatment of lower extremity pathology. Skeletal muscle injury and ligament. Pathology of the forefoot and hindfoot. Congenital deformities. Neurological injuries. Amputations. Asymmetries. A22
 B7
 C7

Contents
Topic Sub-topic
1. Fundament Digital Orthotics a) Introduction to digital orthotics.
b) Current frame digital orthotics.

2. Materials needed for a development of orthoses. a) Silicone.
b) Catalyst.
c) Additives or fillers.
d) Auxiliary materials and accessories.
3. Making silicone orthoses. a) Preparation: considerations.
b) Protocol.
c) Recommendations and rules of use for the patient.
d) Handling and working times.
e) Evaluation of Silicone orthotics.
f) Failures in Silicone orthotics.
4. Therapeutic elements Silicone orthotics. a) Description of elements comprising silicone orthoses.
b) Frequent digital orthotics.
5. Therapeutic Application of Digital Orthotics a) Biomechanical effect.
b) Therapeutic Application.
6. Nail Orthotics. a) Introduction to the nail orthotics.
b) Development of the nail orthotics.
c) Therapeutic Application.
7 Introduction to therapy shoes. a) Parts shoe: sole and cut.
b) Lasts footwear.
8. Therapeutic devices in the Shoes. a) External modifications: heels, wedges, increases.
b) Set the shoe. Gradation chart and numbering systems.
9. Properties footwear according to different population groups. a) Conventional footwear for adults.
b) Children conventional shoes.
c) domestic footwear.
d) Work Shoes.
e) Special Shoes for orthotics.
f) Child Special footwear.
g) Special shoes for deformed feet or geriatric / peripheral vascular disease.
h) Postoperative shoes.
10. Types of shoes. a) Bootie or shoe salon.
b) Moccasin.
c) Derby or Oxford dress shoe.
d) Boots. Booties.
e) Slippers, slippers and sandals.
11. Accessories and footwear.
a) With and without compression socks.
b) Stockings, Pantyhose and graduations.
c) Ankles with and without stabilization.
d) Pinkis.

Planning
Methodologies / tests Competencies Ordinary class hours Student’s personal work hours Total hours
Mixed objective/subjective test A22 2 28 30
Guest lecture / keynote speech A22 B7 C7 21 32 53
Seminar A22 B7 C7 7 14 21
Laboratory practice A22 B7 C7 18 18 36
 
Personalized attention 10 0 10
 
(*)The information in the planning table is for guidance only and does not take into account the heterogeneity of the students.

Methodologies
Methodologies Description
Mixed objective/subjective test Exam with 30 questions and 3 short objective test questions. The review will include questions related to the contents developed in both keynote sessions, and seminars and labs.
Guest lecture / keynote speech The master class sessions consist of master-participatory exhibition of basic contents of the subject, supported by images, video, etc classes. The keynote sessions will focus on the main contents of the syllabus.

Seminar Students will be provided the agenda with the basic theoretical contents of the subject, as well as material to work in the classroom or outside it. All material will be accessible to students in distance learning platform Moodle https://campusvirtual.udc.es/moodle/.
Laboratory practice Lab The labs are specifically targeted:

1 - Knowing scan protocol and digital deformities performance.
2 - Accurately diagnose the condition of the forefoot.
3 - Apply ortesiológico timely treatment, as appropriate.
4 - Mastering methodology making silicone orthoses.
5 - Evaluate and adapt the general footwear citizenship.
6 - Prescribe special shoes and customized for different population groups.

Personalized attention
Methodologies
Mixed objective/subjective test
Guest lecture / keynote speech
Laboratory practice
Seminar
Description
The personalized service will run on a scheduled basis in times of teacher attention to students, to face service; and virtually, through email and other electronic means to enable the virtual platform.

The personalized service is designed to solve any issue related to the different methodologies and / or contents of the subject

Assessment
Methodologies Competencies Description Qualification
Mixed objective/subjective test A22 On the written test score information in the questions provided. 65
Laboratory practice A22 B7 C7 Attendance at labs is mandatory in its entirety to pass the subject. The last 2 hours of practice will be used for a practical test with theoretical and practical questions about the contents of the material developed in practice.

For the fit in the labs, you must answer / successfully complete 50% of the activities and / or exam questions, in addition to attending all practices. 		20
Seminar A22 B7 C7 The seminar related activities are mandatory and can not be recovered or replaced by other activities of the course. The rating of each activity of the seminar will be specified with each activity. 15
 
Assessment comments
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Sources of information
Basic Tovaruela-Carrión N, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Palomo-López P, Munuera-Martínez (2018). Accurately Determining Proper Shoe Size in Patients With Rheumatoid Arthritis. Rehabil Nurs. 2018 Sep/Oct;43(5):285-289
Casado-Hernández I, Becerro-de-Bengoa-Vallejo R, López-López D, Gómez-Bernal A, Losa-Iglesias ME (2018). Aluminum foot insoles reduce plantar forefoot pressure and increase foot comfort for motorcyclists. Prosthet Orthot Int. 2018 Dec;42(6):606-611
Álvarez-Calderón O, Alonso F, López D, Gómez B, Sánchez R (2008). Análisis del calzado en una población mayor de 60 años. . Revista Internacional de Ciencias Podológicas, 2 (1), 19-26.
López D, Cosín J, Alvarez-Calderón O, Cosín E, Barriuso M, López L (2006). Aplicación de un tratamiento ortesiológico en una malformación del miembro inferior: a propósito de un caso. Revista española de podología, 17 (4) 170-176
Donattelli R, Wooden M (1996). Biomechanical orthotics. In: Donatelli R. Coordinador. Biomechanics of the foot and ankle. 2ª ed. . Philadelphia: F.A. Davis Company
Roca-Dols A, Losa-Iglesias ME, Sánchez-Gómez R, Becerro-de-Bengoa-Vallejo R, López-López D, Rodrígue (2018). Effect of the cushioning running shoes in ground contact time of phases of gait.. J Mech Behav Biomed Mater. 2018 Dec;88:196-200
Rodríguez-Sanz D, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Martínez-Jiménez EM, Muñoz-García D (2018). Effects of Compressive Stockings and Standard Stockings in Skin Temperature and Pressure Pain Threshold in Runners with Functional Ankle Equinus Condition.. J Clin Med. 2018 Nov 21;7(11). pii: E454
Munuera PV (2009). El primer radio biomecánica y ortopodología. Santander: Exa Editores S.L.
Casado-Hernández I, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, López-López D, Rodríguez-Sanz D, (2019). Electromyographic Evaluation of the Impacts of Different Insoles in the Activity Patterns of the Lower Limb Muscles during Sport Motorcycling: A Cross-Over Trial. Sensors (Basel). 2019 May 15;19(10). pii: E2249
Roca-Dols A, Losa-Iglesias ME, Sánchez-Gómez R, Becerro-de-Bengoa-Vallejo R, López-López D, Palomo-L (2018). Electromyography activity of triceps surae and tibialis anterior muscles related to various sports shoes. J Mech Behav Biomed Mater. 2018 Oct;86:158-171
Roca-Dols A, Losa-Iglesias ME, Sánchez-Gómez R, López-López D, Becerro-de-Bengoa-Vallejo R, Calvo-Lo (2018). Electromyography comparison of the effects of various footwear in the activity patterns of the peroneus longus and brevis muscles. J Mech Behav Biomed Mater. 2018 Jun;82:126-132
Gordillo-Fernández A (2006). Fabricación a medida de productos sanitarios ortopodológicos en la Comunidad Valenciana.. Valencia: Generalitat Valenciana, Consellería de Sanitat-Agencia Valenciana de Salut
Palomo-López P, Becerro-de-Bengoa-Vallejo R, Losa-Iglesias ME, Rodríguez-Sanz D, Calvo-Lobo C, López (2017). Footwear used by older people and a history of hyperkeratotic lesions on the foot: A prospective observational study. Medicine (Baltimore). 2017 Apr;96(15):e6623
Sánchez-Gómez R, Bengoa-Vallejo RB, Losa-Iglesias ME, Calvo-Lobo C, Romero-Morales C, Martínez-Jimén (2019). Heel Height as an Etiology of Hallux Abductus Valgus Development: An electromagnetic Static and Dynamic First Metatarsophalangeal Joint Study.. Sensors (Basel). 2019 Mar 16;19(6). pii: E1328
López-López D, Expósito-Casabella Y, Losa-Iglesias M, Bengoa-Vallejo RB, Saleta-Canosa JL, Alonso-Ta (2016). Impact of shoe size in a sample of elderly individuals.. Rev Assoc Med Bras (1992). 2016 Nov;62(8):789-794
Losito J (1996). Impression casting techniques. In: Valmassy R. Coordinador. Clinical biomechanics of the lower extremities. . Missouri: Mosby
López-López D, Araújo R, Losa-Iglesias ME, Becerro-de-Bengoa-Vallejo R, Santos A, Rodríguez-Sanz D, (2018). Influence of custom foot orthoses on venous status: A quasi-experimental study. J Mech Behav Biomed Mater. 2018 Mar;79:235-238
Prat J (1999). Introducción a la Ortoprotésica. Guía de uso y prescripción de productos ortoprotésicos a medida.. Valencia: Instituto Biomecánico de Valencia
Vázquez B (2009). Manual de Ortopodología.. Barcelona: Ediciones Especializadas Europeas
López D, Ramos J, Alonso F, García R (2012). Manual de Podología. Conceptos, Organización Psicológica y Práctica Clínica. . Madrid: CERSA.
Queralt Mª (2004). Manual de Técnicas en Ortopodología.. Barcelona: Ediciones Especializadas Europeas
López López D, Losa Iglesias ME, Becerro de Bengoa Vallejo R, Palomo López P, Morales Ponce Á, Soria (2015). Optimal choice of footwear in the elderly population.. Geriatr Nurs. 2015 Nov-Dec;36(6):458-61
Janeiro JM, Alonso F, Bouzas MC, Calleja J, López L (2002). Orígenes de las Siliconas. El Peu Vol. 22 (1) 32-35
Prat J (1999). Ortesis plantares y calzado ortopédico a medida. Guía de uso y prescripción de productos ortoprotésicos a medida.. Valencia: Instituto Biomecánico de Valencia
Olson W (1996). Orthotic materials. In: Valmassy R. Coordinador. Clinical biomechanics of the lower extremities.. Missouri: Mosby
Richie D (2007). Orthotics. In: Di Giovanni C, Greisberg J. Coordinadores. Foot & Ankle: Core Knowledge in Orthopaedics. . Philadelphia: Elsevier; 2007.
Levy AE, Cortés JM (2003). Ortopodología y Aparato Locomotor. Ortpedia de pie y tobillo.. Barcelona: Masson
Whitney A, Whitney K. (2006). Padding and Tapping Therapy. In: Levy L, Hetherington V. Editors. Principles and pratice of Podiatric Medicine.. Maryland: Data Trace PC
López D (2011). Podología y Salud: Un análisis de las representaciones sociales de las enfermedades del pie desde una perspectiva psicosocial.. A Coruña: Universidade da Coruña.
Jones L (1996). Prescription writing for functional and acommodative foot orthoses. In: Valmassy R. Coordinador. Clinical biomechanics of the lower extremities. . Missouri: Mosby
Sánchez-Sáez JM, Palomo-López P, Becerro-de-Bengoa-Vallejo R, Calvo-Lobo C, Losa-Iglesias ME, López- (). Stability of Three Different Sanitary Shoes on Healthcare Workers: A Cross-Sectional Study. Int J Environ Res Public Health. 2019 Jun 16;16(12). pii: E2126
Kerrigan DC, Franz JR, Keenan GS, Dicharry J, Della Croce U, Wilder RP (2009). The effect of running shoes on lower extremity joint torques.. Journal American Academy of Physical Medicine and Rehabilitation, 1(12), 1058-63.
Philps JW. (1995). The functional foot orthosis.. New York: Churchill Livingstone
Calvo-Lobo C, Ramos García A, Losa Iglesias ME, López-López D, Rodríguez-Sanz D, Romero-Morales C, B (2018). The Relationship between Shoe Fitting and Foot Health of Persons with Down Syndrome: A Case Control Study.. Int J Environ Res Public Health. 2018 May 14;15(5). pii: E983
Kirby K (1996). Troubleshooting functional foor orthoses. In: Valmassy R. Coordinador. Clinical biomechanics of the lower extremities. . Missouri: Mosby
Pratt D, Tollafield D (2007). Una introducción a las terapéuticas mecánicas. En: Turner WA, Merriman LM. Habilidades clínicas para el tratamiento del pie. . Madrid: Elsevier

-          
Complementary Kirby, K. A. (2000). Biomechanics of the normal and abnormal foot. . JAPMA, 90 (1), 30-35.
Kirby K. (2003). Foot and lower extremities biomechanics II. Precision intricast newsletters, 1997-2002.. Arizona: Precision Intricast Inc
Kirby K. (2009). Foot and lower extremities biomechanics III. Precision intricast newsletters, 2002-2008.. Arizona: Precision Intricast Inc
Kirby K. (1998). Foot and lower extremities biomechanics: A ten year collection of precision intricast newsletters.. Arizona: Precision Intricast Inc
Williams A, Nester C (2010). The pocket podiatry guide: footwear and foot orthoses.. London: Chuchill Livingstone Elsevier


Recommendations
Subjects that it is recommended to have taken before
Specific Anatomy of the Lower Limb/750G02002
General Podiatry/750G02012
Biomechanics of the Lower Limb/750G02013
Preventive Podiatry/750G02015
Podiatric Orthopedics 1/750G02017
Podiatric Orthopedics 2/750G02018
Podiatric Orthopedics 3/750G02019
Podiatric Pathology 1/750G02021

Subjects that are recommended to be taken simultaneously
Podiatric Pathology 2/750G02022
Physical Podiatry/750G02023
Practicum 1/750G02033

Subjects that continue the syllabus
Sports Podiatry/750G02025
Diabetic Foot/750G02031
Practicum 2/750G02034
Practicum 3/750G02035

Other comments

Para o seguemento das diferentes metodoloxías na aula da materia recoméndase a utilización dun ordenador portátil que dispoña de conexión wifi.


Asemade, ca finalidade de conquerir unha contorna inmediata sustentable e cumprir o obxectivo estratéxico; do Plan de Sustentabilidade Medio-ambiental Green Campus FEP, tódolos traballos documentais que se realicen nesta materia serán entregados a través de Moodle, en formato dixital, sen necesidade de imprimilos.

De realizarse en papel teranse en conta as seguintes cuestións que aparecen a continuación:

- Non se empregarán plásticos.
- Realizaránse impresións a dobre cara.
- Empregarase papel reciclado.
- Evitaranse imprimir borradores.


(*)The teaching guide is the document in which the URV publishes the information about all its courses. It is a public document and cannot be modified. Only in exceptional cases can it be revised by the competent agent or duly revised so that it is in line with current legislation.