Why can shoes become difficult to put on?
Footwear can be difficult to manage because of restricted bending, reduced hand strength, poor dexterity, swelling, pain or the presence of an orthosis.
The easiest shoe is therefore not the same for everyone.
Why does a wide opening help?
A shoe that opens widely reduces the amount the foot needs to be pointed or squeezed through a narrow entry.
This can be particularly helpful with swollen feet or when fitting around an AFO or SMO.
Which fastenings are easiest to manage?
Large hook-and-loop straps, accessible zips and other simple closures may be easier than small buckles or tightly tied laces.
However, the fastening still needs to secure the foot effectively once the shoe is on.
Can elastic laces help?
Elastic laces can reduce the need to repeatedly tie standard laces, but they are not suitable for every shoe or every level of support.
They should not make the shoe so loose that the foot slides.
What are pull tabs for?
Heel or tongue pull tabs provide a larger area to grip while guiding the foot into the shoe.
They can be useful where finger dexterity is limited, provided the user can reach the tab comfortably.
Why can removable insoles help?
Where the manufacturer intends the insole to be removable, taking it out can create additional room for orthotics, swelling or easier entry.
The shoe should still fit securely once the final insole or orthotic setup is in place.
Do slip-on shoes make dressing easier?
Sometimes, but a slip-on must still hold the heel and midfoot securely.
For someone who needs substantial support or wears an orthosis, a wide-opening adjustable shoe may be easier and more secure than a loose slip-on.
Can a shoehorn help?
A shoehorn helps guide the heel into the shoe while reducing the need to push against the heel counter.
Long-handled versions can also reduce the amount of bending required.
What if reaching the feet is difficult?
A long shoehorn, dressing stick or other dressing aid may help, depending on the individual.
Occupational therapy advice can be useful where dressing difficulties form part of a wider mobility or independence problem.
What should not be sacrificed for easier entry?
- secure heel hold;
- appropriate width and depth;
- a stable sole;
- safe fastening;
- compatibility with any prescribed orthosis.
When should professional advice be considered?
Seek advice if difficulty putting on shoes is new, is linked to a significant mobility change, or makes it difficult to use footwear safely and consistently.
