PEDIATRICS Vol. 88 No. 2 August 1991, pp. 371-375
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Shoes for Children: A Review

Lynn T. Staheli MD1

1 From the Department of Orthopedics, Children's Hospital and Medical Center, Seattle; and Department of Orthopaedics, University of Washington, Seattle

1. Optimum foot development occurs in the barefoot environment.

2. The primary role of shoes is to protect the foot from injury and infection.

3. Stiff and compressive footwear may cause deformity, weakness, and loss of mobility.

4. The term "corrective shoes" is a misnomer.

5. Shock absorption, load distribution, and elevation are valid indications for shoe modifications.

6. Shoe selection for children should be based on the barefoot model.

7. Physicians should avoid and discourage the commercialization and "media"-ization of footwear. Merchandizing of the "corrective shoe" is harmful to the child, expensive for the family, and a discredit to the medical profession.

Submitted on May 29, 1990
Accepted on September 5, 1990


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