Abstract

BackgroundAppropriate footwear is important for those who stand for prolonged periods of time at work, enabling them to remain comfortable, healthy and safe. Preferences for different footwear cushioning or hardness are often person specific and one shoe or insole will not be the choice for all. The aim of this study was to develop a range of insole options to maintain comfort during long periods of standing at work and test insole material preferences in the workplace.MethodsThe study consisted of two parts. Part one evaluated 9 insoles of the same geometry that varied in hardness under 2 different plantar regions (n = 34). Insole preference, plantar pressure and selected anthropometric foot measures were taken. Three insole designs based on the most preferred options were identified from this part.In part two, these three insoles were evaluated with 22 workers immediately after trying them on (1 min) and after a working day. Foot anthropometric measures and subjective questions concerning material hardness preferences and self-reported foot characteristics were used to investigate whether either had a relationship with insole preference.ResultsPart one found insole preference predominantly varied according to material hardness under the medial arch rather than the heel/forefoot. Softer material under the heel and forefoot was associated with a reduction in peak pressures in these regions (p < 0.05). The most preferred insole had lower pressures under the hallux and first metatarsal phalangeal joint, and greater pressures and contact area under the medial midfoot (p < 0.05) compared to the least preferred insole. Height and foot anthropometrics were related to insole preference.In part two, under real world conditions, insole preference changed for 65% of participants between the immediate assessment (1 min) and after a whole workday, with dorsum height related to the latter (p < 0.05). Subjective questions for self-assessed arch height and footwear feel identified 66.7% of the insole preferences after 1 day at work, compared to 36% using immediate assessment of insole preference.ConclusionPreference for material hardness varies underneath the medial arch of the foot and is time dependent. Simple foot measures and questions about comfort can guide selection of preferred insoles.

Highlights

  • Appropriate footwear is important for those who stand for prolonged periods of time at work, enabling them to remain comfortable, healthy and safe

  • This study aimed to investigate the impact of insole material preferences on footwear comfort, focussing on the specific needs of those involved in long periods of standing at work

  • Max 53 1.90 126.6 39.5 12 11 2.1 289.5 217.0 75.2 106.5 40.0 72.3 28.0 267.0 98.7 and a resultant reduction of pressure in other regions. This is in agreement with previous walking and standing research [14, 15, 22, 23] and suggests that for these work-based tasks lower plantar pressure was an important component for comfort

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Summary

Introduction

Appropriate footwear is important for those who stand for prolonged periods of time at work, enabling them to remain comfortable, healthy and safe. The aim of this study was to develop a range of insole options to maintain comfort during long periods of standing at work and test insole material preferences in the workplace. Previous research considering footwear comfort has largely focused on running [8,9,10] or military recruits [5, 11]. The specificity of these populations and the associated physical activity limits the transferability to understanding footwear for workers who stand for long periods of time. Studies of shoe and insole design frequently vary in more than one variable (e.g. changes in both insole geometry and materials), preventing an understanding of the effect of each independent design variable on footwear comfort

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