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Many work places require standing for prolonged periods of time and are potentially damaging to health, with links to musculoskeletal disorders and acute trauma from workplace accidents. Footwear provides the only interaction between the body and the ground and therefore a potential means to impact musculoskeletal disorders. However, there is very limited research into the necessary design and development of footwear based on both the physical environmental constraints and the personal preference of the workers. Therefore, the purpose of this study was to explore workers needs for footwear in the ‘standing’ workplace in relation to MSD, symptoms, comfort and design.
Semi-structured interviews were conducted with participants from demanding work environments that require standing for high proportions of the working day. Thematic analysis was used to analyse the results and gain an exploratory understanding into the footwear needs of these workers.
Interviews revealed the environmental demands and a very high percentage of musculoskeletal disorders, including day to day discomfort and chronic problems. It was identified that when designing work footwear for standing environments, the functionality of the shoe for the environment must be addressed, the sensations and symptoms of the workers taken into account to encourage adherence and the decision influencers should be met to encourage initial footwear choice. Meeting all these criteria could encourage the use of footwear with the correct safety features and comfort. Development of the correct footwear and increased education regarding foot health and footwear choice could help to reduce or improve the effect of the high number of musculoskeletal disorders repeatedly recorded in jobs that require prolonged periods of standing.
This study provides a unique insight into the footwear needs of some workers in environments that require prolonged standing. This user based enquiry has provided information which is important to workplace footwear design.
O’Neill R. Standing problem. Hazards magazine. 2005;91:1–29.
Parent-Thirion A, Vermeylen G, van Houten G, Lyly-Yrjänäinen M, Biletta I, Cabrita J. Fifth European working conditions survey. Dublin. European Foundation for the Improvement of Living Working Conditions Ireland. Luxembourg: Publications Office of the European Union; 2012. p. 33.
Halim I, Omar AR. A review on health effects associated with prolonged standing in the industrial workplace. International Journal of Research and Reviews in Applied Science. 2011;8:14–21.
Nealy R, McCaskill C, Conaway MR, Burns SM. The aching feet of nurses - an exploratory study. Medsurg Nurs. 2012;21
Anderson J, Williams AE, Nester CJ: A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear and flooring. Musculoskeletal Care 2016; doi: 10.1002/msc.1174.
Naidoo S, Anderson S, Mills J, Parsons S, Breeden S, Bevan E, Edwards C, Otter S. “I could cry, the amount of shoes I can’t get into”:A qualitative exploration of the factors that influence retail footwear selection in women with rheumatoid arthritis. Journal of Foot and Ankle Research. 2011;4:21. CrossRefPubMedPubMedCentral
Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2016;1:385–405. CrossRef
Messing K, Tissot F, Stock SR. Lower limb pain, standing, sitting and walking: the importance of freedom to adjust one’s posture. Proceedings of the 16th Congress of the International Ergonomics Association. Maastricht, Netherlands Amsterdam, The Netherlands: Elsevier; 2006.
Bergan JJ, Schmid-Schönbein GW, Smith PDC, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006:488–98.
Cambron JA, Duarte M, Dexheimer J, Solecki T. Shoe orthotics for the treatment of chronic low back pain: a randomized controlled pilot study. J Manip Physiol Ther. 2011;34:254–60. CrossRef
Morio C, Bourrelly A, Sissler L, Gueguen N. Perceiving slipperiness and grip: A meaningful relationship of the shoe-ground interface. Gait & Posture. 2017;51:58–63. CrossRef
Irzmańska E, Dutkiewicz JK, Irzmański R. New approach to assessing comfort of use of protective footwear with a textile liner and its impact on foot physiology. Text Res J. 2014;84:728–38. CrossRef
Norlander A, Miller M, Gard G. Perceived risks for slipping and falling at work during wintertime and criteria for a slip-resistant winter shoe among Swedish outdoor workers. Safety science. 2015;73:52–61.
Price C, Graham-Smith P, Jones R. A comparison of plantar pressures in a standard flip-flop and a FitFlop using bespoke pressure insoles. Footwear Science. 2013;5:111–9. CrossRef
Zhang X, Paquette MR, Zhang S. A comparison of gait biomechanics of flip-flops, sandals, barefoot and shoes. Journal of foot and ankle research. 2013;6:1. CrossRef
Miller JE, Nigg BM, Liu W, Stefanyshyn DJ. Influence of foot, leg and shoe characteristics on subjective comfort. Foot Ankle Int. 2000;21:9. CrossRef
Alemany S, González JC, García AC, Olaso J, Montero J, Chirivella C, Prat J, Sánchez J. A novel approach to define customized functional design solution from user information. Hong Kong: 3rd Interdisciplinary World Congress on Mass Customization and Personalization; 2005. p. 15.
Goonetilleke RS: Designing for Comfort: A Footwear Application. Computer-Aided Ergonomics and Safety Conference 2001.
Salles AS, Gyi DE. Delivering personalised insoles to the high street using additive manufacturing. Int J Comput Integr Manuf. 2013;26:386–400. CrossRef
Wang C, Tseng M. Mass customisation and footwear. In: Goonetilleke RS, editor The Science of Footwear. Boca Raton: CRC Press; 2012;625–642.
Crilly N, Moultrie J, Clarkson PJ. Seeing things: consumer response to the visual domain in product design. Des Stud. 2004;25:547–77. CrossRef
Riddle DL, Pulisic M, Pidcoe P, Johnson RE. Risk Factors for Plantar Fasciitis: A Matched Case-Control Study. J Bone Joint Surg. 2003;85A:872–7. CrossRef
- An explorative qualitative study to determine the footwear needs of workers in standing environments
Anita E. Williams
- BioMed Central