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Published in: Journal of Foot and Ankle Research 1/2017

Open Access 01-12-2017 | Research

An explorative qualitative study to determine the footwear needs of workers in standing environments

Authors: Jennifer Anderson, Anita E. Williams, Christopher Nester

Published in: Journal of Foot and Ankle Research | Issue 1/2017

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Abstract

Background

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.

Method

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.

Results

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.

Conclusion

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.
Literature
1.
go back to reference O’Neill R. Standing problem. Hazards magazine. 2005;91:1–29. O’Neill R. Standing problem. Hazards magazine. 2005;91:1–29.
2.
go back to reference 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. 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.
3.
go back to reference Tomei F, Baccolo TP, Tomao E, Palmi S, Rosati MV. Chronic venous disorders and occupation. Am J Ind Med. 1999;36:653–65.CrossRefPubMed Tomei F, Baccolo TP, Tomao E, Palmi S, Rosati MV. Chronic venous disorders and occupation. Am J Ind Med. 1999;36:653–65.CrossRefPubMed
4.
go back to reference 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. 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.
5.
go back to reference Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a 2 year prospective study of a general working population. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed Andersen JH, Haahr JP, Frost P. Risk factors for more severe regional musculoskeletal symptoms: a 2 year prospective study of a general working population. Arthritis Rheum. 2007;56:1355–64.CrossRefPubMed
6.
go back to reference Nealy R, McCaskill C, Conaway MR, Burns SM. The aching feet of nurses - an exploratory study. Medsurg Nurs. 2012;21 Nealy R, McCaskill C, Conaway MR, Burns SM. The aching feet of nurses - an exploratory study. Medsurg Nurs. 2012;21
7.
go back to reference Hill CL, Gill TK, Menz HB, Taylor AW. Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008;1:2.CrossRefPubMedPubMedCentral Hill CL, Gill TK, Menz HB, Taylor AW. Prevalence and correlates of foot pain in a population-based study: the North West Adelaide health study. J Foot Ankle Res. 2008;1:2.CrossRefPubMedPubMedCentral
8.
go back to reference Meijsen P, Knibbe HJ. Work-related musculoskeletal disorders of perioperative personnel in the Netherlands. AORN J. 2007;86:193–208.CrossRefPubMed Meijsen P, Knibbe HJ. Work-related musculoskeletal disorders of perioperative personnel in the Netherlands. AORN J. 2007;86:193–208.CrossRefPubMed
9.
go back to reference 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. 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.
10.
go back to reference Lin CL, Wang MJ, Drury CG. Biomechanical, physiological and psychophysical evaluations of clean room boots. Ergonomics. 2007;50:481–96.CrossRefPubMed Lin CL, Wang MJ, Drury CG. Biomechanical, physiological and psychophysical evaluations of clean room boots. Ergonomics. 2007;50:481–96.CrossRefPubMed
11.
go back to reference Orlando AR, King PM. Relationship of demographic variables on perception of fatigue and discomfort following prolonged standing under various flooring conditions. J Occup Rehabil. 2004;14:63–76.CrossRefPubMed Orlando AR, King PM. Relationship of demographic variables on perception of fatigue and discomfort following prolonged standing under various flooring conditions. J Occup Rehabil. 2004;14:63–76.CrossRefPubMed
12.
go back to reference Chiu MC, Wang MJ. Professional footwear evaluation for clinical nurses. Appl Ergon. 2007;38:133–41.CrossRefPubMed Chiu MC, Wang MJ. Professional footwear evaluation for clinical nurses. Appl Ergon. 2007;38:133–41.CrossRefPubMed
13.
go back to reference Kersting UG, Janshen L, Bohm H, Morey-Klapsing GM, Bruggemann GP. Modulation of mechanical and muscular load by footwear during catering. Ergonomics. 2005;48:380–98.CrossRefPubMed Kersting UG, Janshen L, Bohm H, Morey-Klapsing GM, Bruggemann GP. Modulation of mechanical and muscular load by footwear during catering. Ergonomics. 2005;48:380–98.CrossRefPubMed
14.
go back to reference 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 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
15.
go back to reference Williams AE, Nester CJ, Ravey MI. Rheumatoid arthritis patients’ experiences of wearing therapeutic footwear - A qualitative investigation. BMC Musculoskelet Disord. 2007;8:104.CrossRefPubMedPubMedCentral Williams AE, Nester CJ, Ravey MI. Rheumatoid arthritis patients’ experiences of wearing therapeutic footwear - A qualitative investigation. BMC Musculoskelet Disord. 2007;8:104.CrossRefPubMedPubMedCentral
16.
go back to reference Paton JS, Roberts A, Bruce GK, Marsden J. Patients’ Experience of therapeutic footwear whilst living at risk of neuropathic diabetic foot ulceration: an interpretative phenomenological analysis (IPA). Journal of foot and ankle research. 2014;7:16.CrossRefPubMedPubMedCentral Paton JS, Roberts A, Bruce GK, Marsden J. Patients’ Experience of therapeutic footwear whilst living at risk of neuropathic diabetic foot ulceration: an interpretative phenomenological analysis (IPA). Journal of foot and ankle research. 2014;7:16.CrossRefPubMedPubMedCentral
17.
go back to reference Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2016;1:385–405.CrossRef Attride-Stirling J. Thematic networks: an analytic tool for qualitative research. Qual Res. 2016;1:385–405.CrossRef
18.
go back to reference Verma SK, Chang WR, Courtney TK, Lombardi DA, Huang Y-H, Brennan MJ, Mittleman MA, Ware JH, Perry MJ. A prospective study of floor surface, shoes, floor cleaning and slipping in US limited-service restaurant workers. Occup Environ Med. 2011;68:279–85.CrossRefPubMed Verma SK, Chang WR, Courtney TK, Lombardi DA, Huang Y-H, Brennan MJ, Mittleman MA, Ware JH, Perry MJ. A prospective study of floor surface, shoes, floor cleaning and slipping in US limited-service restaurant workers. Occup Environ Med. 2011;68:279–85.CrossRefPubMed
19.
go back to reference Gell N, Werner RA, Hartigan A, Wiggermann N, Keyserling WM. Risk factors for lower extremity fatigue among assembly plant workers. Am J Ind Med. 2011;54:216–23.CrossRefPubMed Gell N, Werner RA, Hartigan A, Wiggermann N, Keyserling WM. Risk factors for lower extremity fatigue among assembly plant workers. Am J Ind Med. 2011;54:216–23.CrossRefPubMed
20.
go back to reference King PM. A comparison of the effects of floor mats and shoe in-soles on standing fatigue. Appl Ergon. 2002;33:477–84.CrossRefPubMed King PM. A comparison of the effects of floor mats and shoe in-soles on standing fatigue. Appl Ergon. 2002;33:477–84.CrossRefPubMed
21.
go back to reference 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. 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.
22.
go back to reference Sterud T, Tynes T. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway. Occup Environ Med. 2013;70:296–302.CrossRefPubMed Sterud T, Tynes T. Work-related psychosocial and mechanical risk factors for low back pain: a 3-year follow-up study of the general working population in Norway. Occup Environ Med. 2013;70:296–302.CrossRefPubMed
23.
go back to reference Bergan JJ, Schmid-Schönbein GW, Smith PDC, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006:488–98. Bergan JJ, Schmid-Schönbein GW, Smith PDC, Nicolaides AN, Boisseau MR, Eklof B. Chronic venous disease. N Engl J Med. 2006:488–98.
24.
go back to reference 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 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
25.
go back to reference 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 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
26.
go back to reference 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 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
27.
go back to reference Reynolds K, Darrigrand A, Roberts D, Knapik J, Pollard J, Duplantis K, Jones B. Effects of an antiperspirant with emollients on foot-sweat accumulation and blister formation while walking in the heat. J Am Acad Dermatol. 1995;33:626–30.CrossRefPubMed Reynolds K, Darrigrand A, Roberts D, Knapik J, Pollard J, Duplantis K, Jones B. Effects of an antiperspirant with emollients on foot-sweat accumulation and blister formation while walking in the heat. J Am Acad Dermatol. 1995;33:626–30.CrossRefPubMed
28.
go back to reference 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. 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.
29.
go back to reference 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 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
30.
go back to reference 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 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
31.
go back to reference 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 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
32.
go back to reference 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. 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.
33.
go back to reference Goonetilleke RS: Designing for Comfort: A Footwear Application. Computer-Aided Ergonomics and Safety Conference 2001. Goonetilleke RS: Designing for Comfort: A Footwear Application. Computer-Aided Ergonomics and Safety Conference 2001.
34.
go back to reference Miller JE, Nigg BM, Liu W, Stefanyshyn DJ, Nurse MA. Influence of Foot, Leg and Shoe Characteristics on Subjective Comfort. Foot Ankle Int. 2000;21:759–67.CrossRefPubMed Miller JE, Nigg BM, Liu W, Stefanyshyn DJ, Nurse MA. Influence of Foot, Leg and Shoe Characteristics on Subjective Comfort. Foot Ankle Int. 2000;21:759–67.CrossRefPubMed
35.
go back to reference Mündermann A, Stefanyshyn DJ, Nigg BM. Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors. Med Sci Sports Exerc. 2001;33:1939–45.CrossRefPubMed Mündermann A, Stefanyshyn DJ, Nigg BM. Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors. Med Sci Sports Exerc. 2001;33:1939–45.CrossRefPubMed
36.
go back to reference Salles AS, Gyi DE. Delivering personalised insoles to the high street using additive manufacturing. Int J Comput Integr Manuf. 2013;26:386–400.CrossRef Salles AS, Gyi DE. Delivering personalised insoles to the high street using additive manufacturing. Int J Comput Integr Manuf. 2013;26:386–400.CrossRef
37.
go back to reference Wang C, Tseng M. Mass customisation and footwear. In: Goonetilleke RS, editor The Science of Footwear. Boca Raton: CRC Press; 2012;625–642. Wang C, Tseng M. Mass customisation and footwear. In: Goonetilleke RS, editor The Science of Footwear. Boca Raton: CRC Press; 2012;625–642.
38.
go back to reference Franciosa P, Gerbino S, Lanzotti A, Silvestri L. Improving comfort of shoe sole through experiments based on CAD-FEM modeling. Med Eng Phys. 2013;35:36–46.CrossRefPubMed Franciosa P, Gerbino S, Lanzotti A, Silvestri L. Improving comfort of shoe sole through experiments based on CAD-FEM modeling. Med Eng Phys. 2013;35:36–46.CrossRefPubMed
39.
go back to reference Crilly N, Moultrie J, Clarkson PJ. Seeing things: consumer response to the visual domain in product design. Des Stud. 2004;25:547–77.CrossRef Crilly N, Moultrie J, Clarkson PJ. Seeing things: consumer response to the visual domain in product design. Des Stud. 2004;25:547–77.CrossRef
40.
go back to reference 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 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
Metadata
Title
An explorative qualitative study to determine the footwear needs of workers in standing environments
Authors
Jennifer Anderson
Anita E. Williams
Christopher Nester
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Journal of Foot and Ankle Research / Issue 1/2017
Electronic ISSN: 1757-1146
DOI
https://doi.org/10.1186/s13047-017-0223-4

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