Document Detail

Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking.
MedLine Citation:
PMID:  15854579     Owner:  NLM     Status:  MEDLINE    
Studying the impact of high-heeled shoes on kinetic changes and perceived discomfort provides a basis to advance the design and minimize the adverse effects on the human musculoskeletal system. Previous studies demonstrated the effects of inserts on kinetics and perceived comfort in flat or running shoes. No study attempted to investigate the effectiveness of inserts in high heel shoes. The purpose of this study was to determine whether increasing heel height and the use of shoe inserts change foot pressure distribution, impact force, and perceived comfort during walking. Ten healthy females volunteered for the study. The heel heights were 1.0cm (flat), 5.1cm (low), and 7.6cm (high). The heel height effects were examined across five shoe-insert conditions of shoe only; heel cup, arch support, metatarsal pad, and total contact insert (TCI). The results indicated that increasing heel height increases impact force (p<0.01), medial forefoot pressure (p<0.01), and perceived discomfort (p<0.01) during walking. A heel cup insert for high-heeled shoes effectively reduced the heel pressure and impact force (p<0.01), an arch support insert reduced the medial forefoot pressure, and both improved footwear comfort (p<0.01). In particular, a TCI reduced heel pressure by 25% and medial forefoot pressure by 24%, attenuate the impact force by 33.2%, and offered higher perceived comfort when compared to the non-insert condition.
Lee Yung-Hui; Hong Wei-Hsien
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Applied ergonomics     Volume:  36     ISSN:  0003-6870     ISO Abbreviation:  Appl Ergon     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-04-27     Completed Date:  2005-08-15     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0261412     Medline TA:  Appl Ergon     Country:  England    
Other Details:
Languages:  eng     Pagination:  355-62     Citation Subset:  IM    
Department of Industrial Management, National Taiwan University of Science and Technology, No. 43, Kee-Lung Road, Sec IV, Taipei, Taiwan, 106 ROC.
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MeSH Terms
Consumer Satisfaction*
Equipment Design
Foot / physiology*
Forefoot, Human / physiology
Heel / physiology
Walking / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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