Are custom-made foot orthoses of any interest on the treatment of foot pain for prolonged standing workers?


Journal

Applied ergonomics
ISSN: 1872-9126
Titre abrégé: Appl Ergon
Pays: England
ID NLM: 0261412

Informations de publication

Date de publication:
Oct 2019
Historique:
received: 30 07 2018
revised: 20 02 2019
accepted: 22 05 2019
entrez: 9 7 2019
pubmed: 10 7 2019
medline: 8 1 2020
Statut: ppublish

Résumé

The prolonged standing position is an important factor in the onset of foot musculoskeletal disorders among workers. Safety shoes, designed to protect against the physical constraints of the work environment, do not address this issue to date. The goal of this study is to assess the possible benefits of custom-made foot orthoses among prolonged standing workers. repeated measures without control group. Thirty-four standing workers who suffer from foot pain volunteered for the study. Custom-made foot orthoses, designed by a podiatrist, were 3D-printed and distributed to each volunteer. Static balance as well as static and dynamic plantar pressure measurements were carried out with sensors inserted in the safety shoes, before and after three weeks of wearing foot orthoses daily. A questionnaire on pain and comfort was also distributed before and after treatment. Feelings of pain, discomfort and heavy legs were found to be significantly reduced after wearing 3D-printed orthoses (p<0.05). Additionally, in static and dynamic conditions, a significant decrease in mean peak pressure in the rearfoot area was observed along with a significant increase in mean peak pressure in the midfoot area (p<0.05). There was also a significant improvement of balance in the medial-lateral direction. Custom-made orthoses significantly increase the well-being of standing workers in our experimental testing conditions. The custom-made shape allows for a better balanced distribution of foot peak pressure thanks to its support and stimulation of the foot arches particularly through a shift of pressure from the heel to the midfoot.

Sections du résumé

BACKGROUND BACKGROUND
The prolonged standing position is an important factor in the onset of foot musculoskeletal disorders among workers. Safety shoes, designed to protect against the physical constraints of the work environment, do not address this issue to date.
OBJECTIVES OBJECTIVE
The goal of this study is to assess the possible benefits of custom-made foot orthoses among prolonged standing workers.
STUDY DESIGN METHODS
repeated measures without control group.
METHODS METHODS
Thirty-four standing workers who suffer from foot pain volunteered for the study. Custom-made foot orthoses, designed by a podiatrist, were 3D-printed and distributed to each volunteer. Static balance as well as static and dynamic plantar pressure measurements were carried out with sensors inserted in the safety shoes, before and after three weeks of wearing foot orthoses daily. A questionnaire on pain and comfort was also distributed before and after treatment.
RESULTS RESULTS
Feelings of pain, discomfort and heavy legs were found to be significantly reduced after wearing 3D-printed orthoses (p<0.05). Additionally, in static and dynamic conditions, a significant decrease in mean peak pressure in the rearfoot area was observed along with a significant increase in mean peak pressure in the midfoot area (p<0.05). There was also a significant improvement of balance in the medial-lateral direction.
CONCLUSION CONCLUSIONS
Custom-made orthoses significantly increase the well-being of standing workers in our experimental testing conditions. The custom-made shape allows for a better balanced distribution of foot peak pressure thanks to its support and stimulation of the foot arches particularly through a shift of pressure from the heel to the midfoot.

Identifiants

pubmed: 31280796
pii: S0003-6870(18)30225-4
doi: 10.1016/j.apergo.2019.05.013
pii:
doi:

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

130-135

Informations de copyright

Copyright © 2019 Elsevier Ltd. All rights reserved.

Auteurs

Tristan Tarrade (T)

Aix-Marseille Univ, IFSTTAR, LBA UMR_T24, F-13016, Marseille, France; Podo 3D SAS, ScientiFeet Research Department, 78130, Les Mureaux, France. Electronic address: tristan.tarrade@ifsttar.fr.

Fabrice Doucet (F)

Doucet Podiatry, 24750, Trelissac, France.

Nicolas Saint-Lô (N)

Podo 3D SAS, ScientiFeet Research Department, 78130, Les Mureaux, France.

Maxime Llari (M)

Aix-Marseille Univ, IFSTTAR, LBA UMR_T24, F-13016, Marseille, France.

Michel Behr (M)

Aix-Marseille Univ, IFSTTAR, LBA UMR_T24, F-13016, Marseille, France.

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