A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear and flooring

Anderson, Jennifer; Williams, Anita; Nester, Christopher

doi:10.1002/msc.1174

Cited by 18 publications

(18 citation statements)

References 42 publications

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“…Footwear can impact lower limb health and general mobility both positively and negatively across the lifespan [ 1 ]. Different footwear features have an effect on the biomechanics of standing and gait and hence can influence musculoskeletal function and dysfunction [ 2 , 3 ]. As a result, footwear is of relevance to a diverse range of population groups.…”

Section: Introductionmentioning

confidence: 99%

Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross‐sectional study

Barwick

Netten

Reed

et al. 2018

Journal of Foot and Ankle Research

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BackgroundFootwear can have both a positive and negative impact on lower limb health and mobility across the lifespan, influencing the risk of foot pain, ulceration, and falls in those at risk. Choice of footwear can be influenced by disease as well as sociocultural factors, yet few studies have investigated the types of footwear people wear and the profiles of those who wear them. The aim of this study was to investigate the prevalence and factors associated with outdoor footwear type worn most often in a representative inpatient population.MethodsThis study was a secondary data analysis of a cohort of 733 inpatients that is highly representative of developed nations’ hospitalised populations; 62 ± 19 years, 55.8% male, and 23.5% diabetes. Socio-demographic, medical history, peripheral arterial disease, peripheral neuropathy, foot deformity, foot ulcer history, amputation history and past foot treatment variables were collected. Participants selected the footwear type they mostly wore outside the house in the previous year from 16 types of footwear. Multivariate logistic regression identified independent factors associated with outdoor footwear types selected.ResultsThe most common outdoor footwear types were: running shoes (20%), thongs/flip flops (14%), walking shoes (14%), sandals (13%) and boots (11%). Several socio-demographic, medical history and foot-related factors were independently associated (Odds Ratio; 95% Confidence Interval)) with different types of footwear. Running shoes were associated with male sex (2.7; 1.8–4.1); thongs with younger age (0.95 for each year; 0.94–0.97), being female (2.0; 1.2–3.1) and socio-economic status (3.1; 1.2–7.6); walking shoes with arthritis (1.9; 1.2–3.0); sandals with female sex (3.8; 2.3–6.2); boots with male sex (9.7; 4.3–21.6) and inner regional (2.6; 1.3–5.1) and remote (3.4; 1.2–9.5) residence (all, p < 0.05).ConclusionsWe profiled the types of outdoor footwear worn most in a large diverse inpatient population and the factors associated with wearing them. Sex was the most consistent factor associated with outdoor footwear type. Females were more likely to wear thongs and sandals and males boots and running shoes. Overall, this data gives insights into the socio-demographic, medical and other health factors that are related to footwear choice in a large diverse population primarily of older age.Electronic supplementary materialThe online version of this article (10.1186/s13047-018-0260-7) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross‐sectional study

Barwick

Netten

Reed

et al. 2018

Journal of Foot and Ankle Research

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“…Prolonged standing is necessary in various occupations including health care, food service, factory and retail environments (Waters and Dick, 2015;Anderson, Williams &Nester, 2016). There is a 1.48-1.9fold increased risk of low back pain and 1.7 fold increase in risk of lower extremity or foot pain when standing for prolonged periods (Andersen, Haahr & Frost, 2007;Tissot, Messing, & Stock, 2009;Sterud & Tynes, 2013).…”

Section: Introductionmentioning

confidence: 99%

Prolonged occupational standing: the impact of time and footwear

2018

Self Cite

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Prolonged occupational standing is strongly related to musculoskeletal disorders. Despite being the main external load bearing interface between the floor and musculoskeletal system, and easy to manipulate, footwear is often ignored as an intervention for standing related disorders. This study aimed to record the effect of prolonged standing on the body and determine the impact of footwear material. Two pairs of surgical clogs were tested, varying only in material hardness. Participants (n=12) undertook 3 hours of standing in each shoe whilst they completed a repetitive series of simulated work tasks. Biomechanical and subjective data were recorded at the start, end and every 30 minutes during the three hours of standing. There was an increase in discomfort of the low back and all lower extremity regions alongside an increase in calf circumference, selected kinematic and kinetic variables, and changes in plantar pressure distribution over the three hours. Altering the footwear material impacted on low back discomfort and plantar pressures. Shoe preference varied amongst individuals, but was consistently associated with an increased medial midfoot contact area. Overall, this study has demonstrated the effect of prolonged standing on the body, has shown footwear impacts both subjective and biomechanical measures and provides information regarding individual differences and footwear preferences.

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“…The study was cross sectional with the design based on previous validated surveys, questionnaires and studies that investigated foot health [16], musculoskeletal discomfort [17,18] and the footwear needs of workers [11,19]. Content validity was considered via discussions with Podiatry, Physiotherapy, Occupational injury and wine industry representatives and the survey questions were modi ed so as to be appropriate for the wine industry and capture the relevant areas of concern.…”

Section: Survey Design and Testingmentioning

confidence: 99%

Identifying Lower Limb Problems And The Types of Safety Footwear Worn In The Australian Wine Industry: A Cross-Sectional Survey.

Copper

Scharfbillig

Nguyen

et al. 2021

Preprint

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Background: The Australian wine industry is a valuable part of the wider Australian economy worth approximately AUD$45billion annually and employs 163,790 people either full time or part time. Australian agricultural industries are amongst the nation’s most dangerous workplaces with joint, ligament, muscle and tendon injuries being commonplace along with wounds, lacerations and musculoskeletal diseases. It is therefore important to try and minimise the risk of injuries to workers as much as possible. The aims of this study were to (1) identify the types of lower limb problems that occur in the Australian wine industry and (2) identify the types of safety footwear used. Methods: Participants were recruited from the Australian wine industry. The study was a cross sectional anonymous survey of 82 questions with n=207 respondents. Questions related to job role performed, types of lower limb problems experienced, level of pain, restriction of activities, types of footwear worn, general health and physical health.Results: The main working roles were 73.4% winery, 52.2% vineyard, 39.6% laboratory, 32.4% cellar door and 8.2% office, with 63.3% of participants working in more than one role. Lower back pain was the most commonly reported problem at 56% followed by foot pain 36.7%, knee pain 24.6 %, leg pain 21.3%, ankle pain 17.9%, hip pain 15.5%, toe pain 13% and heel pain 11.1%. The most popular footwear used by participants was the elastic sided safety boot, followed by a high cut lace up safety boot with side zip. Overall, although the pain experienced was moderate to severe, it did not impact the workers ability to perform their duties and the majority self-reported as being in very good general and physical health.Conclusion: To date no data has been published on the frequency of lower limb problems or the types of safety footwear worn in the Australian wine industry. This study demonstrated that elastic sided safety boots were the most popular amongst respondents and with that, certain lower limb problems can occur. Therefore, further research into the safety footwear used is needed to better support workers health while working in varied roles and conditions.

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A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear and flooring

Cited by 18 publications

References 42 publications

Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross‐sectional study

Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross‐sectional study

Prolonged occupational standing: the impact of time and footwear

Identifying Lower Limb Problems And The Types of Safety Footwear Worn In The Australian Wine Industry: A Cross-Sectional Survey.

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