Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, 3086, Australia.
J Foot Ankle Res. 2021 Dec 7;14(1):63. doi: 10.1186/s13047-021-00500-9.
To provide a narrative synthesis of the research literature pertaining to footwear comfort, including definitions, measurement scales, footwear design features, and physiological and psychological factors.
A systematic search was conducted which yielded 101 manuscripts. The most relevant manuscripts were selected based on the predetermined subheadings of the review (definitions, measurement scales, footwear design features, and physiological and psychological factors). A narrative synthesis of the findings of the included studies was undertaken.
The available evidence is highly fragmented and incorporates a wide range of study designs, participants, and assessment approaches, making it challenging to draw strong conclusions or implications for clinical practice. However, it can be broadly concluded that (i) simple visual analog scales may provide a reliable overall assessment of comfort, (ii) well-fitted, lightweight shoes with soft midsoles and curved rocker-soles are generally perceived to be most comfortable, and (iii) the influence of sole flexibility, shoe microclimate and insoles is less clear and likely to be more specific to the population, setting and task being performed.
Footwear comfort is a complex and multifaceted concept that is influenced not only by structural and functional aspects of shoe design, but also task requirements and anatomical and physiological differences between individuals. Further research is required to delineate the contribution of specific shoe features more clearly, and to better understand the interaction between footwear features and individual physiological attributes.
对与鞋类舒适度相关的研究文献进行叙述性综合，包括定义、测量尺度、鞋类设计特点以及生理和心理因素。
进行了系统检索，共得到 101 篇文献。根据综述的预定副标题（定义、测量尺度、鞋类设计特点和生理及心理因素），选择最相关的文献。对纳入研究的结果进行叙述性综合。
现有证据高度分散，包含了广泛的研究设计、参与者和评估方法，难以得出强有力的结论或对临床实践的影响。然而，可以得出以下结论：（i）简单的视觉模拟量表可能提供可靠的整体舒适度评估，（ii）合脚、轻便的鞋子，柔软的中底和弯曲的弧形鞋底通常被认为最舒适，（iii）鞋底灵活性、鞋内微气候和鞋垫的影响不太明确，可能更具体地取决于人群、环境和正在进行的任务。
鞋类舒适度是一个复杂且多方面的概念，不仅受到鞋类设计的结构和功能方面的影响，还受到任务要求以及个体之间的解剖和生理差异的影响。需要进一步研究以更清楚地阐明特定鞋类特征的贡献，并更好地理解鞋类特征与个体生理属性之间的相互作用。
