Arceri Alberto, Mazzotti Antonio, Liosi Sofia Gaia, Zielli Simone Ottavio, Artioli Elena, Langone Laura, Traina Francesco, Brognara Lorenzo, Faldini Cesare
1st Orthopaedics and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum University of Bologna, 40123 Bologna, Italy.
Clin Pract. 2024 Jul 29;14(4):1496-1506. doi: 10.3390/clinpract14040120.
In this study, we hypothesized that safety footwear (SF) impacts gait patterns, potentially contributing to the podiatric symptoms reported by workers. The purpose of this work was to compare the gait analyses of workers wearing SF and sneakers using inertial sensors while also examining the occurrence of foot problems.
A consecutive cohort of workers from different occupational sectors who wore SF during their work shifts were prospectively assessed through a gait analysis. The gait analysis was conducted under two conditions: first, while wearing SF, and second, while wearing sneakers. In both conditions, inertial sensors were used (Wiva MOB). Participants also underwent a podiatric physical examination to evaluate foot problems.
This study shows that SF resulted in a worsening gait pattern compared to sneakers in both genders. The impact was particularly pronounced in female participants, resulting in a significant decline in walking speed and cadence. Discomfort was reported by 83.3% of participants, with a higher prevalence in females (46.6% vs. 36.6%). The SF group exhibited an elevated prevalence of foot problems, with no significant gender variations. It seems that foot problems are more likely to occur when a foot deformity, such as flat or cavus foot or hallux valgus, is present.
This study suggests that SF may contribute to the reported podiatric symptoms among workers. Certain footwear characteristics, including weight, mis-fit, and inadequate design, may be factors associated with footwear discomfort and adverse gait patterns, potentially leading to increased foot problems among workers.
在本研究中，我们假设安全鞋（SF）会影响步态模式，这可能是导致工人报告足部症状的原因。这项工作的目的是使用惯性传感器比较穿着安全鞋和运动鞋的工人的步态分析，同时检查足部问题的发生情况。
对不同职业部门在工作班次中穿着安全鞋的连续队列工人进行前瞻性步态分析评估。步态分析在两种条件下进行：第一，穿着安全鞋时；第二，穿着运动鞋时。在两种条件下均使用惯性传感器（Wiva MOB）。参与者还接受了足部体格检查以评估足部问题。
本研究表明，与运动鞋相比，安全鞋使男女的步态模式均变差。这种影响在女性参与者中尤为明显，导致步行速度和步频显著下降。83.3%的参与者报告有不适感，女性患病率更高（46.6%对36.6%）。安全鞋组足部问题的患病率较高，且无显著性别差异。似乎当存在足部畸形，如扁平足、高弓足或拇外翻时，足部问题更有可能发生。
本研究表明，安全鞋可能是导致工人报告足部症状的原因。某些鞋类特征，包括重量、不合脚和设计不当，可能是与鞋类不适和不良步态模式相关的因素，可能导致工人足部问题增加。
