Ergonomic evaluation and field validation of the insole padding system

Abstract

Insoles are typically worn to increase comfort in performing daily activities. Many studies have investigated the effects of insoles with different properties. This study performed an ergonomic evaluation of three insole types, with a focus on assessing the effectiveness of an insole padding system (IPS). The objectives of this study were (1) to perform an ergonomic evaluation of three insoles and (2) to perform a field validation study to examine the effectiveness of IPS wearing among nurses. The study involved two phases. In the first phase, 15 healthy females participated in an experiment evaluating three insoles (general flat insole, ergo-insole, and IPS). The outcome measurements were electromyography activity of four muscles, plantar pressure distribution in seven zones, and subjective discomfort rating. In the second phase, 100 nurses were recruited for the Nordic Musculoskeletal Questionnaire survey and 43 nurses participated in the field evaluation study. The results indicated that walking with the IPS was associated with lower plantar pressures in the midfoot and heel regions. Participants who wore ergo-insole and IPS exhibited lower overall subjective discomfort ratings. Lower-extremity discomfort was significantly improved after wearing the IPS for 2 weeks. The findings of this study suggest that walking with the IPS can result in less discomfort in the lower extremities than walking with the conventional insoles. IPS wearing is effective in improving lower-extremity discomfort in persons who require prolonged standing and walking in daily life.