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Improvement of Comfort for Flat-Footed People. By Semaj Rashad IEGR 360: Ergonomics and Workplace Design Dr. B. Kattel Department of Industrial & Systems Engineering Morgan State University Fall 2011. Agenda. Objectives Methodology Background and Introduction Problem Definition
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Improvement of Comfort for Flat-Footed People By Semaj Rashad IEGR 360: Ergonomics and Workplace Design Dr. B. Kattel Department of Industrial & Systems Engineering Morgan State University Fall 2011
Agenda • Objectives • Methodology • Background and Introduction • Problem Definition • Materials • Results and Discussion • Conclusion • References
Objectives • Recognize and see the concepts of applied ergonomics studies in an experiment. • Recognize and see the concepts of aBody Part Discomfort Survey in an experiment. • To practice anthropometric body measurement investigations • To practice the general systems approach to ergonomics
Methodology • Static Anthropometry • Foot Length • Scientific Management Adaptation • Does a problem exist? • Analysis of Problem • Search for Possible Solutions • Evaluate Alternatives • Recommend Solution • Implement solution
Background • Anthropometry – body dimensions and measurements • Static Anthropometry- body measured without motion. • Foot Length – Distance from the back of the heel to tip of longest toe (parallel to the long axis of the foot) • Bio-mechanical Approach – determine forces exerted on musculoskeletal system • Flat-footed or fallen arches - low arch or no arch at all
Introduction • Each foot is an intricate structure: • 26 bones • 33 joints • 107 ligaments • 19 muscles • 2 arches • 31 tendons • 7,000 nerve endings • 125,000 sweat glands • Arch provides elastic, springy connection between the forefoot and the hindfoot. • This relationship ensures that most of the forces incurred during weight bearing can be dissipated before reaching the long bones of the leg and thigh.
Introduction • Without support problems can develop with lower body: knees, hips and lower back • The biomechanical theory is that the arch-support orthotic will provide biomechanical support to the foundation of the body (the feet) • will improve lower-extremity and whole-body alignment/biomechanics.
Problem Definition • Subject A and B, both with fallen arches or flat feet, experience periodic pain in their feet, mostly located around the arch • They have been recommended by doctors to try shoe inserts or insoles • This study seeks to find the shoe insert that is the most comfortable solution
Materials • Compared 5 arch support orthotic (shoe insert) brands • Arch Pro-Tec • Birkenstock Arch Supports • Dr. Rosenberg’s Instant Arches • Sorbothane Ultra Orthotic Arch • Shock Doctor –Ultra 2 Insole • 3 types of shoes used per user
Procedure • Wear each shoe with each arch-support orthotic for 1 full day • Rate the comfort of the arch-support orthotic • On a scale from 1-5 (1: very uncomfortable – 5: very comfortable) • Provide comments • Answer follow-up questions about the experience with each arch-support orthotic
User A • User A Profile • Male, 24, 5’5”, 150 lbs., • Shoe size = 9 men’s
Shoes worn for User A • Shoes: • dress shoe • sneaker (high top) • sneaker (low top)
User B User B Profile: • Female, 24, 5’4”, 130 lbs. • Shoe size = 8.5 women’s
Arch Support Orthotics Tested • Arch Pro Tec • Birkenstock
Arch Support Orthotics Tested • Dr. Rosenberg • Sorbothane
Arch Support Orthotics Tested • Shock Doctor
Comfort Ratings Table • Raw Data of Comfort Ratings (on a scale of 1-5) • Taken during months of October – November • User performed numerous day-to-day tasks including walking, working, sitting, etc. with the various arch support orthotics
Statistical Analysis • Most favorable based on Combined Average Ratings: • Sorbothane • Shock Doctor • Dr. Rosenberg • Birkenstock • Arch Pro-Tec
Sample Survey Responses From Users User B on Arch Pro-Tec (wearing black boots) • They felt tight around my arch, but I don’t feel like it improved anything. User A on Birkenstock (wearing dress shoes) • mild comfort, felt tight in the shoe (not enough room) User B on Dr. Rosenberg’s (wearing black boots) • I could feel them under my arch which felt akward and made my foot hurt after a while. I had to remove them before the end of the day User A on Sorbothane (wearing black low top sneakers) • Eomfortable, barely noticed they were there…no discomfort at any period of the day. User B on Shock Doctor (sneakers) • Entire foot felt great…I recommend only wearing in sneakers
Conclusions and Recommendations • Based on the surveys and experimental analysis Sorbothane Ultra Orthotic Arches are recommended for users with fallen arches or flat feet. • Received the highest average comfort ratings for various types of shoes • Applicable to various industries: • Manufacturing where one may be standing for an extended period • U.S. Army where walking for an extended period of time has kept flat footed individuals out in some cases
References • Flat Feet - NHS Choices. (n.d.). NHS Choices. Retrieved November 28, 2011, from http://www.nhs.uk/conditions/flatfeet/Pages/Introduction.aspx • Flat Feet - Symptoms. (2010, April 2). NHS Choices. Retrieved November 28, 2011, from http://www.nhs.uk/Conditions/flatfeet/Pages/Symptomspage.aspx • Foot Facts. (2008). Synergy Massaging Insoles. Retrieved November 28, 2011, from http://www.synergymedicalproducts.com/Facts.html • Franco, A. H. (n.d.). PesCavus and PesPlanus : Analyses and Treatment. Journal of American Physical Therapy Association. Retrieved November 28, 2011, from http://www.physther.net/content/67/5/688.full.pdf+html • Kavros, S. J., Van Straaten, M. G., Coleman Wood, K. A., & Kaufman, K. R. (2011, March 16). Forefoot plantar pressure reduction of off-the-shelf rocker bottom provisional footwear. Clinical Biomechanics. Retrieved November 28, 2011, from http://www.sciencedirect.com.proxy-um.researchport.umd.edu/science?_ob=MiamiImageURL • Kelaher, D., Mirka, G. A., & Dudziak, K. Q. (2000). Effects of semi-rigid arch-support orthotics: an investigation with potential ergonomic implications. Applied Ergonomics, 31, 515-522. • Nigg, B. M., Nurse, M. A., & Stefanyshyn, D. J. (1999). Shoe inserts and orthotics for sport and physical activities : Medicine & Science in Sports & Exercise. Medicine Science in Sports Exercise. Retrieved November 28, 2011, from http://journals.lww.com/acsm-msse/Fulltext/1999/07001/Shoe_inserts_and_orthotics_for_sport_and_physical.3.aspx