Evaluation of professional footwear and its relationships with the foot structure among clinical nurses.

Purpose: This study aimed to evaluate professional footwear comfort, functionality and style as well as their relationships with the foot structure among nurses. Methods: We examined 120 clinical nurses aged 40-50 years, occupationally active, wearing specific type of foot-wear at work for a minimum of 7 h a day, for 5 days prior to the research. The study relied on the CQ-ST podoscope for measurements of foot. Perception of footwear comfort, functionality and style scales were also used in the research. The results were analysed with the use of Mann-Whitney U-test and Spearman's rank correlation. Results: Statistically significant negative associations were found between right and left foot length and overall comfort of footwear ( p = 0.045, p = 0.045) as well as between right and left foot width and arch height ( p = 0.015, p = 0.028). Heel angle positively correlated with safety ( p = 0.008, p = 0.050), ease of donning and doffing ( p = 0.001, p = 0.004), as well as shoe style ratings ( p = 0.047). Variables determining shoe comfort were positively correlated with most shoe functionality characteristics as well as with shoe style (p < 0.05). Conclusions: Tested medical footwear meets the requirements of nurses in terms of comfort, functionality and aesthetics, and the studied features of footwear can be a useful guideline for the selection of shoes for representatives of this professional group. These footwear can be an element of workwear, and even, in the case of women with transverse flat feet - an alternative to ordinary utility shoes. There is a need to consider different widths for the same length size in medical footwear designs.

Fatigue based on the subjective feeling of people representing selected medical professions.

OBJECTIVES: Fatigue can be the result of overexertion and overload. It occurs when the burdened body does not have enough time for regeneration and biological renewal. The aim of this study was analysis of fatigue based on the subjective feeling in physiotherapists, nurses, and paramedics. MATERIAL AND METHODS: The research covered 193 women and 107 men aged 30-60 years, including 100 physiotherapists, 100 nurses and 100 paramedics with higher education, employed in clinics and hospitals in the Podkarpackie Voivodeship, Poland. The research tool of choice was 30-item Research Committee on Industrial Fatigue Fatigue Scale, adapted into the Polish language by Paluch. The data were analyzed based on ANOVA Kruskal-Wallis test, Mann-Whitney U test and Spearman's rank correlation. RESULTS: Values determining frequency of decrease in activity were higher in nurses than in physiotherapists (p < 0.001) and paramedics (p = 0.005). Physiotherapists and nurses showed statistically significant positive associations of all fatigue indices with age and seniority. Sex-related differences in the frequency of physical fatigue symptoms have been noted (p = 0.044). Among people working in outpatient clinics and hospitals there were statistically significant differences in the frequency of decrease in activity (p = 0.001) and general level of fatigue (p = 0.031). CONCLUSIONS: In nurses and physiotherapists, the frequency of experiencing ailments increases with age and work experience. This suggests that in the case of these professions it is important to quick identification of signs of fatigue and taking actions to prevent its worsening. Women experience fatigue more often, so they especially need to take steps to prevent and, if necessary, treat this condition. Hospitals should be an area of special involvement in the process of implementing programs to counteract fatigue of employees in the medical services sector. Int J Occup Med Environ Health. 2024;37(1):72-83.

Variability of foot growth in width in relation to length among 3-year-old girls and boys.

PURPOSE: The aim of the study was to analyze the length and width of the feet and the mutual rate of growth of these features in 3-year-old girls and boys classified into age categories taking into account the semi-annual division. METHODS: The study covered 800 children (400 girls and 400 boys) aged 3. The CQ-ST podoscope was applied as the research tool. The data were analyzed based on Student's t-test for independent samples, Mann-Whitney U-test, Wilcoxon test and simple regression. RESULTS: There were statistically significant differences in the width of the right and left feet, for both girls (1st group: p<0.001; 2nd group: p = 0.006) and boys (1st group: p<0.001; 2nd group: p<0.001), in the absence of differences in length. In the regression models created for the results of girls and boys classified into age categories, the coefficients of determination ranged from R2= 0.24 to R2= 0.48. CONCLUSIONS: The right and left feet of the examined girls and boys are characterized by symmetry in terms of length, while in terms of width, the left feet are larger than the right ones. In girls, the width of the foot increases proportionally by about 67-69% of the length, while in boys, the increase in foot width is 49-61% of the growth in length. In boys classified to the 2nd group, the growth of the foot in width in relation to its lenght in length is smaller than in the 1st group.

Tarsus and knee setting in children at the final stage of early childhood taking into account the six-month age ranges.

PURPOSE: The study aimed to analyze the tarsus and knee setting in 3-year-old girls and boys, taking into account the six-month age ranges. METHODS: The study involved 800 children (400 girls, 400 boys) recruited from randomly selected preschools in the in the Podkarpackie voivodeship. Study group was divided into two age ranges: 1st group (children aged 3.00-3.49 years) and 2nd group (children aged 3.50-3.99 years). Baseline goniometer (Fei Fabrication, Ltd., USA) was used as primary research tool. The data were analyzed based on Mann-Whitney U-test and Student's t-test for independent samples. RESULTS: Sex differences concern only the tibio-calcaneal angle in children in the 2nd age group (right: p < 0.001) and left p < 0.001). Statistically significant differences in both girls (right lower limb: p = 0.003; left lower limb: p = 0.002), and boys (right lower limb: p = 0.001; left lower limb: p = 0.001) were found. CONCLUSIONS: Boys were characterized by greater valgus of the tarsus of the right and left foot than girls. Knees of girls and boys in the 1st age group were characterized by greater valgus, compared to children from the 2nd age group.

Impact of length and width of footwear on foot structure of preschool-aged children.

Background: Due to the dynamics of developmental changes, the preschool age is of crucial importance for the later health and efficiency of the feet. The aim of this study was the analysis of the fitting of indoor footwear and its impact on the features of the foot structure in 6-year-old children. Methods: The study group consisted of 100 children, including 50 girls and 50 boys at the age of 6 years. The applied device was the CQ-ST podoscope and the Clevermess. The data were analyzed based on Mann-Whitney U test, Chi-square test and regression analysis. Results: About 60% of children wore correctly fitted shoes in terms of length and width. Multiple regression models with two variables explaining the variance of the Clarke's angle were statistically significant for girls (right foot: p < 0.001 and left foot: p = 0.009), and boys (right foot: p < 0.001 and left foot: p < 0.001). The influence of predictive variables on the values of the heel angle (γ) was statistically significant for girls (right foot: p < 0.001 and left foot: p < 0.001) and boys (right foot p < 0.001 and left foot: p < 0.001). Conclusions: Both in the case of girls and boys, the frequency of using too long and too wide shoes was higher in relation to the frequency of using too short and too narrow shoes. The length and width of the shoes affected the length and width of the footwear both in girls and boys. The longer and wider the shoes, the lower the height of the arch. Longer shoes are accompanied by a greater transverse arch, and wider ones with a lower transverse arch of the foot.

Relationships between the Perception of Footwear Comfort and the Fear of Falls in People at the Early Period of Old Age.

Objective: The present study aimed to analyze the relationships between the perceptions of footwear comfort with fear of falls in younger-old women and men. Participants: the population sample involved 100 free-living community dwellers aged 65−74. Design: the Falls Efficacy Scale-International and a visual analogue scale to assess perception of footwear comfort were used as research tools. Results: there were statistically significant differences in the FES-I results in people who suffered a fall in the last year compared to those who did not experience a fall (p < 0.001), as well as in the subjective assessment of mediolateral control in people who have suffered and have not suffered a fall in the last year (p = 0.033). In women, statistically significant relationships were found in the subjective assessment of shoe comfort in terms of arch height (p = 0.025) and material properties of the footwear (p = 0.036) with the results of FES-I. Conclusions: People who have fallen show a higher level of fear of falling. The assessment of footwear comfort in terms of mediolateral control was lower in the younger-old who had experienced a fall in the last year. In women, a worse assessment of arch height and material properties of the footwear is accompanied by greater fear of falling.

Foot Structure of Girls and Boys in the Final Stage of Early Childhood Taking into Account the Half-Yearly Age Ranges.

The aim of this study was to analyze the characteristics of foot structure in girls and boys in the final stage of early childhood, taking into account the half-yearly age ranges. The study was carried out among 800 children aged 3. The research tool was the podoscope CQ-ST. The collected research results were analyzed with the use of Student's t-test or Mann-Whitney U test. Statistically significant sex differences in the length of the right and left foot, the width of the right and left foot and Clarke's angle of the right and left foot in each of the identified age groups were found. There were statistically significant differences in the length of the right and left foot, the width of the right and left foot, and the Clarke's angle of the right and left foot were noted separately in girls and boys. Sexual dimorphism in foot length, foot width, and Clarke's angle occurs in 3-year-old children. In each of the age groups, boys are characterized by longer and wider, and lower arched right and left foot. Characteristic features differentiating children in the 1st and 2nd age group are foot length, foot width and Clarke's angle. Girls and boys in the 2nd age group have longer and wider, and higher arched right and left feet. This indicates a high dynamic of increases in the value of these features.

The impact of functional excess of footwear on the foot shape of 7-year-old girls and boys.

BACKGROUND: Properly fitted shoes can support the development of growing feet and prevent problems and pathologies, not only in childhood, but also in adulthood. This points to the need to conduct research on the impact of shoe fitting on the structure of the foot in order to raise awareness and importance of this problem, to enable proper decisions regarding the purchase and use of shoes. The aim of this study was to analyze indoor footwear fit and its impact on foot structure in 7-year-old schoolchildren. METHODS: The CQ-ST podoscope and the Clevermess device were used for measurements. The analysis was carried out using the Mann Whitney U test, Wilcoxon signed-rank test, Chi-square test, regression analysis. RESULTS: About 40% of girls and boys had shoes that were incorrectly fitted in length, while as many as 74% of girls and 66% of boys wore shoes that were incorrectly fitted in width. Regression analysis demonstrated a statistically significant influence of the footwear length on longitudinal arch of the right and left foot and the transverse arch of the right foot. In boys, the length of the shoes shows associations with the right and left hallux valgus angle. CONCLUSION: A significant percentage of the studied 7-year-olds, regardless of gender, wears inappropriately fitted shoes. In both sexes, the length of the footwear influenced the longitudinal arch of the right and left foot and the transverse arch of the right foot. Due to the deformity of the first metatarsophalangeal joint, the boys with hallux valgus require footwear which is wider and therefore their shoes need to be bigger in size.