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The Acute Influence of Occupational Footwear on Balance - SMBHC Thesis Repository

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Dynamic equilibrium is the maintenance of the center of gravity (COG) within the BOS under disturbed conditions (Hosoda et al. 1997). Balance: the ability to keep the center of gravity within the limits of the base of support to strengthen equilibrium (Horak 1987); is also determined by foot position (Kincl et al. 2002). Center of Gravity (COG): The single point at which the size or weight of the body is applied to create balance in relation to translational and rotation.

Center of Mass (COM): the point on a body that moves in a manner similar to the motion of an individual's external force; the meeting place of the three mid-cardinal planes of the body; it is not always in the body (Rodgers, Cavanagh 1984). Visual system: the body system involved in obtaining information from the environment, as well as the position and movement of the body, through the eyes; Balance can be defined as maintaining the center of gravity of the body within the base of support (Winter 1995).

The sole is one of the most sensitive places on the human body, as it is hairless. The soles have also been identified as the primary “antennae” for sensory input (Hosoda et al. 1997). Static balance is the maintenance of the COG within the BOS under undisturbed conditions with minimal postural sway.

Dynamic balance is the maintenance of the COG within the BOS under perturbed conditions, and it is seen as a predominant function in locomotion (Hosoda et al. 1997). The walking strategy is the act of stepping outside the base of support to prevent a fall (Winter 1995). The Equitest system is one of the products from NeuroCom that can be used to objectively measure standing dynamic balance.

The EquiTest measures and determines the results of the SOT and the MCT (Hosoda et al. 1997). Material in shoe soles and shoe fixation of the ankle joints prevented afferent information from being sent, resulting in reduced reaction strength and speed (Hosoda et al. 1997). This general additional stability in the military boots may be the result of the increased weight, additional cushioning, tight fit or low heel component of the boots (Majumdar et al. 2006).

The lower the mass of the shoe, the lower the workload and fatigue resulting in better balance (Garner et al. 2013). The aim of this study was to infer the acute conditions of the disorder and the results it has on balance during dynamic balance (MCT) using the same work footwear. Postural stability is increased and the risk of falls is reduced due to the reduction of acute risks.

The order of the shoes was randomly selected, and dynamic balance was tested for four conditions.

Backward  Translations

The productivity of shoes is responsible for a successful transformation of the output mechanical power, which is produced by the musculoskeletal system (Cikajlo, Matjačić 2007). The barefoot condition has lower latency responses due to the proprioceptive system having sensory receptors on the bottom of the foot. Feet function as receptors, and the sole of the foot is one of the most sensitive places in the human body.

Mechanoreceptors and nerve endings are located here, which are aware of dynamic changes in the receptors (Hosoda et al. 1998). The soles are defined as "antennae" for sensory input (Hosoda et al. 1997). In addition, the greater height of the stem results in less possible ankle range of motion.

Decreased speed and strength of reaction have been shown with footwear fixation of the ankle joints, which prevents afferent information from being sent (Hosoda et al. 1997). These footwear used in the occupational industry were compared while standing and walking on a firm surface for extended periods of time. The increased height of the boot shaft demonstrated additional balance in WB and TB compared to LT in this study (Chander, Garner & Wade 2013).

The lower the mass of the shoe, the lower the workload and fatigue resulting in greater balance (Chander, Garner & Wade 2013). More mass added at the distal end of the lever consumes more energy than less shoe mass (Garner et al. 2013, Chander, Garner & Wade 2013). One study compared military boots to barefoot walking and found that stride and stride length, single stance time, and swing phase increased with increased work boot mass.

This added stability may be a result of the greater bulk in military boots. Midfoot stiffness was not measured in the present study, but is an important feature in maintaining balance in relation to footwear. When walking in the soft-soled shoes, both groups exhibited a greater lateral center of mass—the base of the support margin.

These findings may help in determining appropriate footwear for workers in industrial and occupational environments, as well as in designing new work footwear to improve postural stability. The effect of different footwear types and materials and of securing the ankles with footwear on upright postural control.

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