Volume 13, Issue 4 (Iranian Journal of Ergonomic 2026)
Iran J Ergon 2026, 13(4): 249-259 |
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Abbasi S, Lotfi Esfahanjegh R, Babakhani F. Barefoot Shoes and the Clinical Challenges of their Use in Iran: A Qualitative Study from the Perspective of Retailers. Iran J Ergon 2026; 13 (4) :249-259
URL: http://journal.iehfs.ir/article-1-1115-en.html
URL: http://journal.iehfs.ir/article-1-1115-en.html
1- Department of Sports Pathology and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran , shafe.abbasi20@gmail.com
2- Department of Sports Injury and Corrective Exercises, Faculty of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran
3- Department of Sports Pathology and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran
2- Department of Sports Injury and Corrective Exercises, Faculty of Sport Sciences and Health, Shahid Beheshti University, Tehran, Iran
3- Department of Sports Pathology and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Allameh Tabataba'i University, Tehran, Iran
Abstract: (2458 Views)
Objectives: Barefoot shoes are recognized as a product for managing musculoskeletal disorders, and prolonged use of inappropriate shoes can have negative health consequences. Despite the growing use of these shoes in Iran, there is limited evidence regarding the associated clinical and practical challenges. Examining the experiences of vendors can help identify barriers to the supply and use of this product, providing practical data to improve prescription practices, consumer education, and the quality of clinical care.
Methods: This qualitative, ergonomics-focused study examined the challenges and opportunities of using barefoot shoes in Iran from the vendors' perspective. Data were collected using a modified Anderson questionnaire, validated by three orthotics and prosthetics specialists, and completed by ten vendors. The thematic analysis of the data highlighted the needs and challenges related to barefoot shoes in the Iranian market.
Results: Athletes, individuals with normal weight, and those with forefoot deformities reported the highest satisfaction with barefoot shoes, whereas individuals with conditions, such as severe flat feet or back pain without custom insoles, faced challenges. Additionally, foot scanning and the design of personalized insoles play a crucial role in improving comfort and reducing foot pain.
Conclusion: Barefoot shoes can improve the function of foot muscles when designed and used ergonomically. However, individuals with back pain, high arches, heel spurs, corns, or various types of blisters should use them with caution because improper use may exacerbate pain and worsen clinical symptoms.
Methods: This qualitative, ergonomics-focused study examined the challenges and opportunities of using barefoot shoes in Iran from the vendors' perspective. Data were collected using a modified Anderson questionnaire, validated by three orthotics and prosthetics specialists, and completed by ten vendors. The thematic analysis of the data highlighted the needs and challenges related to barefoot shoes in the Iranian market.
Results: Athletes, individuals with normal weight, and those with forefoot deformities reported the highest satisfaction with barefoot shoes, whereas individuals with conditions, such as severe flat feet or back pain without custom insoles, faced challenges. Additionally, foot scanning and the design of personalized insoles play a crucial role in improving comfort and reducing foot pain.
Conclusion: Barefoot shoes can improve the function of foot muscles when designed and used ergonomically. However, individuals with back pain, high arches, heel spurs, corns, or various types of blisters should use them with caution because improper use may exacerbate pain and worsen clinical symptoms.
Type of Study: Research |
Subject:
Ergonomics in Design
Received: 2025/10/8 | Accepted: 2025/12/24 | ePublished: 2025/12/24
Received: 2025/10/8 | Accepted: 2025/12/24 | ePublished: 2025/12/24
References
1. Anderson J, Williams AE, Nester C. An explorative qualitative study to determine the footwear needs of workers in standing environments. J Foot Ankle Res. 2017;10:41. [DOI:10.1186/s13047-017-0223-4] [PMID]
2. Zhang J, Lu S, Yang Y, Liu Y, Guo Y, Wang H. Efficacy of auxetic lattice structured shoe sole in advancing footwear comfort-From the perspective of plantar pressure and contact area. Front Public Health. 2024;12:1412518. [DOI:10.3389/fpubh.2024.1412518] [PMID]
3. Perl DP, Daoud AI, Lieberman DE. Effects of footwear and strike type on running economy. Med Sci Sports Exerc. 2012;44(7):1335-43. [DOI:10.1249/MSS.0b013e318247989e] [PMID]
4. Petersen E, Zech A, Hamacher D. Walking barefoot vs. with minimalist footwear - influence on gait in younger and older adults. BMC Geriatr. 2020;20(1):88. [DOI:10.1186/s12877-020-1486-3] [PMID]
5. Coetzee DR, Albertus Y, Tam N, Tucker R. Conceptualizing minimalist footwear: an objective definition. J Sports Sci. 2018;36(8):949-54. [DOI:10.1080/02640414.2017.1346816] [PMID]
6. Mills K, Collins NJ, Vicenzino B. Transitioning to Barefoot Running Using a Minimalist Shoe Intermediary: A Prospective Cohort Study. Med Sci Sports Exerc. 2023;55(5):787-93. [DOI:10.1249/MSS.0000000000003111] [PMID]
7. Ayode D, McBride CM, de Heer HD, Watanabe E, Gebreyesus T, Tora A, et al. A qualitative study exploring barriers related to use of footwear in rural highland ethiopia: implications for neglected tropical disease control. PLoS Negl Trop Dis. 2013;7(4):e2199. [DOI:10.1371/journal.pntd.0002199] [PMID]
8. Chakkambath RS, Joseph AI, Prakaash L, Najeeb MS. What are the factors that are influencing purchase decision related to footwear among consumers. World Journal of Advanced Research and Reviews. 2022;14(03):256-62. [DOI:10.30574/wjarr.2022.14.3.0531]
9. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. [DOI:10.1191/1478088706qp063oa]
10. Jimenez JAL, Soria IJ, Taladtad CA. Analyzing School Shoes Preferences among Gen Z College Students in Davao City using Conjoint Analysis. International Journal of Business and Applied Economics. 2025;4(3):1407-18. [DOI:10.55927/ijbae.v4i3.160]
11. Park CH, Chang MC. Forefoot disorders and conservative treatment. Yeungnam Univ J Med. 2019;36(2):92-8. [DOI:10.12701/yujm.2019.00185] [PMID]
12. Shokouhyar S, Shokoohyar S, Safari S. Research on the influence of after-sales service quality factors on customer satisfaction. Journal of Retailing and Consumer Services. 2020;56:102139. [DOI:10.1016/j.jretconser.2020.102139]
13. Willy RW, Davis IS. Kinematic and kinetic comparison of running in standard and minimalist shoes. Med Sci Sports Exerc. 2014;46(2):318-23. [DOI:10.1249/MSS.0b013e3182a595d2] [PMID]
14. Ruan G, Chen J, Li W. The influence of different aspects of sport shoes on the comfort. Footwear Sci. 2017;9(sup1):S76-S7. [DOI:10.1080/19424280.2017.1314347]
15. Perkins KP, Hanney WJ, Rothschild CE. The risks and benefits of running barefoot or in minimalist shoes: a systematic review. Sports Health. 2014;6(6):475-80. [DOI:10.1177/1941738114546846] [PMID]
16. Sinclair J, Taylor PJ. Effects of court-specific and minimalist footwear on patellar tendon loading during a maximal change of direction task. Balt J Health Phys Act. 2017;9(4):6 [DOI:10.29359/BJHPA.09.4.06]
17. Nigg B. Biomechanical considerations on barefoot movement and barefoot shoe concepts. Footwear Sci. 2009;1(2):73-9. [DOI:10.1080/19424280903204036]
18. Esculier JF, Dubois B, Dionne CE, Leblond J, Roy JS. A consensus definition and rating scale for minimalist shoes. J Foot Ankle Res. 2015;8:42. [DOI:10.1186/s13047-015-0094-5] [PMID]
19. Branthwaite H, Chockalingam N, Greenhalgh A. The effect of shoe toe box shape and volume on forefoot interdigital and plantar pressures in healthy females. J Foot Ankle Res. 2013;6:28. [DOI:10.1186/1757-1146-6-28] [PMID]
20. Hurst B, Branthwaite H, Greenhalgh A, Chockalingam N. Medical-grade footwear: the impact of fit and comfort. J Foot Ankle Res. 2017;10:2. [DOI:10.1186/s13047-016-0184-z] [PMID]
21. Jellema AH, Huysmans T, Hartholt K, van der Cammen TJM. Shoe design for older adults: Evidence from a systematic review on the elements of optimal footwear. Maturitas. 2019;127:64-81. [DOI:10.1016/j.maturitas.2019.06.002] [PMID]
22. Zolfagharian A, Lakhi M, Ranjbar S, Bodaghi M. Custom Shoe Sole Design and Modeling Toward 3D Printing. Int J Bioprint. 2021;7(4):396. [DOI:10.18063/ijb.v7i4.396] [PMID]
23. Mai P, Robertz L, Robbin J, Bill K, Weir G, Kurz M, et al. Towards functionally individualised designed footwear recommendation for overuse injury prevention: a scoping review. BMC Sports Sci Med Rehabil. 2023;15(1):152. [DOI:10.1186/s13102-023-00760-x] [PMID]
24. Biscarini A, Calandra A, Marcucci A, Panichi R, Belotti A. Enhanced Foot Proprioception Through 3-Minute Walking Bouts with Ultra-Minimalist Shoes on Surfaces That Mimic Highly Rugged Natural Terrains. Biomimetics (Basel). 2024;9(12). [DOI:10.3390/biomimetics9120741] [PMID]
25. Hollander K, Liebl D, Meining S, Mattes K, Willwacher S, Zech A. Adaptation of Running Biomechanics to Repeated Barefoot Running: A Randomized Controlled Study. Am J Sports Med. 2019;47(8):1975-83. [DOI:10.1177/0363546519849920] [PMID]
26. Squadrone R, Gallozzi C. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J Sports Med Phys Fitness. 2009;49(1):6-13. [PubMed]
27. Zwaferink JBJ, Custers W, Paardekooper I, Berendsen HA, Bus SA. Optimizing footwear for the diabetic foot: Data-driven custom-made footwear concepts and their effect on pressure relief to prevent diabetic foot ulceration. PLoS One.2020;15(4):e0224010. [DOI:10.1371/journal.pone.0224010] [PMID]
28. Goss DL, Gross MT. Relationships among self-reported shoe type, footstrike pattern, and injury incidence. US Army Med Dep J. 2012:25-30.
29. Lieberman DE, Venkadesan M, Werbel WA, Daoud AI, D'Andrea S, Davis IS, et al. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature. 2010;463(7280):531-5. [DOI:10.1038/nature08723] [PMID]
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