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.