¹Deby Eka Supadma, ²Nabila Alya Azzahra, ³Agusni Karma, ⁴Tri Riana Lestari, ⁵Rina Fitriana Rahmawati

^1,2,3,4,5Prosthetics Orthotics Department, Health Polytechnic of Jakarta I, Indonesia

Standing for more than 20 minutes causes’ low back pain (LBP). Students majoring in prosthetics orthotics need to practice and stand for more than 2 hours per day. Long standing requirement is un-avoided in students, causing musculoskeletal disorder such as low back pain. The characteristics of shoes are important in development and treatment of lower back conditions. Shoes have several features, which play important roles in posture stability. Usage of shoes with certain characteristics may contributes to low back pain in students.
Objective:
To determine relationship between shoes characteristics and standing duration on low back pain in orthotic prosthetics students.
Methods:
Correlational quantitative method with cross-sectional design. Purposive sampling used in order to obtain sample of 30 people. Independent variables are the suitability of the shoes used, firmness of shoes soles, heel counter of shoes, and standing duration. Dependent variable is low back pain.
Results:
The relationship between the suitability of the shoes used and low back pain obtained p value of 0.141. Relationship between firmness of shoes sole and low back pain obtained p value of 0.355. Relationship between shoes heel counter and low back pain obtained p value of 0.948. Relationship between standing duration and low back pain obtained p value of 0.01. Conclusion: Appropriate of shoes used, firmness of shoes soles, heel counter of shoes, do not have significant relationship with the LBP. Standing duration has significant relationship with LBP.
Conclusion:
Appropriate of shoes used, firmness of shoes soles, heel counter of shoes, do not have significant relationship with the LBP. Standing duration has significant relationship with LBP.

Low Back Pain, Shoes Characteristics, orthotics prosthetics

1) Aghazadeh, J., Ghaderi, M., Azghani, M. R., Khalkhali, H. R., Allahyari, T., & Mohebbi, I. (2015). Anti-fatigue mats, low back pain, and electromyography: An interventional study. International Journal of Occupational Medicine and Environmental Health, 28(2). https://doi.org/10.13075/ijomeh.1896.00311

2) Andersen, J. H., Haahr, J. P., & Frost, P. (2007). Risk factors for more severe regional musculoskeletal symptoms: A two-year prospective study of a general working population. Arthritis and Rheumatism, 56(4), 1355–1364. https://doi.org/10.1002/ART.22513

3) Anderson, J., Nester, C., & Williams, A. (2018). Prolonged occupational standing: the impact of time and footwear. Footwear Science, 10(3), 189–201. https://doi.org/10.1080/19424280.2018.1538262

4) Anderson, J., Williams, A. E., & Nester, C. (2020). Development and evaluation of a dual density insole for people standing for long periods of time at work. Journal of Foot and Ankle Research, 13(1), 1–13. https://doi.org/10.1186/s13047-020-00402-2

5) Anderson, J., Williams, A. E., & Nester, C. (2021). Musculoskeletal disorders, foot health and footwear choice in occupations involving prolonged standing. International Journal of Industrial Ergonomics, 81(July 2020). https://doi.org/10.1016/j.ergon.2020.103079

6) Anderson, J., Williams, A. E., & Nester, C. J. (2017). A narrative review of musculoskeletal problems of the lower extremity and back associated with the interface between occupational tasks, feet, footwear and flooring. Musculoskeletal Care, 15(4), 304–315. https://doi.org/10.1002/msc.1174

7) Baker, M. D., & Bell, R. E. (1991). The role of footwear in childhood injuries. Pediatric Emergency Care, 7(6), 353–355. https://doi.org/10.1097/00006565-199112000-00009

8) Barton, C. J., Bonanno, D., & Menz, H. B. (2009). Development and evaluation of a tool for the assessment of footwear characteristics. Journal of Foot and Ankle Research, 2(1), 1–12. https://doi.org/10.1186/1757-1146-2-10

9) Darmawan, D. D. (2013). Metode Penelitian Kuantitatif (Cetakan ke). PT Remaja Rosdakarya.

10) Devereaux, M. (2009). Low Back Pain. Medical Clinics of North America, 93(2), 477–501. https://doi.org/10.1016/j.mcna.2008.09.013

11) Dickinson, J. A., Cook, S. D., & Leinhardt, T. M. (1985). The measurement of shock waves following heel strike while running. Journal of Biomechanics, 18(6), 415–422. https://doi.org/10.1016/0021-9290(85)90276-3

12) Ellis, S., Branthwaite, H., & Chockalingam, N. (2022). Evaluation and optimisation of a footwear assessment tool for use within a clinical environment. Journal of Foot and Ankle Research, 15(1), 1–9. https://doi.org/10.1186/s13047-022-00519-6

13) Gabell, A., Simons, M. A., & Nayak, U. L. S. (1985). Falls in the healthy elderly: predisposing causes. Ergonomics, 28(7), 965–975. https://doi.org/10.1080/00140138508963219

14) Gallagher, K. M., & Callaghan, J. P. (2015). Early static standing is associated with prolonged standing induced low back pain. Human Movement Science, 44, 111–121. https://doi.org/10.1016/j.humov.2015.08.019

15) Haefeli, M., & Elfering, A. (2006). Pain assessment. European Spine Journal, 15(Suppl 1), S17. https://doi.org/10.1007/S00586-005-1044-X

16) Hagen, M., & Hennig, E. M. (2009). Effects of different shoe-lacing patterns on the biomechanics of running shoes. Journal of Sports Sciences, 27(3), 267–275. https://doi.org/10.1080/02640410802482425

17) Halim, I., & Rahman Omar, A. (2011). A review on health effects associated with prolonged standing in the industrial workplaces Development of a Decision Support System for Analysis and Solutions of Prolonged Standing in the Workplace. July 2015. www.arpapress.com/Volumes/Vol8Issue1/IJRRAS_8_1_03.pdf

18) Harkness, E. F., Macfarlane, G. J., Nahit, E. S., Silman, A. J., & Mcbeth, J. (2003). Risk factors for new-onset low back pain amongst cohorts of newly employed workers. Rheumatology 42 ß British Society for Rheumatology, 42, 959–968. https://doi.org/10.1093/rheumatology/keg265

19) Hasan, I. (2008). Analisis Data Penelitian Dengan Statistik. Cetakan Ketiga. In PT. Bumi Aksara. Jakarta. Bumi Aksara.

20) Hawker, M. (2012). Pain assessment. Developing Healthcare Skills Through Simulation, 15, 55–66. https://doi.org/10.4135/9781446269954.n5

21) Kendall, J. C., Bird, A. R., & Azari, M. F. (2014). Foot posture, leg length discrepancy and low back pain - Their relationship and clinical management using foot orthoses - An overview. Foot, 24(2), 75–80. https://doi.org/10.1016/j.foot.2014.03.004

22) Menz, H. B., Dufour, A. B., Riskowski, J. L., Hillstrom, H. J., & Hannan, M. T. (2013). Foot posture, foot function and low back pain: the Framingham Foot Study. Rheumatology, 52(12), 2275–2282. https://doi.org/10.1093/rheumatology/ket298

23) Menz, H. B., Lord, S. R., & McIntosh, A. S. (2001). Slip resistance of casual footwear: implications for falls in older adults. Gerontology, 47(3), 145–149. https://doi.org/10.1159/000052788

24) Menz, H. B., & Morris, M. E. (2005). Footwear characteristics and foot problems in older people. Gerontology, 51(5), 346–351. https://doi.org/10.1159/000086373

25) Menz, H. B., & Sherrington, C. (2000). The footwear assessment form: A reliable clinical tool to assess footwear characteristics of relevance to postural stability in older adults. Clinical Rehabilitation, 14(6), 657–664. https://doi.org/10.1191/0269215500cr375oa

26) Nancarrow, S. A. (1999). Footwear suitability scale: a measure of shoefit for people with diabetes. In Australasian Journal of Podiatric Medicine (Vol. 33, Issue 2, pp. 57–62). http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=1999059157&site=ehost-live

27) Nelson-Wong, E., Howarth, S. J., & Callaghan, J. P. (2010). Acute biomechanical responses to a prolonged standing exposure in a simulated occupational setting. Ergonomics, 53(9), 1117–1128. https://doi.org/10.1080/00140139.2010.500400

28) Nuryadi, Tutut Dewi Astuti, Endang Sri Utami, & Martinus Budiantara. (2017). Dasar-Dasar Statistika Penelitian. Sibuku Media. http://lppm.mercubuana-yogya.ac.id/wp-content/uploads/2017/05/Buku-Ajar_Dasar-Dasar-Statistik-Penelitian.pdf

29) Ogon, M., Krismer, M., Söllner, W., Kantner-Rumplmair, W., & Lampe, A. (1996). Chronic low back pain measurement with visual analogue scales in different settings. Pain, 64(3), 425–428. https://doi.org/10.1016/0304-3959(95)00208-1

30) Özkan, Ö. H. (n.d.). A Research Of Footwear and Foot Interaction Through Anatomy And Human Engineering. Retrieved May 9, 2022, from https://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.427.6698&rep=rep1&type=pdf

31) Patrianingrum, M., Oktaliansah, E., & Surahman, E. (2015). Prevalence and Risk Factors of Lower Back Pain in the Anesthesiology Workplace in Dr. Hasan Sadikin General Hospital Bandung. Jurnal Anestesi Perioperatif [JAP, 3(1), 47–56.

32) Ramdas, J., & Jella, V. (2018). Prevalence and risk factors of low back pain. Int J Adv Med.

33) Rawls, Alan & Fisher, Rebecca, E. (2010). Development and Functional Anatomy of the Spine. Spine, The Genetics and Development of Scoliosis, 21–46.

34) Sevinsky, S. (2004). Choosing Proper Footwear. http://scottsevinsky.com/pt/presentations/inservice_footwear.pdf

35) Susanti, N., Hartiyah, & Kuntowato, D. (2015). Hubungan Berdiri Lama Dengan Keluhan Nyeri. Jurnal Pena Medika, 5(1), 60–70.

36) Widiyanti, E. L., Endang, B., & Jannis, J. (2009). Lifting and transferring patient as risk factors for low back pain among female nurses. Journal of the Indonesian Medical Association: Majalah Kedokteran Indonesia.

37) Williams, A. (2007). Footwear Assessment and Management. Podiatry Management, supplement(October), 165–178.

38) Winata, S. (2014). Diagnosis dan Penatalaksanaan Nyeri Punggung Bawah dari Sudut Pandang Okupasi. Jurnal Kedokteran Meditek, 1607(20 (54): 20-27.).

39) Yohana, V. F., & Winata, H. (2017). Pengaruh Pemakaian Sepatu Hak Tinggi terhadap Low Back Pain pada Sales Promotion Girl Di Pekan Raya Jakarta 2016. Jurnal Kedokteran Meditek, 23(62). https://doi.org/10.36452/JKDOKTMEDITEK.V23I62.1549

Volume 05 Issue 10 October 2022

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