Effects of heel cushioning elements in safety shoes on muscle–physiological parameters

• Heel strike associated impact loads need to be compensated by muscular effort.
• Shoes with cushioning heel inserts according to body weight reduce muscular effort.
• Reduced muscle strain delays muscular fatigue and extends muscular joint protection.
• Earlier heel strike associated back muscle activation offers additional protection.

Safety shoe designs are primarily based on safety requirements. But all-day comfort should not be luxury: Heel strike associated impact loads on joints need to be compensated by active muscular effort and safety shoes should support this protective function of muscle activation. In 10 healthy men, 12 trunk and leg muscles were analyzed with surface electromyography. Subjects walked on a walkway while wearing different safety shoes with the test shoes being equipped with exchangeable cushioning heel inserts according to individuals' body weight. While wearing the optimally cushioned shoes the cumulative muscle activity per distance travelled dropped clearly compared to the regular safety shoes, demonstrating reduced muscular effort. Also, the heel strike associated amplitude peak of back muscles occurred earlier within the stride while wearing the test shoes. Thus weight-balanced cushioning heel inserts in safety shoes proved able to reduce muscle strain, logically delaying muscular fatigue and extending muscular joint protection.Relevance to industryAdjustable heel inserts in safety shoes are suited to improve the health status of employees by reducing muscular effort so that active joint protection can be prolonged.