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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 2025; 13 (4)
URL: http://journal.iehfs.ir/article-1-1115-en.html

Background and Objectives: Footwear for foot support is 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 and provide 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 foot-supportive footwear in Iran from the perspective of vendors. Data were collected using a modified Anderson questionnaire, validated by three orthotics and prosthetics specialists, and completed by 10 vendors. Thematic analysis of the data highlighted the needs and challenges related to foot-supportive footwear in the Iranian market.

Results: Athletes, individuals with normal weight, and those with forefoot deformities report the highest satisfaction with foot-supportive footwear, whereas people with conditions such as severe flat feet or back pain without custom insoles face challenges. Additionally, foot scanning and the design of personalized insoles play a crucial role in improving comfort and reducing foot pain.

Conclusion: Foot-supportive footwear, when designed and used ergonomically, can improve the function of foot muscles. However, individuals with back pain, high arches, heel spurs, corns, or various types of blisters should use them with caution, as improper use may exacerbate pain and worsen clinical symptoms.