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Die Schafthöhe des Sicherheitsschuhs hat keinen Einfluss auf die Häufigkeit des Distorsionstraumas–Eine prospektive Studie in Kooperation mit der Schweizer Bundesbahn (SBB)

  • Markus Walther
  • Peter Handschin
Article
  • 34 Downloads

Zusammenfassung

Ziel: Beurteilung des Effekts von hochschaftigen Schuhen bei Arbeitern der Schweizer Bundesbahn im Hinblick auf eine prophylaktische Wirkung bei Distorsionstraumen.

Methode: 80 Mitarbeiter der Schweizer Bundesbahn (SBB) (Ø: 37,8 J, R: 21–61) wurden randomisiert mit einem überknöchelhohen Schuh (19 cm) oder einem Halbschuh (12 cm) versorgt. Die Beobachtungsdauer betrug 24 Monate. Neben einer subjektiven Bewertung der Schuhe durch die Mitarbeiter (Komfort, Stabilität, Ermüdung) wurde die Häufigkeit von Verletzungen im Bereich Fuß- und Sprunggelenk durch den medizinischen Dienst der SBB, bzw. deren Sicherheitsingenieure erfasst.

Ergebnis: In keinem der Fälle kam es während des Beobachtungszeitraums zu einem Distorsionstrauma oder einer sonstigen Verletzung am Sprunggelenk. Bezüglich des Tragekomforts und der Ermüdung wurden die Halbschuhe signifikant (p<0,01) besser beurteilt als die Schuhe mit 19 cm Schafthöhe. 4 von 40 Probanden beurteilten die Stabilität im niedrigen Schuh als schlechter, verglichen mit einem hochschaftigen Schuh.

Schlussfolgerung: Der Verzicht auf einen hochschaftigen Schuh führt zur keinem Anstieg der Sprunggelenkverletzungen im beobachteten Kollektiv, bei gleichzeitig erhöhtem Tragekomfort und geringerer subjektiver Ermüdung.

Schlüsselworte

Prophylaxe Distorsiontrauma Sprunggelenk Schuh Arbeit Arbeitsmedizin 

Leg height of a workers shoe has no influence on the incidence of ankle sprains — A prospective, randomized trail in cooperation with the Swiss federal railway (SBB)

Summary

The aim of the study was to investigate the effect of leg height of the workers shoe on the incidence of ankle injuries in railway workers.

Methods: 80 workers of the Swiss federal railway (SBB) (Ø: 37,8 y, R: 21–61) were randomized supplied with either a high top shoe (19 cm shaft) or a standard shoe (12 cm shaft) with a below ankle leg. The prospective time of investigation was 24 months. The shoes were judged by the workers in the categories comfort, support and fatigue. Besides that, all foot and ankle injuries were registered by the medical service or the work safety engineers of the SBB.

Results: No foot and ankle injury was observed during the time of investigation. Comfort and fatigue were assessed significant better in the standard shoe (p<0,01) than in the high top shoe. 4 of 40 test persons reported less stability in the low top shoe, compared with a high top shoe. Conclusion: The renouncement of a high top shoe did not lead to an increased rate of foot and ankle injuries in the population studied, however comfort is higher and fatigue less in the low top shoe.

Key words

prophylaxis ankle sprain ankle shoe worker workers industrial medicine 

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Copyright information

© Springer 2007

Authors and Affiliations

  1. 1.Zentrum für Fuß- und Sprunggelenkchirurgie Orthozentrum München Schön KlinikenDeutschland
  2. 2.Schweizerische Bundesbahnen SSBZürich

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