隨著現代社會的發展，多種職業人員一天中需長久的站立和走動，而長時間的站立和走動，會造成下肢累積性的傷害，且足底壓力過大會導致足部病變，而鞋墊有分散足底壓力之功能，多數人卻往往忽略了鞋墊的重要性。
本研究針對市售五款鞋墊進行人因評估，其中包含了全平面式之記憶鞋墊，強調能照足底壓力符合腳型，另外包括足中突起之鞋墊，強調能重新分配體重和壓力，但這些設計之效益還尚需被評估。本研究同時從地面反作用力、肌肉活動度、足底壓力、動作分析、主觀評比的角度，探討以下之問題：1.有無鞋墊的表現。2.記憶鞋墊與以足型特徵設計鞋墊的優劣。3.足中區突起設計的效應。4.實驗後其他問題之發現。
研究結果顯示：1.沒穿鞋墊在骨盆活動角度(額狀面)、足底壓力、地面反作用力、主觀評比的表現皆不如有穿鞋墊，但肌肉活動度和下肢矢狀面關節活動角度在所有實驗組合之間並無顯著差異。2.記憶鞋墊在地面反作用力中雖反應較佳，但因無適當之足弓支撐，且過於柔軟，故在骨盆活動角度偏大，且記憶鞋墊未依照足型設計，並不能有效分散足底壓力。3.足中區突起設計可將蹠骨區的壓力分散至足中區，但顯著增加足中區的主觀不舒適，且該設計若無搭配較硬之足弓支撐，會增加骨盆左右擺動的幅度。4.其他問題之發現：雖然硬式足弓設計可降低骨盆之偏斜角度，但會增加足弓區的主觀不舒適。另外可調整式足弓設計可增加足弓的合腳性。
本研究彙整實驗結果，設計鞋墊之初步模型。未來研究方向可建立國人足型尺碼分類資料庫，以更能貼近國內不同足型之族群。

This study aims to evaluate the effect of insole shape and its material on gait
performance. A total of 15 healthy males participated in this experiment. Six different
types of insoles were evaluated, including memory-material insole, hard and soft
midfoot-rise insole, arch-adjustable insole, ergo-design insole, and barefoot condition.
The response measurements include foot pressure, muscle activity, joint range of
motion, ground reaction force, subjective discomfort, and preferred rating.
The experiment results indicate the significant difference among different insoles
were found in most of the response measures, except for muscle activity. The joint
range of motion in pelvic tilt was the greatest in the memory-insole than the other
selected insoles. When wearing both types of midfoot-rise insoles, the pressure under
metatarsal areas would transfer into midfoot area, and resulted in a higher subjective
discomfort in midfoot area. Moreover, the insoles with hard arch support design (i.e.
arch-adjustable insole and hard midfoot-rise insole) caused a smaller range of motion
in pelvic tilt and a higher discomfort in arch area. Besides, the barefoot condition
showed the worst gait performance in most of the measurements.
This findings of this study suggest that foot shape should be considered when
designing the form of insole. A new insole with softer-arch support design and
customer made shape design was proposed in this study.

1. 王建章，2002，部分足部截肢病人足部與輔具材料之生物力學評估。中原大學醫學工程研究所碩士論文。
2. 王素珍，2004，扁平足與正常足女生走、跑之步態分析。國立體育學院運動科學研究所碩士論文。
3. 行政院勞委會勞工安全衛生研究所，2006，站姿從業人員健康保護手冊－批發零售及百貨業。
4. 李豪政，2000，活塞式鞋墊對減低足部壓力之效益研究。國立陽明大學醫學工程研究所碩士論文。
5. 邱宏達，1996，運動方式與鞋墊厚度對避震效果之影響。中華民國體育學會體育學報第二十一輯。
6. 健康性鞋墊之研究，2006，台灣人纖工業會訊第46期。台灣區人造纖維製造工業同業公會出版。
7. 張志清，1997，足弓墊對扁平足在後足運動與足底壓力影響之研究。國立中央大學機械工程研究所碩士論文。
8. 張紹文，2002，足底壓力及小腿不舒適之改善評估。國立清華大學工業工程與工程管理研究所碩士論文。
9. 許盛發，1995，鞋墊對減低足底壓力效益之生物力學分析。國立陽明大學醫學工程研究所碩士論文。
10. 陳獻堂，1995，足矯具之電腦輔助設計與製造。國立陽明大學醫學工程研究所碩士論文。
11. 楊坤明，1997，鞋墊材質與足弓支撐高度對不同足型影響之研究。大同工學院工業設計研究所碩士論文。
12. 達特富科技有限公司 http://www.drfoot.com.tw/summary.htm
13. 龍希文，1996，男性皮鞋鞋墊材質之研究。大同工學院工業設計研究碩士論文。

14. Adams, M., and Hutton, W., 1980, The effect of posture on the role of the apophysial joints in resisting intervertebral compressive forces. Journal of Bone and Joint Surgery - British Volume, Vol 62-B(3): 358-362.

15. AIST http://www.dh.aist.go.jp/en/research/centered/infoot/

16. Baur, H., Hirschmuller, A., Grau, S., Dickhuth, H., and Mayer, F., 2002. Different insoles do not alter muscular activity in healthy runners. Medicine & Science in Sports & Exercise 34(5): S177.

17. Burnfield, J. M., Few, C. D., Mohamed, O. S., and Perry, J., 2004. The influence of walking speed and footwear on plantar pressures in older adults. Clinical Biomechanics 19(1): 78-84.

18. Bus, S., Ulbrecht, J., and Cavanagh, P., 2004. Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity. Clinical Biomechanics 19(6): 629-638.

19. Cavanagh, P. R., Rodgers, M. M., and Liboshi, A., 1987. Pressure distribution under symptom-free feet during barefoot standing. Foot and Ankle International 5: 262-276.

20. Chen, H., Nigg, B., and Koning, J. De., 1994. Relationship between plantar pressure distribution under the foot and insole comfort. Clinical Biomechanics 9(6): 335-341.

21. Chen, W., Ju, C., and Tang, F., 2003. Effects of total contact insoles on the plantar stress redistribution: a finite element analysis. Clinical Biomechanics 18(6): 17-24.

22. Cheung, J., and Zhang, M., 2008. Parametric design of pressure-relieving foot orthosis using statistics-based finite element method. Medical Engineering and Physics 30(3): 269-277.

23. Chiu, M., and Wang, M., 2006. Professional footwear evaluation for clinical nurses. Applied Ergonomics 38 (2), 133-141

24. Encyclopedia Britannica Online, 2007：
http://www.britannica.com/EBchecked/topic/212788/foot

25. Goske, S., Erdemir, A., Petre, M., Budhabhatti, S., and Cavanagh, P., 2006. Reduction of plantar heel pressures: Insole design using finite element analysis. Journal of biomechanics 39(13): 2363-2370.

26. Guldemond, N. A., Leffers, P., Schaper, N. C., Sanders, A. P., Nieman, F., Willems, P., and Walenkamp, G. H. I. M., 2007. The effects of insole configurations on forefoot plantar pressure and walking convenience in diabetic patients with neuropathic feet. Clinical Biomechanics 22(1): 81-87.

27. Hatton, A. L., Dixon, J., Rome, K., Martin, D., and Hodgson, D., 2008. Do textured surfaces affect postural stability and lower limb muscle activity in young asymptomatic adults?. Medicine & Science in Sports & Exercise 40(5): S120

28. Hinz, P., Henningsen, A., Matthes, G., J ger, B., Ekkernkamp, A., and Rosenbaum, D., 2008. Analysis of pressure distribution below the metatarsals with different insoles in combat boots of the German Army for prevention of march fractures. Gait & Posture 27(3): 535-538.

29. Hiss, 1949. Functional Food Disorders. New York, NY：Oxford University Press.

30. Kanatli, U., Yetkin, H., and Bolukbasi, S., 2003. Evaluation of the transverse metatarsal arch of the foot with gait analysis. Archives of Orthopaedic and Trauma Surgery 123(4): 148-150.

31. Kogler, G., Solomonidis, S., and Paul, J., 1996. Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clinical Biomechanics 11(5): 243-252.

32. Lee, Y. H., and Hong, W. H., 2005. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Applied Ergonomics 36(3): 355-362.

33. Liedtke, C., Fokkenrood, S. A. W., Menger, J. T., Kooij, H. van der., and Veltink, P. H., 2007. Evaluation of instrumented shoes for ambulatory assessment of ground reaction forces. Gait & Posture 26(1): 39-47.

34. Loeser, J., Butler, S., Chapman, R., and Dennis, 2001. Bonica's Management of Pain, Lippincott Williams & Wilkins.

35. Northcoast Footcare, Inc
https://www.northcoastfootcare.com/footcare-info/foot-biomechanics.html

36. Perotto, A., and Delagi, E., 1994. Anatomical guide for the electromyographer: the limbs and trunk, Charles C. Thomas Springfield, IL.

37. Perry, J., 1992. Gait analysis: normal and pathological function, SLACK Incorporated.

38. Rys, M., 1990. Floor mats, Proceedings of the Human Factors Society, P575-579.

39. Shiang, T., and Cavanagh, P., 1992. Finite element analysis of the foot-shoe interface in diabetic patients. Biomedical Engineering - Applications, Basis & Communications, Vol 5 No.1 pp. 38-45

40. Sobel, E., Levitz, S. J., Caselli, M. A., Christos, P. J., and Rosenblum, J., 2001. The effect of customized insoles on the reduction of postwork discomfort. Journal of the American Podiatric Medical Association 91(10): 515-520.

41. Windle, C., Gregory, S., and Dixon, S., 1999. The shock attenuation characteristics of four different insoles when worn in a military boot during running and marching. Gait & Posture 9(1): 31-37.

42. Wu, K. K., 1990. Foot orthoses :principles and clinical applications, Williams & Wilkins.

43. Zhang, L., Drury, C. G., and Woolley, S. M., 1991. Constrained standing: evaluating the foot /floor interface. Ergonomics 34: 175-192.