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  3. Are comfort shoes always more healthful? Not necessarily, according to some foot doctors. Buying shoes from a store specializing

Are comfort shoes always more healthful? Not necessarily, according to some foot doctors. Buying shoes from a store specializing

admin2015-10-21  30
问题     Are comfort shoes always more healthful? Not necessarily, according to some foot doctors. Buying shoes from a store specializing in comfort shoes doesn’t guarantee that they will be comfortable or good for you.
    What makes a shoe a "comfort shoe"? Generally speaking, it means cushioning under the foot and supportive features such as arch support. Birkenstock sandals, another comfort line, have a molded foot bed with an indented heel cup and a bump under the forefoot—the metatarsal pad, which deflects pressure away from the ball of the foot. "They’re a really comfortable choice for many people," says Erika Schwartz, a foot specialist with DC Foot and Ankle. But for others, not so much. You know what they say about if the shoe fits—well, not all comfort shoes are comfortable or healthy for every foot. A small study of people with knee problems found that walking in clogs and so-called stability shoes was harder on the knees than walking barefoot or in flip-flops. This suggests that certain supportive shoes can alter your manner of walking in a way that’s unhealthy for joints above the ankle, at least temporarily and in people with arthritis.
    "What are the best shoes to wear? I hear this question 20 times a day," says Selene Parekh, a surgeon at Duke University Health System. Parekh says to look for a shoe that’s supportive and comfortable for you. That may not mean spending nearly $200 on a pair of loafers marketed to fit what one shoemaker calls the "anatomical footbed. " If you are having foot problems, the best thing to do is figure out the type of foot you have and how you walk. Do you pronate—rotate your foot so that the inner edge of the sole bears the bulk of your weight? How high or how flat are your arches? When a patient comes in with foot pain, Parekh looks at the wear pattern on her shoes. If the inner part of the sole is worn, he’ll look for flat feet overloading that area. Outer-sole wear may indicate high arches. More wear on the heel or under the ball of the foot can show whether a person is a heel-striker or a forefoot-striker when he walks. These wear patterns are not problems in and of themselves. "If you don’t have pain, your walking pattern is fine," Parekh says. If you do have pain, a foot expert—either a foot and ankle orthopedic surgeon or a foot expert—can help you understand shoe features to look for and to avoid. For example, if you have painful swellings, you want to look for a more box-shaped toe, Parekh says, "to not compress that part of the foot."
    What about minimalist shoes, designed to honor the form and function of the foot? They are the contrary of the comfort shoe: Advocates say that cushioned supportive shoes encourage runners to land on their heels, which can lead to bad form and chronic injury. However, minimalist shoes are not right for everyone. "We’ve seen enough patients with Achilles tendon issues and stress fractures from running in these," Schwartz says. And whether the purported benefits hold true for walking and standing has not been nearly as well studied.
    People with high arches are more likely than flat-foot types to roll an ankle in clogs, Schwartz says. That’s because arch height can affect which part of your foot bears the most weight as you walk. Properly aligned ankles sit directly over the heels. Feet are pronated when the heels tilt out from the body and the ankles roll in—picture young children on ice skates—a characteristic that is often linked to flat feet. When heels tilt in and the ankles roll out, the feet are supinated; this often occurs with very high arches.
    An orthotic insert that raise the outer edge of the foot can help stabilize a supinated foot within the clog, Schwartz says. Orthotic inserts, whether purchased at the drugstore or custom-made, are designed to correct the alignment of the foot and ankle, which helps maintain proper positioning of the knees and hips and even the lower back. Clinical studies of orthotics demonstrate their usefulness in many serious foot problems, such as diabetic neuropathy. For the rest of us, with more everyday aches and pains of life on our feet, there’s less applicable research. A 2008 review of research on easing foot pain found one small study in which custom orthotics helped people with high-arch, supinated feet. For other conditions, such as swellings, the evidence was equivocal. Foot experts recommend shopping at shoe stores with experienced staff who take the time to do a good fitting. Schwartz sends her patients to high-end running shoe stores with a description of what to look for and what to avoid.
What is Selene Parekh’s answer to the best shoes to wear?
选项 A、Shoes that are customized to individuals.
B、Shoes that fit to a person’s wear pattern.
C、Shoes that are both cheap and comfortable.
D、Shoes that cause no pressure to the feet.
答案B
解析 细节题。文章第三段以问题开始，提出了“什么样的鞋子才是最好的鞋子?”这一问题。针对这一问题，Parekh医生给出了答案，她认为，首先应该了解自己鞋子的磨损模式，从而有针对性地选择鞋子，因此[B]为正确答案。文章中没有提到针对客户进行私人订制的鞋子才是最好的鞋子，故排除[A]；虽然第三段第四句提到，不需要花200美元去买一双听上去很有科技含量的鞋子，但巴力医生也并没有说便宜的鞋子才是最好的，因此排除[C]；第三段最后一句提到，如果脚部有肿痛的话，就要避免穿那种会挤压脚部的鞋子，但这并不意味着只要是不挤压脚部的鞋子就是最好的鞋子，故排除[D]。
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