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Abstract

This study evaluated the effect of socks (different in fiber type) and the effect of not wearing a sock on perceptions of thermal comfort in relation to changes in foot skin temperature and shoe microclimate (temperature and humidity) during rest and exercise. Ten females completed five trials on separate occasions. Four socks (cotton, wool, polyester, Coolmax) and no sock were evaluated. Trials were conducted at 23°C, 50% relative humidity and consisted of rest (10 min seated), treadmill running (40 min, 7.5 km·h⁻¹) and recovery (15 min seated). Foot skin temperature and shoe microclimate were measured at seven sites on the right foot. Foot skin hydration was measured at nine foot sites. Perceptual responses were recorded. Foot thermo-physiological and foot perceptual responses were similar for all sock conditions (p > 0.05). Similar foot thermo-physiological responses were also observed between the sock and no sock conditions (p > 0.05). Interestingly, however, not wearing a sock resulted in greater perceptions of foot wetness, stickiness and discomfort (p < 0.05). As tactile interactions caused by foot movement within the shoe are strong predictors of foot wetness perception (a key contributor to wear discomfort), socks are important in reducing the tactile cues generated. The sock is therefore an important area for development and relevant for overall improvements in footwear comfort.

Keywords

Sock fabrics fiber type physiological parameters perceptual evaluation comfort

Socks are regarded as an important component within the foot-shoe system acting as a barrier between the skin and the shoe. Often marketed as having moisture wicking, insulative/heat dissipating or blister reducing properties, the sock is believed to be both important for protection and for comfort.

With neutral/cold environmental exposures, the sock is primarily worn to provide insulation in order to maintain foot skin temperature (foot $T_{s k}$ ) for comfort and to avoid cold-related injury. In comparison, with warm environmental exposures or with physical activity, the sock is worn to reduce the magnitude of frictional forces, a major determinant of blister formation,¹ and to mediate the build-up of moisture within the layers (air and textile) between the skin and footwear (shoe microclimate), primarily by wicking sweat away from the skin. Although the presence of moisture can increase coefficients of friction, influencing the probability of blister formation,² and in combination with high temperatures drive the perception of foot discomfort when wearing shoes,^3–5 the effect of the sock on thermo-physiological (foot $T_{s k}$ , skin hydration and shoe microclimate (i.e. in-shoe temperature and in-shoe relative humidity) and/or perceptual responses is not well understood.

Several human wear trials have been employed to investigate the role of sock fiber type on thermo-physiological responses during running.^6–9 Socks composed of either natural or synthetic fibers and natural/synthetic fiber blends have been reported to elicit no differences in foot $T_{s k}$ ^6,8,9 or moisture accumulation in the sock.⁸ Surprisingly, however, the perception of temperature and moisture between socks of different fiber types have been reported to be different. Although this did not always cause greater discomfort to the wearer,^6,8 participants perceived their feet as warmer and wetter for cotton socks or socks with a higher cotton fiber count during activity.^6–8 The results from these studies suggest that socks affect our perceptions of temperature and wetness within the shoe but have little thermo-physiological impact.

Interestingly however, these observations have been based upon the assessment of foot $T_{s k}$ alone, often only measured at one or two locations on the foot. Considering the sock could play an important role in moisture management, wicking sweat away from the skin to the outer layer of the sock and where possible subsequent evaporation through the shoe outer materials or via ventilation of the shoe microclimate,^10,11 it is perhaps surprising that only limited data are available with regard to moisture accumulation within the sock⁸ or changes to microclimate (temperature and humidity) in the shoe.⁷ A recent characterization of the shoe microclimate (temperature and humidity within the air layer between the sock and the shoe) has been shown to differ between shoes of different permeabilities (while wearing identical socks), with these differences being perceivable by the wearer, influencing comfort.⁵ The assessment of shoe microclimate, in addition to the assessment of foot $T_{s k}$ would therefore provide thorough insight into the thermo-physiological impact of the sock and factors affecting foot thermal comfort. Moreover, although the sock is recognized to be an important component within the foot-shoe system, the thermo-physiological and perceptual impact of not wearing a sock has not be investigated.

It is also important to consider that previous studies investigating the role of the sock vary in terms of the shoes (standardized running shoes, the participants own running shoes, hiking boots) and socks used (differences in blends, thickness, design/construction), exercise protocols (short bouts of running versus 45–180 min of walking) and setting (field, laboratory).^6–9,12,13

With this considered, although cotton has been reported to negatively affect temperature sensation and wetness perception during activity, it is difficult to: (a) provide experimental evidence to substantiate the superiority of one sock over another; and (b) to isolate factors contributing to differences in perceptual responses between sock conditions. As shoe designers and manufacturers work towards developing shoes which better support heat dissipation and moisture removal, the sock is an important area for exploration.

The aim of this study was threefold: (1) to investigate the impact of wearing socks on thermo-physiological responses and perceptions of comfort in comparison with not wearing a sock; (2) to determine whether socks of different fiber types affect foot $T_{s k}$ and shoe microclimate during rest and exercise; and (3) to assess whether socks of different fiber types affect our perceptions of comfort.

Materials and methods

Participants

Ten females (age: 23 ± 4 years; height: 169.1 ± 4.6 cm; body weight: 62.7 ± 8.2 kg; foot size: 6.5 ± 0.6 UK) volunteered to participate in this study. Test procedures were outlined in a written information sheet and were explained to participants before obtaining written informed consent. Experimental procedures were approved by Loughborough University Ethical Committee and were conducted within the confines of the World Medical Association Declaration of Helsinki for medical research using human participants.

Experimental design

To achieve the aims of the study, a repeated measures design was selected. Participants took part in five running trials on separate occasions at approximately the same time of day. In each trial, one of four experimental socks was worn. One trial was performed without a sock. The testing sequence was counterbalanced to minimize any order effects. No information was provided to participants regarding sock-related differences and participants were not allowed to visually inspect the socks. Some visual differences, however, may have been noted when donning the socks.

Instrumentation and calculations

Gross sweat loss and sock sweat absorption

To determine gross sweat loss, pre- and post-test semi-nude body weight and fluid consumed during each experimental session were recorded using electronic scales with a resolution of 0.001 kg (Mettler Toledo kcc150, Mettler Toledo, Leicester, UK). Gross sweat loss was calculated using equation (1)¹⁴ and is presented in kilograms

Gross sweat loss (kg) = w_{b 1} - w_{b 2} + fluid

(1)

where

w_{b 1}

is the body weight (kg) at the start of the experiment,

w_{b 2}

is the body weight (kg) at the end of the experiment and

fluid

is the fluid consumption (kg).

Sock weight was recorded pre- and post-test using electronic scales with a resolution of 0.001 g (FX-500i, A&D Company Ltd, Oxfordshire, UK) to determine sweat absorption into the sock.

Rectal temperature, mean skin temperature and heart rate

Rectal temperature was monitored continuously and recorded at 60 s intervals (Squirrel 2020 data logger) using a thermistor self-inserted 10 cm beyond the anal sphincter (Grant Instruments, Cambridge, UK). Skin temperature was measured at four sites: calf, thigh, chest and upper arm using iButton wireless temperature loggers (Maxim, San Jose, USA) attached to the skin by 3M™ Transpore™ surgical tape (3M United Kingdom PLC). The weighted skin temperature ( ${\bar{T}}_{s k})$ of four sites was calculated using equation (2), based upon the work of Ramanathan¹⁵

{\bar{T}}_{s k} = (0.3 \times T_{sk} Upper arm) + (0.3 \times T_{sk} Chest) + (0.2 \times T_{sk} Thigh) + (0.2 \times T_{sk} Calf)

(2)

Heart rate was measured during all tests using telemetry (Polar RS400sd, Polar Electro Oy, Kempele, Finland).

Foot skin hydration

Corneometry was used to assess skin hydration at nine sites on the right foot (Figure 1) pre- and post-test at the stratum corneum and epidermis (MoistureMeterSC and MoistureMeterEpiD, Delfin Technologies, Kuopio, Finland). The corneometers derive skin hydration from the electrical capacitance of the skin. This parameter depends on the high dielectric constant of water content relative to other skin components.^16,17 The water content of the stratum corneum was expressed digitally by the MoistureMeterSC in arbitrary units. The measurement scale is up to 300. The water content of the epidermis was expressed digitally by the MoistureMeterEpiD, which converts the tissue dielectric constant value into a percentage. Foot testing sites were selected based upon areas reported to have high blister incidence within the literature.^18–21 Three measurements at both skin levels for each test site were recorded.

Figure 1.

Foot locations for skin hydration (stratum corneum and epidermis) and foot skin temperature measurements on the right foot. Site codes (skin hydration): 1 = plantar toe 1; 2 = lateral toe 1; 3 = plantar base toe 1; 4 = lateral ball toe 1; 5 = lateral upper toe 5; 6 = lateral lower toe 5; 7 = central dorsal; 8 = plantar arch; 9 = plantar heel. Site codes (skin temperature): a = plantar ball; b = plantar arch; c = plantar heel; d = base of toe 1; e = central dorsal; f = medial dorsal; g = lateral dorsal.

Foot skin temperature

Foot $T_{s k}$ was measured at seven sites on the right foot (Figure 1) using T type thermocouples (plantar thermocouples, 1/0.508 mm wire; dorsal thermocouples, 1/0.315 mm wire, 827-5978 and 110-4469, RS Components Ltd, Corby, UK). Thermocouples were connected to a data logger (Grant Squirrel SQ2020, Grant Instruments Ltd, Cambridge, UK) which logged foot $T_{s k}$ every 10 s. Thermocouples were calibrated prior to testing by placing the measuring junction of each thermocouple in a circulating water bath where temperature was monitored with a calibrated thermometer (resolution 0.1°C).

In-shoe temperature and in-shoe relative humidity

Temperature and relative humidity sensors were attached to seven sites on the right foot (Figure 2) to record changes to in-shoe temperature and in-shoe relative humidity (SHT31, Sensirion, Switzerland). Sensors were applied to each sock or to the skin for the no sock condition using Transpore surgical tape. Data were collected wirelessly from a specially developed Bluetooth data acquisition system (University of Applied Sciences Kaiserslautern, Zweibrücken, Germany), secured to the participants ankle, at a sampling rate of 10 s and simultaneously displayed and recorded in LabVIEW software (2016, National Instruments). The total weight of the data acquisition system and sensors was 112 g.

Figure 2.

Positioning of temperature and relative humidity sensors.

In-shoe absolute humidity

In-shoe absolute humidity was calculated from in-shoe temperature and in-shoe relative humidity using the Antoine equation²²

Absolute humidity (g \cdot m^{- 3}) = \frac{r h}{100} \times \frac{e^{[16.6536 - \frac{4030.183}{T + 235}]}}{461.4 (T + 273)} 10^{6}

(3)

where

T

= temperature (°C) and

r h

= relative humidity (%).

Perceptual scales

Ordinal scales were used to assess thermal sensation, wetness perception, stickiness and thermal comfort (Figure 3). Scales were designed in line with instructions from ISO 10551²³ with the sensitivity, accuracy, ease of use and descriptors chosen for each individual scale carefully considered.

Figure 3.

(a) Thermal sensation scale; (b) wetness perception scale; (c) stickiness scale; (d) thermal comfort scale; (e) texture scale; (f) pleasantness scale.

Scales were used to gain subjective information for the whole body (thermal sensation and thermal comfort) and whole foot (thermal sensation $(T S)$ , wetness perception $(W P)$ , stickiness $(S T)$ , thermal comfort $(T C)$ ; Figure 3(a) to (d)). Texture and pleasantness scales (Figure 3(e) and (f)) were also used to gain information in relation to sock properties.²⁴ Subjective information was obtained for the right foot only. Participants were instructed on how to use the perceptual scales and were given time to practice under the guidance and assistance of the experimenter. During the experimental trial, participants were prompted every 5 min to provide perceptual ratings which took between 1 and 2 min.

Experimental protocol

Participants took part in five experimental trials performed in a climatic chamber maintained at 23°C, 50% relative humidity. The five experimental trials differed with regard to the running socks worn. One trial was performed without wearing a sock, and four trials were performed with socks. The running socks assessed were identical in design/construction (cream/off-white color, ankle length, single jersey, ribbed cuff) but different in terms of the fiber composition (Table 1). Socks were matched for thickness. The running shoes were standardized for each trial (adidas Supernova Glide Boost 8 Clima Chill). Heat loss measurements for the socks (Table 1) and shoes were performed using a 12-zone sweating thermal foot manikin (Thermetrics, Measurement Technology Northwest, Seattle, USA) in accordance with ISO 15831.²⁵ Thermal insulation and evaporative resistance were calculated from thermal foot manikin measurements performed statically at an air velocity of 0.20 m·s⁻¹, and at least two tests were carried out. The thermal insulation and evaporative resistance for the shoes were 0.10 m²·K·W⁻¹ and 16.06 m²·Pa·W⁻¹, respectively.

Table 1.

Experimental sock specifications (mean ± SD)

			Thickness (mm)			Thermal insulation	Evaporative resistance
Sock	Fiber type	Structure	Mid-section	Upper-cuff	Weight (g)	(m²·K·W^–1)	(m²·Pa·W^–1)
Cotton	94% cotton/3% polyamide/3% elastane	Single jersey, ribbed cuff	1.07 ± 0.01	3.65 ± 0.01	13.34 ± 0.01	0.067 ± 0.002	9.07 ± 0.28
Wool	94% wool/3% polyamide/3% elastane	Single jersey, ribbed cuff	1.23 ± 0.01	3.24 ± 0.05	15.00 ± 0.00	0.072 ± 0.001	8.54 ± 0.24
Polyester	94% polyester/3% polyamide/3% elastane	Single jersey, ribbed cuff	1.14 ± 0.05	3.16 ± 0.04	11.58 ± 0.04	0.059 ± 0.002	8.69 ± 0.25
Coolmax	94% Coolmax/3% polyamide/3% elastane	Single jersey, ribbed cuff	1.14 ± 0.06	3.10 ± 0.09	10.63 ± 0.08	0.060 ± 0.004	9.02 ± 0.25

Upon arrival, participants changed into running shorts and t-shirt and washed their feet with tepid water. Following instrumentation, participants donned test shoes and rested in an upright seated position for a 10-min period. Participants then performed a 40-min run at a constant speed (7.5 km·h⁻¹). This was followed by a 15-min recovery period in an upright seated position. The protocol employed has previously been used to objectively characterize shoe microclimate and perceptual responses for permeable and impermeable running shoes.⁵

Analysis

The mean foot response for each individual variable (foot $T_{s k}$ , in-shoe temperature and in-shoe relative humidity/absolute humidity) was calculated by averaging the data recorded from seven foot measurement sites for each participant over time and taken forward for statistical analysis.

Statistical analysis

In this study the independent variables were no sock/sock (cotton, wool, polyester, Coolmax) and time (rest, run, recovery). Dependent variables were gross sweat loss, sock sweat absorption, heart rate, skin hydration, rectal temperature, mean skin temperature, foot $T_{s k}$ , in-shoe temperature, in-shoe relative humidity, in-shoe absolute humidity, whole body thermal sensation and whole body thermal comfort, and foot $T S$ , $W P$ , $S T$ , $T C$ , texture sensation and pleasantness. All data are reported as means ± standard deviation (SD). Data were tested for normality of distribution with the Shapiro–Wilk test. To investigate whether foot $T_{s k}$ and shoe microclimate are affected by no sock/sock fiber type and time a two-way repeated measures analysis of variance was performed with post hoc multiple comparisons (Bonferroni correction). To investigate whether subjective perception is affected by no sock/sock fiber type and time, a Friedman test was conducted. When significant effects were observed, post hoc analysis was conducted with a Wilcoxon signed rank test. Regression analyses were performed to study the relationships between dependent and independent variables. These analyses were conducted using data from group means over time. In all analyses, p < 0.05 was used to establish significance of differences. Statistical analysis was performed using IBM SPSS Statistics 24 (IBM, USA).

Results

Environmental conditions

Mean (± SD) environmental conditions for the experimental trials were 23.1 ± 0.2°C and 49.6 ± 2.6% relative humidity. No significant difference in ambient air temperature (p = 0.79) or ambient relative humidity (p = 0.16) between trials was observed.

Whole body thermal responses

Rectal temperature, mean skin temperature and heart rate

As shown in Table 2, there were no sock-related differences in the dynamics of rectal temperature (p = 0.85) and their absolute values (p = 0.88). A condition × time interaction was observed for mean skin temperature (p = 0.02). At the end of the run (50 min) mean skin temperature was significantly higher when participants wore the polyester socks compared with the cotton (p = 0.02) and Coolmax socks (p < 0.01). There were no differences in heart rate between trials (p = 0.95).

Table 2.

Rectal temperature and mean skin temperature (mean ± SD) during the experimental protocol consisting of rest, run and recovery for four sock conditions and a no sock condition.

	Start of rest	End of rest	End of run	End of recovery
	0 min	10 min	50 min	65 min
Rectal temperature (°C)
Cotton	36.9 ± 0.4	36.9 ± 0.4	37.4 ± 1.1	37.7 ± 0.3
Wool	36.9 ± 0.3	36.9 ± 0.3	37.4 ± 0.8	37.6 ± 0.2
Polyester	36.8 ± 0.4	36.9 ± 0.4	37.4 ± 0.8	37.5 ± 0.2
Coolmax	37.0 ± 0.3	37.0 ± 0.3	37.4 ± 1.0	37.5 ± 0.3
No sock	36.9 ± 0.2	36.8 ± 0.3	37.4 ± 0.7	37.6 ± 0.4
Mean skin temperature (°C)
Cotton	32.7 ± 0.2	32.5 ± 0.3	30.8 ± 0.5	32.2 ± 0.8
Wool	32.7 ± 0.4	32.5 ± 0.4	30.9 ± 0.9	32.3 ± 0.8
Polyester	32.8 ± 0.4	32.5 ± 0.4	31.3 ± 0.7^a	32.5 ± 0.7
Coolmax	32.8 ± 0.4	32.5 ± 0.4	30.9 ± 0.7	32.3 ± 0.7
No sock	32.7 ± 0.5	32.6 ± 0.5	31.2 ± 0.5	32.5 ± 0.5

^aIndicates significant difference compared with cotton and Coolmax (p < 0.05).

Gross sweat loss and sock sweat absorption

Gross sweat loss was not different between sock trials (average gross sweat loss across trials 0.39 ± 0.10 kg, p = 0.52). A difference in sock sweat absorption was only observed between the polyester and wool sock (0.90 ± 1.29 g versus 2.20 ± 0.84 g respectively, p = 0.002).

Perceptual responses

The dynamics of perceptual responses were similar between all trials. During the run, whole body thermal sensation increased from neutral to warm (p < 0.01). Participants experienced moderate thermal discomfort during the running period. With recovery, whole body thermal sensation returned toward neutral, resulting in reduced thermal discomfort (p < 0.01).

No sock-related differences were observed in whole body thermal sensation. Participants reported slightly higher whole body discomfort when wearing the cotton sock compared with the wool sock at the end of the run (cotton versus wool: 3.9 ± 1.9°C versus 3.4 ± 1.7°C, p = 0.04).

Foot thermal responses

Foot skin hydration

The results indicated no significant main effect of condition on skin hydration of the stratum corneum (p = 0.30). A significant main effect of location, however, was observed (p = 0.001). Significant differences within each condition are shown in Figure 4. The results indicated no significant main effect of condition (p = 0.20) or location (p = 0.21) on skin hydration of the epidermis.

Figure 4.

Change in skin hydration of the stratum corneum at nine foot sites from the start to end of the experimental protocol consisting of rest, run and recovery for four sock conditions (cotton, wool, polyester and Coolmax) and a no sock condition. * indicates significant difference for the cotton sock between toe 1 and toe 5 (p = 0.02) and a significant difference for the Coolmax sock between toe 5 and dorsal (p = 0.03).

Mean foot skin temperature and mean in-shoe temperature

As shown in Figure 5, mean foot $T_{s k}$ increased with rest during wool (p = 0.01), Coolmax and no sock trials (p < 0.001) only. An increase in mean foot $T_{s k}$ was observed during the run for all trials. With recovery, a significant decrease in mean foot $T_{s k}$ was observed, excluding the no sock condition (p = 0.21).

Figure 5.

Mean foot skin temperature, in-shoe temperature, in-shoe relative humidity and in-shoe absolute humidity for four sock conditions (cotton, wool, polyester, Coolmax) and a no sock condition during the experimental protocol consisting of rest, run and recovery. * indicates significant difference from the previous time point for all conditions (p < 0.05). # indicates significant difference from the previous time point for wool, Coolmax and no sock (p < 0.01). † indicates significant difference from the previous time point for sock conditions only (p < 0.001). ‡ indicates significant difference from the previous time point for no sock (p = 0.03).

Although a significant main effect of condition (p = 0.28) or condition × time interaction (p = 0.88) was not observed for mean foot $T_{s k}$ the no sock condition elicited a 0.6–0.8°C lower skin temperature in comparison with the sock conditions.

In-shoe temperature increased with rest (p < 0.001) and run (p < 0.001) and decreased with recovery (p < 0.05) for all conditions (Figure 5). A significant main effect of condition (p = 0.29) or condition × time interaction was not observed (p = 0.48).

Mean in-shoe relative humidity and mean in-shoe absolute humidity

Mean in-shoe relative humidity increased with rest (p < 0.001) and throughout the run (p < 0.001) for all conditions (Figure 5). Mean in-shoe relative humidity remained high during recovery for all conditions (p < 0.05). A significant main effect of condition (p = 0.78) or condition × time interaction was not observed (p = 0.12).

Mean in-shoe absolute humidity increased with rest and throughout the run (p < 0.001) for all conditions (Figure 5). With the cessation of running (50–55 min), in-shoe absolute humidity increased briefly by ⁓2.5 g·m⁻³, before exhibiting a decreasing trend for all sock conditions. In-shoe absolute humidity significantly decreased for the no sock condition only (1.7 g·m⁻³, p = 0.03).

Foot perceptual responses

Foot perceptual responses are shown in Figure 6 with differences over time and between conditions shown in Table 3.

Figure 6.

Mean foot thermal sensation, foot wetness perception, foot thermal comfort, foot stickiness, texture sensation and foot pleasantness for four socks conditions (cotton, wool, polyester, Coolmax) and a no sock condition during the experimental protocol consisting of rest, run and recovery.

Table 3.

Significance of comparisons (p-values) for perceptual responses provided over time and between four sock conditions and a no sock condition during the experimental protocol consisting of rest, run and recovery

		Rest	Run	Recovery	0 min				10 min				50 min				65 min
		0–10 min	10–50 min	50–65 min	WL	PES	CM	NS	WL	PES	CM	NS	WL	PES	CM	NS	WL	PES	CM	NS
Thermal sensation	Cotton	0.06	0.01	0.01	0.79	0.34	0.68	0.73	0.33	0.58	0.89	0.99	0.55	0.67	0.80	0.99	0.92	0.67	0.86	0.44
Thermal sensation	Wool	0.16	0.01	0.01		0.11	0.34	0.17		0.71	0.60	0.52		0.21	0.19	0.50		0.73	0.94	0.75
	Polyester	0.06	0.01	0.01			0.67	0.80			0.48	0.26			0.67	0.62			0.83	0.75
	Coolmax	0.21	0.01	0.01				0.63				0.73				0.41				0.92
	No sock	0.02	0.01	0.01
Wetness perception	Cotton	0.99	0.01	0.12	0.32	0.18	0.41	0.28	0.16	0.41	0.66	0.10	0.92	0.60	0.26	0.02	0.94	0.99	0.57	0.02
Wetness perception	Wool	0.99	0.01	0.02		0.32	0.32	0.08		0.16	0.32	0.06		0.26	0.63	0.05		0.99	0.99	0.12
	Polyester	0.05	0.01	0.15			0.32	0.99			0.26	0.22			0.10	0.02			0.73	0.08
	Coolmax	0.32	0.01	0.01				0.13				0.07				0.24				0.24
	No sock	0.06	0.01	0.01
Stickiness	Cotton	0.32	0.01	0.06	0.32	0.32	0.32	0.67	0.32	0.99	0.32	0.16	0.46	0.89	0.80	0.05	0.43	0.06	0.58	0.10
	Wool	0.32	0.01	0.03		0.32	0.99	0.32		0.67	0.56	0.19		0.23	0.99	0.02		0.78	0.94	0.14
	Polyester	0.32	0.01	0.08			0.32	0.99			0.99	0.28			0.13	0.01			0.74	0.04
	Coolmax	0.16	0.01	0.02				0.32				0.28				0.06				0.04
	No sock	0.10	0.01	0.01
Thermal comfort	Cotton	0.99	0.004	0.01	0.32	0.99	0.99	0.32	0.99	0.99	0.32	0.32	0.16	0.68	0.45	0.03	0.71	0.99	0.24	0.24
Thermal comfort	Wool	0.99	0.01	0.01		0.32	0.99	0.32		0.99	0.32	0.32		0.20	0.92	0.19		0.99	0.06	0.13
	Polyester	0.32	0.01	0.38			0.32	0.66			0.32	0.32			0.08	0.03			0.24	0.26
	Coolmax	0.32	0.01	0.01				0.32				0.99				0.16				0.99
	No sock	0.99	0.01	0.01
Texture	Cotton	0.56	0.10	0.10	0.39	0.23	0.79	0.06	0.23	0.59	0.92	0.12	0.67	0.17	0.43	0.24	0.27	0.10	0.91	0.11
	Wool	0.66	0.79	0.16		0.80	0.23	0.02		0.99	0.57	0.04		0.05	0.34	0.02		0.80	0.34	0.02
	Polyester	0.71	0.01	0.08			0.17	0.01			0.19	0.03			0.21	0.44			0.78	0.99
	Coolmax	0.16	0.16	0.10				0.03				0.11				0.21				0.08
	No sock	0.10	0.16	0.26
Pleasantness	Cotton	0.08	0.01	0.01	0.79	0.39	0.41	0.07	0.33	0.26	0.16	0.07	0.29	0.51	0.75	0.02	0.14	0.02	0.34	0.09
	Wool	0.32	0.01	0.01		0.46	0.93	0.06		0.59	0.67	0.04		0.94	0.59	0.04		0.49	0.22	0.02
	Polyester	0.99	0.01	0.04			0.58	0.07			0.71	0.10			0.27	0.02			0.22	0.01
	Coolmax	0.41	0.01	0.02				0.05				0.06				0.05				0.02
	No sock	0.27	0.01	0.01

WL: wool; PES: polyester; CM: Coolmax; NS: no sock.

Mean foot thermal sensation

With rest, participants $T S$ was neutral with no change over time. During the run, participants $T S$ increased from neutral to warm/hot (p < 0.01). During recovery, $T S$ decreased towards slightly warm for all conditions (p < 0.01). Mean foot $T S$ did not differ between conditions.

Mean foot wetness and stickiness

Participants experienced no $W P$ or $S T$ at rest. At the end of the run, $W P$ and $S T$ reached a mean of barely wet/slightly wet and slightly sticky/sticky (p < 0.01). During recovery, $W P$ and $S T$ significantly decreased for the wool, Coolmax and no sock condition (p < 0.05).

At the end of the run, $W P$ and $S T$ were significantly greater for the no sock condition compared with the cotton, wool and polyester sock conditions (p < 0.05). At the end of recovery, $W P$ and $S T$ remained high for the no sock condition in comparison with cotton, polyester and Coolmax socks (p < 0.05). $W P$ and $S T$ did not differ between sock conditions at the end of the run or recovery.

Mean foot thermal comfort

With rest, participants feet were judged comfortable with no change over time. Participants experienced moderate local discomfort throughout the run regardless of the condition (p < 0.01). With recovery, $T C$ returned towards comfortable (p < 0.01). Higher thermal discomfort was experienced for the no sock condition compared with the cotton and polyester sock conditions at the end of the run (p < 0.05). No differences in $T C$ between conditions were observed at the end of recovery.

Mean sock/no sock texture sensation

Texture sensation did not change with rest. During the run, texture sensation only significantly changed for the polyester sock (p = 0.01). With recovery, texture sensation only significantly changed for the cotton sock (p = 0.02).

Differences in texture were significantly different between the no sock condition and sock conditions (p < 0.05) at the start of the experiment. At the end of the run, the wool sock was perceived as smoother than the polyester and no sock condition (p < 0.05). At the end of recovery, the wool sock was significantly smoother than the no sock condition (p = 0.02).

Mean foot pleasantness

With rest, participants rated their feet as slightly pleasant/pleasant. At the end of the run, participants rated their feet as neither pleasant nor unpleasant to slightly unpleasant (p < 0.01). During recovery, participants returned more towards slightly pleasant sensations (p < 0.05).

Relation between foot perceptual responses

Foot $W P$ and foot $S T$ were strongly linked when all sock conditions and phases of the experimental protocol were considered (Figure 7).

Figure 7.

Relationship between foot wetness perception and foot stickiness for four socks conditions (cotton, wool, polyester, Coolmax) and a no sock condition during the experimental protocol consisting of rest, run and recovery. * indicates a significant relationship when all conditions and protocol phases are combined (p < 0.001).

Weak (R² < 0.40) but significant relationships (p < 0.001) were observed between texture sensation and foot $W P$ (Figure 8(a)) and foot $S T$ (Figure 8(b)).

Figure 8.

Relationship between (a) foot wetness perception and (b) foot stickiness and perceived texture for four socks conditions (cotton, wool, polyester, Coolmax) and a no sock condition during the experimental protocol consisting of rest, run and recovery.

Texture sensation showed a significant relationship with pleasantness when all sock conditions and phases of the experimental protocol were considered (Figure 9: R² = 0.61, p < 0.001).

Figure 9.

Relationship between pleasantness and perceived texture for four socks conditions (cotton, wool, polyester, Coolmax) and a no sock condition during the experimental protocol consisting of rest, run and recovery. * indicates a significant relationship when all conditions and protocol phases are combined (p < 0.001).

Discussion

This study is the first to evaluate the effect of sock fiber type (accounting for sock design/construction and thickness) and the impact of not wearing a sock on perceptions of foot thermal comfort in relation to thermo-physiological responses (foot $T_{s k}$ and shoe microclimate).

The outcomes of this study show similar thermo-physiological responses when wearing socks (regardless of fiber type) compared with not wearing a sock during rest and exercise. No differences in foot $T_{s k}$ , shoe microclimate or foot skin hydration were observed. Socks composed of different fiber types were also shown to elicit similar thermo-physiological responses during rest and exercise as no differences in foot $T_{s k}$ , shoe microclimate or foot skin hydration were observed.

Although wearing socks of different fiber types had little thermo-physiological impact and no effect on the perception of comfort (all socks elicited moderate local discomfort to participants with exercise p < 0.01), exercising without a sock resulted in greater perceptions of foot wetness, stickiness and thermal discomfort.

Should we wear socks?

The sock is believed to be both important for protection and for comfort, yet the thermo-physiological effect of not wearing a sock during exercise has not been investigated. In the current study, we show little thermo-physiological effect of wearing socks different in fiber composition compared with not wearing a sock during any phase (rest, run, recovery) of the experimental protocol. No differences in foot skin hydration, foot $T_{s k}$ or shoe microclimate (temperature or humidity) were observed between sock and no sock conditions. Despite this, participants reported greater perceptions of foot wetness, stickiness and higher thermal discomfort primarily at the end of exercise for the no sock condition compared with sock conditions.

Tactile interactions which occur when materials come into contact with the human body are important in the perception of wetness when wearing apparel^26,27 and footwear.^5,28 Our previous experimental work²⁸ has shown that the perception of wetness and comfort at the foot is not dominated by regions of high sweat production but rather by tactile cues caused by foot movement in the shoe. Areas of low sweat production (toes and heel) were perceived as being wetter, stickier and more uncomfortable than the dorsal and plantar foot regions (areas of high sweat production) due to the expected higher contact loads and propulsion actions experienced and required at these regions during running.²⁸ The perception of wetness at the foot is therefore strongly related to the perception of stickiness²⁸ which is also supported in the present data (Figure 7).

It could be expected therefore that running without socks generates tactile inputs which are greater than those experienced when running with socks. The tactile cues generated between the foot and sock fabric may therefore be lower than those generated directly between the foot and shoe lining. Shoe linings vary from padded textile areas around the heel to meshed areas in the forefoot. Also seams, stitching and overlapping of materials particularly around the lacing area/tongue of the shoe may provide greater tactile inputs. Although we assessed the perception of texture, in an attempt to identify potential differences in the tactile cues generated between the no sock and sock conditions, only weak relationships were observed between texture and foot stickiness (Figure 8(b)). Bertaux et al.⁷ also observed no correlation between surface roughness of sock fabrics and comfort. The textile-related parameter that would need to be assessed in order to identify differences in tactile cues generated between conditions such as those investigated in the present work is currently unknown but provides an interesting area for exploration.

Overall, although wearing socks compared with not wearing a sock with exercise had little thermo-physiological effect in terms of differences in foot $T_{s k}$ or shoe microclimate, not wearing a sock resulted in greater perceptions of foot wetness, stickiness and discomfort. The data would therefore suggest that socks play an important role in the reduction of tactile and mechanical inputs generated between the foot and the shoe. As previously highlighted by West et al.²⁸ the tactile interactions between the foot, sock and shoe are an important area for development and relevant for overall improvements in footwear comfort.

Effect of sock fiber type on foot skin temperature, in-shoe temperature and thermal sensation

Wearing socks matched for thickness but different in fiber type did not result in differences in foot $T_{s k}$ or in-shoe temperature during any phase (rest, run, recovery) of the experimental protocol. The mean foot $T_{s k}$ and mean in-shoe temperature across sock conditions at the end of the run was 36.0°C and 34.8°C, respectively. Consequently, no differences in thermal sensation were observed between sock conditions. This is contrary to the literature where during running participants have been reported to perceive their feet as warmer for cotton socks or socks containing a high cotton fiber count,^6–8 despite no differences in foot $T_{s k}$ ^6,8,9 or in-shoe temperature⁷ being elicited. Although it has been suggested that the subjective perception of temperature may not coincide with measured foot $T_{s k}$ or in-shoe temperature, several methodological issues have been identified. Use of a visual analogue scale anchored with most hot imaginable versus least hot imaginable already assumes that the foot is hot which may have misled participants.⁶ Purvis and Tunstall⁸ also incorrectly interpret thermal sensation data, reporting cooler sensations for a cotton/Coolmax/polypropylene blended sock compared with a cotton sock despite the thermal sensation rating being non-significant with both socks being reported as warm (7 ± 1 on the thermal sensation scale). Moreover, in Bertaux et al.’s⁷ assessment of thermal sensation, three metal pieces, pre-conditioned at temperatures of 15°C, 25°C and 35°C, were applied to the forearm with participants assessing which one was closest to the temperature of their feet. This presents several issues.

Fundamentally, the distribution of thermoreceptors varies across the body resulting in regional differences in thermal sensation.^29–31 Also, the surface area exposed to a thermal stimulus and the number of thermoreceptors activated impacts upon the thermal sensation.³² Thus, reporting foot thermal sensation relative to a temperature stimulus applied to the forearm is not representative of the actual thermal sensation experienced. Practically, asking participants to rate thermal sensation in relation to three temperatures (wide in range) reduces the ability to discriminate between sock conditions. At rest in thermo-neutral conditions, mean foot $T_{s k}$ typically ranges between 27 and 28°C,⁵ and with exercise it could have been expected that all participants would have rated their sensations in line with the 35°C stimuli. It is therefore surprising that Bertaux et al.⁷ observed any differences in thermal sensation between sock conditions.

With these methodological issues identified and considered, research suggesting that differences in thermal sensation can be elicited without changes in foot $T_{s k}$ or in-shoe temperature seem unlikely. Indeed, our previous work which provided a detailed assessment of shoe microclimate in relation to perception for two running shoes showed that changes to foot $T_{s k}$ and in-shoe temperature over time and between shoe conditions were perceivable.⁵ Therefore, considering no differences in foot $T_{s k}$ or in-shoe temperature were observed between sock conditions in the current study, it may not be surprising that differences in thermal sensation were also not observed.

Effect of sock fiber type on skin hydration, in-shoe humidity and wetness perception

Assessment of the mean change in sock weight (an indication of sweat accumulation within the sock) pre- and post-test, only indicated a small difference of 1.2 g between the wool and polyester sock (p = 0.002). No differences in sweat accumulation were observed between any other sock conditions. Purvis and Tunstall⁸ also reported no significant differences in the change in sock weight (1.6 g) of cotton compared with a cotton/Coolmax/polypropylene blended sock following running.

The present study also indicated no differences in stratum corneum or epidermis skin hydration across multiple foot sites in relation to sock fiber type. Bogerd et al.²⁰ also did not observe differences in stratum corneum skin hydration when investigating synthetic and natural/synthetic fiber blend socks worn with military boots during 30-min bouts of walking. It was suggested that the short duration exercise may have been insufficient to elicit observable differences in skin hydration.²⁰ It was also hypothesized that for shoes with a high water vapor resistance (i.e. military boots) or in conditions where moisture transfer from the shoe to the environment is low, skin hydration may increase with the application of wicking fabrics. Indeed, a subsequent study by Bogerd et al.²¹ showed that with longer duration exercise performed in military boots, skin hydration was greater for the synthetic sock compared with a natural/synthetic blend sock. For the present study, using permeable shoes and short duration exercise, this may explain the lack of significant effect of sock type on skin hydration.

With regard to the effect of sock fiber type on moisture accumulation within the shoe (in-shoe relative or absolute humidity) limited data are available.⁷ Although changes to in-shoe relative humidity over time have been reported (after 40-min running minimum and maximum in-shoe relative humidity at the toe area across sock conditions was 77.5 ± 7.9% and 86.8 ± 8.5%, respectively) and are similar to those observed in the current study, Bertaux et al.⁷ did not discuss whether in-shoe relative humidity differed between the sock conditions investigated. Thus, in the present study, for the first time we show that sock fiber type does not impact moisture accumulation within the shoe during any phase (rest, run, recovery) of the experimental protocol. The mean in-shoe relative humidity and mean in-shoe absolute humidity across sock conditions at the end of the run were 77.6% and 30.4 g·m⁻³, respectively.

In light of these findings, previous differences reported between natural and synthetic fibers have been confounded by other material factors such as thickness, design/construction and weight,^6–9 all of which affect water absorption parameters within the material.^33–35 Although we were unable to match socks according to weight, the present study is the first to evaluate the effect of sock fiber accounting for thickness and design/construction. As no differences in thermo-physiological responses were observed between sock conditions, it could be concluded that the small weight difference between sock conditions was negligible.

As differences in sock fiber type did not result in differences in sweat accumulation within the sock, skin hydration or in-shoe relative or absolute humidity, no differences in wetness perception were observed. Although tactile cues/dynamic exploration is important in the perception of wetness within footwear,⁵ the perception of stickiness did not differ between the sock conditions. As sock design/construction and thickness were controlled for within the study, it could therefore be expected that the mechanosensory stimuli generated between the sock and shoe would have been similar between the conditions, thus no perceptual differences were observed.

Effect of sock fiber type on thermal comfort and perceptions of pleasantness

Fiber content and frictional properties have been suggested to be two relevant textile parameters important for sock comfort.⁷ In the present data, although participants experienced moderate local discomfort throughout exercise, the level of discomfort reported did not differ according to the sock worn. This is perhaps not surprising considering wearing socks of different fiber types was shown to have little thermo-physiological (foot $T_{s k}$ , shoe microclimate) or perceptual impact (thermal sensation, wetness perception and stickiness). Barkley et al.⁶ and Purvis and Tunstall⁸ also reported no differences in the level of thermal discomfort (despite differences in thermal sensation being reported) experienced by participants wearing socks composed of natural or synthetic fibers and natural/synthetic fiber blends.

Pleasantness is also commonly used in the assessment and evaluation of fabrics and clothing. Although pleasantness did not differ according to the socks worn, socks which were perceived as rougher were associated with being unpleasant (Figure 9). Raccuglia et al.²⁴ previously reported a significant reduction in pleasantness when fabric texture increased both in dry and wet states.

Considerations

In the current study, the role of the sock was investigated in running shoes where moisture transfer from the shoe to the environment is high. It is therefore relevant to consider whether the same results would apply to shoes with different moisture vapor permeability characteristics (i.e. hiking or military footwear) that may be highly insulative, windproof and/or waterproof. For such applications, where moisture transfer from the shoe to the environment is low, the moisture absorption characteristics of the textiles in contact with the skin may become more important to wear comfort. It is typically assumed that natural fibers have a greater moisture absorption capacity compared with synthetic fibers. However, the amount of moisture absorbed by fabrics with different fiber types is often confounded by fabric thickness.^33,36,37 With this considered, it could be expected that although foot skin hydration, foot $T_{s k}$ and shoe microclimate will be significantly affected by shoe permeability (i.e. higher temperature and moisture values for low moisture vapor permeability shoes compared with high moisture vapor permeability shoes⁵) the impact of sock fiber type on foot skin hydration, foot $T_{s k}$ and shoe microclimate would be minimal, or at least limited when controlling for sock thickness and design/construction. Thus, the outcomes of the current study can be applied across a range of shoe types regardless of their moisture vapor permeability. It is therefore recommended that future research should investigate impacts of sock thickness and design/construction on footwear comfort.

Finally, it should also be noted that although this study is the first to evaluate the role of the sock and sock fiber type on shoe microclimate and subjective evaluations, the results of this study, given the limited number of participants, all females, may not necessarily be generalizable across the whole population. Although there currently is no indication in the literature that the observations would be expected to be different for other groups, further investigation of footwear comfort is encouraged for groups of different physical characteristics.

Conclusion

The outcomes of this study show similar thermo-physiological and perceptual responses when wearing socks composed of different fiber types during rest and exercise. Similar thermo-physiological responses were also observed when wearing socks (regardless of fiber type) compared with not wearing a sock. Surprisingly, however, exercising without a sock resulted in greater perceptions of foot wetness, stickiness and thermal discomfort. Socks therefore play an important positive role in the reduction of tactile and mechanical inputs (predictors of foot wetness perception, a key contributor to wear discomfort) generated between the foot and the shoe. Thus, the sock is an important area for development and relevant for overall improvements in footwear comfort.

Footnotes

Declaration of conflicting interests

The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The authors received no financial support for the research, authorship, and/or publication of this article.

ORCID iD

Anna M West

References

Basler

RSW

Hunzeker

Garcia

, et al. Athletic skin injuries: combating pressure and friction. Phys Sportsmed 2004; 32: 33–40.

Sulzberger

Cortese

Fishman

, et al. Studies on blisters produced by friction. I. Results of linear rubbing and twisting technics. J Invest Dermatol 1966; 47: 456–465.

Arezes

Neves

Teixeira

, et al. Testing thermal comfort of trekking boots: an objective and subjective evaluation. Appl Ergon 2013; 44: 557–565.

Irzmańska

Dutkiewicz

Irzmański

New approach to assessing comfort of use of protective footwear with a textile liner and its impact on foot physiology. Text Res J 2014; 84: 728–738.

West

Schönfisch

Picard

, et al. Shoe microclimate: an objective characterisation and subjective evaluation. Appl Ergon 2019; 78: 1–12.

Barkley

Bumgarner

Poss

, et al. Physiological versus perceived foot temperature and perceived comfort during treadmill running in shoes and socks of various constructions. Am J Undergrad Res 2011; 10: 7–14.

Bertaux

Derler

Rossi

, et al. Textile, physiological, and sensorial parameters in sock comfort. Text Res J 2010; 80: 1803–1810.

Purvis

Tunstall

Effects of sock type on foot skin temperature and thermal demand during exercise. Ergonomics 2004; 47: 1657–1668.

Van Roekel

Poss

Senchina

DS.

Foot temperature during thirty minutes of treadmill running in cotton-based versus olefin-based athletic socks. Bios 2014; 85: 30–37.

10.

Van Amber

Lowe

Niven

, et al. The effect of fiber type, yarn structure and fabric structure on the frictional characteristics of sock fabrics. Text Res J 2014; 85: 115–127.

11.

Bogerd

Brühwiler

Rossi

RM.

Heat loss and moisture retention variations of boot membranes and sock fabrics: a foot manikin study. Int J Ind Ergon 2012; 42: 212–218.

12.

Herring

Richie

DH.

Friction blisters and sock fiber composition: A double-blind study. J Am Podiatr Med Assoc 1990; 80: 63–71.

13.

Knapik

Hamlet

Thompson

, et al. Influence of boot-sock systems on frequency and severity of foot blisters. Mil Med 1996; 161: 594–598.

14.

Smith

Havenith

Body mapping of sweating patterns in male athletes in mild exercise-induced hyperthermia. Eur J Appl Physiol 2011; 111: 1391–1404.

15.

Ramanathan

A new weighting system for mean surface temperature of the human body. J Appl Physiol 1964; 19: 531–533.

16.

Alanen

Nuutinen

Nicklen

, et al. Measurement of hydration in the stratum corneum with the MoistureMeter and comparison with the Corneometer. Ski Res Technol 2004; 10: 32–37.

17.

Gerrett

Griggs

Redortier

, et al. Sweat from gland to skin surface: production, transport, and skin absorption. J Appl Physiol 2018; 125: 459–469.

18.

Baussan

Bueno

Rossi

, et al. Experiments and modelling of skin-knitted fabric friction. Wear 2010; 268: 1103–1110.

19.

Baussan

Bueno

Rossi

, et al. Analysis of current running sock structures with regard to blister prevention. Text Res J 2013; 83: 836–848.

20.

Bogerd

Rechsteiner

Wüst

, et al. The effect of two sock fabrics on physiological parameters associated with blister incidence: a laboratory study. Ann Occup Hyg 2011; 55: 510–518.

21.

Bogerd

Niedermann

Brühwiler

, et al. The effect of two sock fabrics on perception and physiological parameters associated with blister incidence: a field study. Ann Occup Hyg 2012; 56: 481–488.

22.

Parsons

Human thermal environments: the effects of hot, moderate, and cold environments on human health, comfort, and performance. Crc Press, 2014.

23.

ISO 10551. Ergonomics of the thermal environment—assessment of the influence of the thermal environment using subjective judgement scales. Geneva: International Standard, 2019.

24.

Raccuglia

Pistak

Heyde

, et al. Human wetness perception of fabrics under dynamic skin contact. Text Res J 2017; 88: 2155–2168.

25.

ISO 15831. Clothing—Physiological effects—Measurement of thermal insulation by means of a thermal manikin. 2004.

26.

Filingeri

Fournet

Hodder

, et al. Tactile cues significantly modulate the perception of sweat-induced skin wetness independently of the level of physical skin wetness. J Neurophysiol 2015; 113: 3462–3473.

27.

Raccuglia

Sales

Heyde

, et al. Clothing comfort during physical exercise—Determining the critical factors. Appl Ergon 2018; 73: 33–41.

28.

West

Tarrier

Hodder

, et al. Sweat distribution and perceived wetness across the human foot: the effect of shoes and exercise intensity. Ergonomics 2019; 62: 1450–1461.

29.

Gerrett

Ouzzahra

Coleby

, et al. Thermal sensitivity to warmth during rest and exercise: a sex comparison. Eur J Appl Physiol 2014; 114: 1451–1462.

30.

Gerrett

Ouzzahra

Redortier

, et al. Female thermal sensitivity to hot and cold during rest and exercise. Physiol Behav 2015; 152: 11–19.

31.

Ouzzahra

Havenith

Redortier

Regional distribution of thermal sensitivity to cold at rest and during mild exercise in males. J Therm Biol 2012; 37: 517–523.

32.

Stevens

Marks

Simonson

Regional sensitivity and spatial summation in the warmth sense. Physiol Behav 1974; 13: 825–836.

33.

Raccuglia

Hodder

Havenith

Human wetness perception in relation to textile water absorption parameters under static skin contact. Text Res J 2017; 87: 2449–2463.

34.

Yoo

Barker

RL.

Moisture management properties of heat-resistant workwear fabrics—Effects of hydrophilic finishes and hygroscopic fiber blends. Text Res J 2004; 74: 995–1000.

35.

Jeon

Yoo

Kim

Psychophysical determination of moisture perception in high-performance shirt fabrics in relation to sweating level. Ergonomics 2011; 54: 576–586.

36.

Fourt

Sookne

Frishman

, et al. The rate of drying of fabrics. Text Res J 1951; 21: 26–33.

37.

Crow

Osczevski

The interaction of water with fabrics. Text Res J 1998; 68: 280–288.

Are running socks beneficial for comfort? The role of the sock and sock fiber type on shoe microclimate and subjective evaluations

Abstract

Keywords

Materials and methods

Participants

Experimental design

Instrumentation and calculations

Gross sweat loss and sock sweat absorption

Rectal temperature, mean skin temperature and heart rate

Foot skin hydration

Foot skin temperature

In-shoe temperature and in-shoe relative humidity

In-shoe absolute humidity

Perceptual scales

Experimental protocol

Analysis

Statistical analysis

Results

Environmental conditions

Whole body thermal responses

Rectal temperature, mean skin temperature and heart rate

Gross sweat loss and sock sweat absorption

Perceptual responses

Foot thermal responses

Foot skin hydration

Mean foot skin temperature and mean in-shoe temperature

Mean in-shoe relative humidity and mean in-shoe absolute humidity

Foot perceptual responses

Mean foot thermal sensation

Mean foot wetness and stickiness

Mean foot thermal comfort

Mean sock/no sock texture sensation

Mean foot pleasantness

Relation between foot perceptual responses

Discussion

Should we wear socks?

Effect of sock fiber type on foot skin temperature, in-shoe temperature and thermal sensation

Effect of sock fiber type on skin hydration, in-shoe humidity and wetness perception

Effect of sock fiber type on thermal comfort and perceptions of pleasantness

Considerations

Conclusion

Footnotes

Declaration of conflicting interests

Funding

ORCID iD

References