Footwear Conditions Research Articles

Effects of hybrid custom foot orthoses on running economy, running mechanics and comfort: A double-blinded randomized crossover study.

This study examined the effects of orthotic materials on running economy, running mechanics, and footwear comfort. A double-blinded randomized crossover study design was used. Eighteen athletes ran on an instrumented treadmill for six minutes at speeds corresponding to 10 % below their first ventilatory threshold (average: 9.9 ± 1.3 km/h) in four footwear conditions [control (CON), Ethyl vinyl acetate (EVA), Thermoplastic Polyurethane (TPU), and a combination of EVA and TPU (HYB)]. No differences were found in running economy between conditions (p = 0.099). All custom foot orthoses materials reduced peak heel impact force vs CON (p < 0.001). TPU reduced hysteresis at heel impact vs CON (-47.8 %, p = 0.016). Shorter flight time (-3.8 %, p = 0.016; -3.1 %, p = 0.021) and lower mean vertical loading rate (-4.0 %, p = 0.003; -7.1 %, p < 0.001) occurred for HYB vs TPU and CON, respectively. Higher peak vertical loading rates (+7.4 %, p = 0.002) and earlier impact peaks (-5.7 %, p < 0.001) were found for HYB vs TPU. HYB exhibited longer propulsive phase duration (+2.0 %, p = 0.003) but lower peak propulsive force (-3.3 %, p = 0.009) vs CON. Reduced 'overall comfort' (-26.4 %, p = 0.004), 'comfort of heel cushioning' (-43.3 %, p < 0.001), and 'comfort of forefoot cushioning' (-18.3 %, p = 0.048) was found for HYB vs TPU, but 'comfort of forefoot cushioning' (+48.0 %, p = 0.032) showed an increase vs EVA. Combining materials could enhance comfort during running causing subtle changes in running mechanics. Overall, neither EVA, TPU nor their combination significantly improved running economy compared to CON.

Gender Differences in the Dynamics and Kinematics of Running and Their Dependence on Footwear.

Previous studies on gender differences in running biomechanics have predominantly been limited to joint angles and have not investigated a potential influence of footwear condition. This study shall contribute to closing this gap. Lower body biomechanics of 37 recreational runners (19 f, 18 m) were analysed for eight footwear and two running speed conditions. Presenting the effect size Cliff's Delta enabled the interpretation of gender differences across a variety of variables and conditions. Known gender differences such as a larger range of hip movement in female runners were confirmed. Further previously undiscovered gender differences in running biomechanics were identified. In women, the knee extensors are less involved in joint work. Instead, compared to men, the supinators contribute more to deceleration and the hip abductors to acceleration. In addition to differences in extent, women also show a temporal delay within certain variables. For the foot, ankle and shank, as well as for the distribution of joint work, gender differences were found to be dependent on footwear condition, while sagittal pelvis and non-sagittal hip and thigh kinematics are rather consistent. On average, smaller gender differences were found for an individual compared to a uniform running speed. Future studies on gender differences should consider the influence of footwear and running speed and should provide an accurate description of the footwear condition used. The findings of this study could be used for the development of gender-specific running shoes and sports and medical products and provide a foundation for the application of smart wearable devices in gender-specific training and rehabilitation.

The Impact of Different Footwear Conditions on Lower-Limb Biomechanical Characteristics During Single-Leg Drop Landing Movements in Individuals with Functional Ankle Instability

(1) Background: This study investigated the impact of different footwear conditions on the biomechanics of individuals with Functional Ankle Instability (FAI) during single-leg drop landing movements. (2) Methods: Fifteen participants with FAI and a control group were tested. Kinematics and kinetics were measured using Vicon (Model: MX13, Oxford, UK) and Kistler (Model: 9287B, Switzerland) equipment. A mixed-ANOVA analyzed the impact of footwear conditions. (3) Results: At the initial contact (IC), under the shoe-wearing condition, the FAI group exhibited a significantly smaller ankle-joint plantarflexion angle compared to the control group (p = 0.001). The FAI group exhibited a significantly smaller ankle-joint plantarflexion angle under the shoe-wearing condition compared to the barefoot condition at the IC (p &lt; 0.001). At the IC moment, regardless of the footwear conditions in this study, the FAI group showed a larger knee flexion angle (p = 0.028) and a shorter time to vertical ground reaction force (T_vGRF) (p = 0.020) compared to the control group. (4) Conclusions: The study concluded that footwear conditions significantly influence the biomechanics of FAI individuals, with shoes enhancing ankle stability and barefoot conditions leading to biomechanics similar to healthy individuals. The effect of socks on FAI individuals was not significant. Future research should further explore the impact of footwear on FAI rehabilitation.

The effects of minimal shoes in combination with textured and supportive insoles on spatiotemporal walking gait parameters in healthy young adults

Spatiotemporal parameters, such as speed, cadence, stride length are often adjusted to enhance stability during walking. Minimal shoes and insoles are known to impact dynamic stability, however their combined effect on such gait parameters in healthy young adults remains unexplored. This cross-sectional study assessed the effects of a minimal shoes, the combination of a minimal shoes with a textured insoles, a minimal shoes with a supportive insoles, barefoot walking and habitual shoes on stability-related spatiotemporal walking gait parameters. Sixty-two healthy young adults (41 males and 21 females, age: 24.6 ± 5.5 years, height: 1.73 ± 0.01 m, weight: 73.8 ± 14.2 kg) were assessed using a 2-minute walk test (2-MWT), and a Timed up and Go (TUG) test in a randomized order of five different footwear conditions. Measurements were made using Kinesis GaitTM and QTUGTM sensors. Repeated measures analyses of covariance were conducted to examine the effect of footwear with gender and BMI as covariates. Results revealed improvement in observed gait parameters during the 2-MWT in minimal shoes, minimal shoes with a textured insoles and minimal shoes with a supportive insoles compared to barefoot and habitual footwear. Participants covered a significantly greater distance (p < 0.05) during the 2-MWT at a self-selected speed in all three minimal shoes conditions with larger stride length and improved cadence. Significant variations (p < 0.05) were found between barefoot walking and minimal shoes conditions while participants being least stable during the barefoot walking. The use of textured or supportive insoles within the minimal shoes did not provide any additional benefits nor did it have any detrimental effect on the spatiotemporal parameters. Nevertheless, minimal shoes with or without insoles have the potential to enhance stability during walking as speed, cadence, and stride length are improved.

Identifying the Number of Steps Required for Familiarisation to Athletic Footwear in Healthy Older Adults

Introduction: Research on athletic footwear familiarisation within an older population is sparse. This is problematic because unfamiliar footwear may act as a new perturbation and modify older adults’ walking gait and stability. In addition, while athletic footwear has been suggested to enhance older adults’ comfort and support during activities of daily living, the necessary period for familiarisation with athletic footwear is unknown. Therefore, this study aimed to identify the number of steps required for older adults to be familiarised with athletic footwear of different midsole thicknesses. Methods: Twenty-six healthy and physically active community-dwelling older adults, 21 females (71.1 ± 4.5 years; 164.5 ± 5.3 cm; 68.4 ± 11.4 kg) and five males (70.6 ± 2.3 years; 175.2 ± 7.8 cm; 72.8 ± 9.7 kg), completed a walking-based protocol. Participants walked two trials of 200 steps at their habitual speed on a 10-m track of an optical measurement system in three footwear conditions: (1) New Balance® REVlite 890v6 (thick midsole); (2) New Balance® REVlite 1400v5 (moderate midsole); and (3) New Balance® Minimus 20v7 (thin midsole). Gait speed (m.s-1) and walking time (min) were analysed for each participant over the 400 steps. Number of required familiarisation steps were established over three analysis phases, consisting of steady-state gait assessment, averaging and analysis of blocks of 40 steps, and sequentially comparing these steps with a predetermined threshold. Footwear familiarisation was assumed when the mean gait speed fell within an acceptable level (±2 SD from 320 to 360 step values) and subsequently maintained. Results: Most participants were familiarised with all three footwear conditions (thick n = 18; moderate and thin n = 20) after walking 80 steps. For all participants, the moderate midsole had the shortest familiarisation period (160 steps). The highest number of familiarisation steps was found in the thick (320 steps) and thin midsoles (240 steps) for some participants. Conclusion: A minimum of 320 familiarisation steps is recommended to account for both individual differences and midsole thicknesses. Implementing this walking-based footwear familiarisation protocol would improve validity of future studies, ensuring they analyse footwear effects rather than familiarisation with the footwear.

The influence of longitudinal bending stiffness on running economy and biomechanics in male and female runners

The purpose of this study was to evaluate the influence of different longitudinal bending stiffnesses (LBS) on running economy and lower extremity joint biomechanics in male and female runners. Thirty participants (15 F;15M) performed a treadmill protocol of five-minute randomised aerobic runs with four different footwear conditions varying in LBS: 16.1 N/mm; 32.7 N/mm; 46.1 N/mm; 90.1 N/mm. Biomechanical data was collected at the metatarsophalangeal (MTP) and ankle joints. Running economy was quantified via oxygen consumption data. Oxygen consumption observed no significant differences between footwear conditions (p = 0.960) or significant interaction between footwear and sex (p = 0.126). Stance time observed a significant difference between footwear conditions (p < 0.001), and a significant interaction of footwear and sex (p = 0.008), increasing in females as stiffness increased. At the MTP joint, a shoe effect was present for peak bending angle (p < 0.001), peak extension (p = 0.040) and flexion (p < 0.001) angular velocity, and energy generated at the joint (p = 0.010). There was also an interaction effect of peak MTP extension angular velocity (p = 0.044), with females slightly decreasing as stiffness increased, with no reaction from males. At the ankle joint, a shoe effect was present for peak dorsiflexion (p < 0.001) and plantarflexion (p < 0.001) angular velocity, peak negative power (p < 0.001) and energy absorbed at the joint (p < 0.001). Comparing the interaction between shoe condition and male/female runners, male and female runners reacted similarly to the increased LBS with no effect on running economy and subtle changes in the stance time and MTP angular velocity for female runners. While further research is needed in this area investigating aspects related to sex-specific optimal stiffness element location and geometry, it does not appear that the stiffness magnitude has a sex dependence.

Does an acute transition to different footwear conditions affect walking patterns in people with different experiences of minimalist footwear?

BackgroundMinimalistic footwear provides adequate toe space, tripod function, improving foot function, muscle activation and stability during walking similarly to barefoot walking. Due to the increasing popularity of this specific footwear, there is a lack of research focusing on general users of minimalistic footwear. Research questionDoes annual walking in minimalistic footwear affect gait biomechanics? MethodsCross-sectional study involving twenty participants in a minimalistic footwear group with both experience (MFE) and no experience (NMFE). Participants walked in three different conditions (barefoot, minimalistic, and neutral footwear) in the laboratory at normal human walking speed. ResultsA significant main effect of groups regardless of footwear conditions show significantly greater values during walking in minimalistic footwear and barefoot in the stride length (p=0.035, p=0.003, respectively), and stride width (p=0.047, p=0.028, respectively) in the NMFE group compared to MFE group. The significant differences in the main effects of footwear regardless of experience were found in stance time (p<0.001), steps per minute (p<0.001), stride length (<0.001), foot adduction in TO (p<0.001), foot eversion angle in IC and TO (p<0.001, p<0.001, respectively), foot progression angle (p<0.001), ankle dorsiflexion angle in IC and TO (p<0.001, p<0.001, respectively), in ankle eversion angle in IC and TO (p<0.001, p<0.001, respectively), knee flexion angle in IC and TO (p<0.001; p<0.001, respectively), and in knee flexion range of motion (p<0.001). SignificanceBased on our findings, barefoot walking should be used primarily during daily activities if the environment is conducive. Only one year of experience with minimalistic footwear seems insufficient and an intervention should be incorporated to change the gait pattern when transitioning to full minimalistic footwear walking.

Curved carbon plates inside running shoes modified foot and shank angular velocity improving mechanical efficiency at the ankle joint

Recent technologically advanced running shoes have been designed with higher stack height and curved carbon plate-reinforced toe springs to enhance running performance. The purpose of this study was to examine how curved carbon-plate reinforcement modulated mechanical efficiency at the ankle joint during the running stance phase. We prepared two footwear conditions: Non and Carbon, both had a 3D-printed midsole (40-mm heel thickness). A full-length curved carbon plate was inserted along the toe spring in Carbon. The participants included 14 non-rearfoot long-distance athletes. They were required to run at a speed of 12 km/h on a 20-m runway with both shoes. Mechanical-energy expenditure (MEE, indicating mechanical work) and compensation (MEC, indicating mechanical efficiency) were calculated in the following mechanical-energy transfer phases: concentric, eccentric, and no-transfer. Running with Carbon exhibited improved MEC and reduced MEE at the ankle joint during the concentric transfer phase than with Non. The improvement in the concentric MEC at the ankle joint indicates that a larger amount of mechanical energy is transferred from the shank into the foot segment that compensates for the force exerted by the plantar flexor muscles, which implies more mechanically efficient plantarflexion movement. As the ankle joint is the largest energetic contributor in the running stance phase, greater MEC and lower MEE and torque at the ankle joint could improve running performance. Hence, the curved carbon plate may be a key feature of advanced footwear technology.

Comparative Effects of Advanced Footwear Technology in Track Spikes and Road-Racing Shoes on Running Economy.

Determine the effects of advanced footwear technology (AFT) in track spikes and road-racing shoes on running economy (RE). Four racing shoes (3 AFT and 1 control) and 3 track spikes (2 AFT and 1 control) were tested in 9 male distance runners on 2 visits. Shoes were tested in a random sequence over 5-minute trials on visit 1 (7 trials at 16km·h-1; 5-min rest between trials) and in the reverse/mirrored order on visit 2. Metabolic data were collected and averaged across visits. There were significant differences across footwear conditions for oxygen consumption (F = 13.046; P < .001) and energy expenditure (F = 14.710; P < .001). Oxygen consumption (in millilitersper kilogramper minute) in both the first AFT spike (49.1 [1.7]; P < .001; dz = 2.1) and the other AFT spike (49.3 [1.7]; P < .001; dz = 1.7) was significantly lower than the control spike (50.2 [1.6]), which represented a 2.1% (1.0%) and 1.8% (1.0%) improvement in RE, respectively, for the AFT spikes. When comparing the subjects' most economic shoe by oxygen consumption (49.0 [1.5]) against their most economic spike (49.0 [1.8]), there were no statistical differences (P = .82). Similar statistical conclusions were made when comparing energy expenditure (in wattsper kilogram). AFT track spikes improved RE ∼2% relative to a traditional spike. Despite their heavier mass, AFT shoes resulted in similar RE as AFT spikes. This could make the AFT shoe an attractive option for longer track races, particularly in National Collegiate Athletic Association and high school athletics, where there are no stack-height rules.

Comparative assessment of heel rise detection for consistent gait phase separation

BackgroundAccurate identification of gait events is crucial to reliable gait analysis. Heel rise, a key event marking the transition from mid-stance to terminal stance, poses challenges in precise detection due to its gradual nature. This leads to variability in accuracy across studies utilizing diverse measuring techniques. Research questionHow do different HR detection methods compare when assessed against the underlying heel motion pattern and visual detection across varying speed, footwear conditions, and individuals? MethodsLeveraging data from over 10,000 strides in diverse scenarios with 15 healthy subjects, we evaluated methods based on measurements from optical motion capture (OMC), force plates, and shank-mounted inertial measurement units (IMUs). The evaluation of these methods included an assessment of their precision and consistency with the heel marker's motion pattern and agreement with visually detected heel rise. ResultsOMC-based heel rise detection methods, utilizing the heel marker's vertical acceleration and jerk, consistently identified the same point in the heel motion pattern, outperforming velocity-based methods and our new position-based method resembling traditional footswitch-based heel rise detection. Variability in velocity and position-based methods derives from subtle heel rise variations after mid-stance, exhibiting individual differences. Our proposed IMU-based methods show promise by closely matching OMC-based accuracy. SignificanceThe results have significant implications for gait analysis, providing insights into heel rise event detection's complexities. Accurate HR identification is crucial for gait phase separation, and our findings, especially with the robust heel marker's jerk-based method, enhance precision and consistency across walking conditions. Moreover, our successful development and validation of IMU-based algorithm offer cost-effective and mobile alternative for HR detection, expanding their potential use in comprehensive gait analysis.

Effect of increased shoe longitudinal bending stiffness on ankle and foot biomechanics in jump-cut movements of low and high degrees

Lateral ankle sprains are the most common injuries in indoor and court sports, with ankle inversion being a primary injury driver. Stabilising the ankle during multidirectional changes is crucial for injury prevention. Conversely, increased shoe stiffness has been hypothesised to influence the magnitude of ankle inversion and may raise the risk for ankle injuries. Therefore, the purpose of this study was to investigate the influence of shoe longitudinal bending stiffness on ankle biomechanics during indoor and court sport-specific cutting movements. Biomechanical data from 19 participants were collected using a motion capture system and force plate. A jump-cut protocol with two different cutting directions after landing was performed in indoor shoes with and without carbon plate inserts of varying stiffness. Ankle kinematics and kinetics were analysed with statistical parametric mapping and repeated measures analysis of variance. A significant increase in ankle inversion during the 180° cut and a reduction in forefoot inversion (foot torsion) for stiffer footwear conditions during both the 45° and 180° cut were observed. While dorsiflexion moments differed during the last 10% of ground contact, ankle inversion moments did not significantly diverge between shoe conditions. Furthermore, a noteworthy correlation between footwear longitudinal bending stiffness and torsional stiffness was identified. In conclusion, increased bending stiffness significantly affected ankle and foot kinematics. The ankle compensated for restricted mobility and higher demands during high-degree jump-cuts, while foot torsion played a more prominent role in low-degree cuts. The heightened ankle inversion during high-degree cuts may induce an elevated risk for lateral ankle sprains. Further longitudinal studies are necessary to comprehensively understand injury incidence and the role of shoe stiffness in injury prevention.

A novel method for accurate division of the gait cycle into seven phases using shank angular velocity

BackgroundAccurate detection of gait events is crucial for gait analysis, enabling the assessment of gait patterns and abnormalities. Inertial measurement unit (IMU) sensors have gained traction for event detection, mainly focusing on initial contact (IC) and toe-off (TO) events. However, effective detection of other key events such as heel rise (HR), feet adjacent (FA), and tibia vertical (TBV) is essential for comprehensive gait analysis. Research questionCan a novel IMU-based method accurately detect HR, TO, FA, and TBV events, and how does its performance compare with existing methods? MethodsWe developed and validated an IMU-based method using cumulative mediolateral shank angular velocity (CSAV) for event detection. A dataset of nearly 25,000 gait cycles from healthy adults walking at varying speeds and footwear conditions was used for validation. The method’s accuracy was assessed against force plate and motion capture data and compared with existing TO detection methods. ResultsThe CSAV method demonstrated high accuracy in detecting TO, FA, and TBV events and moderate accuracy in HR event detection. Comparisons with existing TO detection methods showcased superior performance. The method's stability across speed and shoe variations underscored its robustness. SignificanceThis study introduces a highly accurate IMU-based method for detecting gait events needed to divide the gait cycle into seven phases. The effectiveness of the CSAV method in capturing essential events across different scenarios emphasizes its potential applications. Although HR event detection can be further improved, the precision of the CSAV method in TO, FA, and TBV detection advance the field. This study bridges a critical gap in IMU-based gait event detection by introducing a method for subdividing the swing phase into its subphases. Further research can focus on refining HR detection and expanding the method’s utility across diverse gait contexts, thereby enhancing its clinical and scientific significance.

The influence of midsole thickness on running turns

Running race courses typically feature numerous turns, an element of a race typically neglected. If a thick midsole were to decrease frontal plane ankle stability, it could potentially lead to a misalignment of lower limb joints, thereby affecting turn running and overall race performance. Therefore, the purpose of this study was to determine the influence of midsole thickness on turn running performance and peak frontal plane ankle angle. Thirteen recreational athletes participated in this study, which examined the effects of two footwear conditions: one with a 35-mm thick midsole and the other with a 50-mm thick midsole. Participants performed ten running trials around each of three turns of radii 3, 6 and 9 m. No significant differences were found between footwear conditions with respect to time to completion (p = 0.028), centre of mass velocity (p = 0.179) or frontal plane ankle angle (p = 0.935) across any of the three turns. These findings would suggest footwear manufactures need not consider the impact of midsole thickness on turn running performance when designing advanced footwear technology (AFT) and consumers need not avoid a substantial stack height when purchasing running shoes.

Impact of midsole thickness on physiological responses during running in well-trained athletes

Introduction Modern running shoes have revolutionized long-distance performances by decreasing the amount of oxygen athletes need when running at a given speed, which is termed running economy. In 2022, World Athletics imposed an upper limit of 40 mm for midsole thickness, possibly to prevent shoes from having an overemphasized role in performance. This ceiling, however, seems arbitrary, and a better understanding of whether midsole thickness affects running economy is needed. This study therefore investigated if midsole thickness affects oxygen consumption both indoors and outdoors, as early findings from treadmill studies may not translate to overground running. Methods Following a familiarization trial including an incremental test, 16 well-trained male runners (weight 70 ± 6 kg, age 28 ± 5 years, peak oxygen uptake, V̇O2peak 64 ± 4 ml O2･kg-1･min-1, peak running speed 20.0 ± 0.8 km･h-1) completed two testing visits, once on a treadmill and once on a track, each consisting of twelve 5-min runs at submaximal speed (16 km･h-1) alternating three different footwear conditions: an entry-level running shoe (EL, 30 mm midsole thickness) and two carbon-plated modern running shoes with midsole thickness of 40 and 50 mm, respectively. The shoe order was randomized and balanced between each of the four replicates. Gas exchange and heart rate were continuously measured throughout the runs. Results Running with 40 mm shoes reduced V̇O2 compared with EL shoes by 2.4 ± 1.1% on the treadmill and 4.0 ± 1.2% when running overground (both p &lt; 0.001). Running with 50mm shoes also decreased V̇O2 compared with EL shoes both on the treadmill (-2.7 ± 1.6%, p &lt; 0.001) and overground (-4.6 ± 1.8%, p &lt; 0.001), but no differences were detected between the modern shoes (40 mm vs. 50 mm treadmill: +0.3 ± 1.3%, p = 0.586; overground: +0.6 ± 1.4%, p = 0.189). Similarly, heart rate was lower compared with the EL shoes in both the 40 mm shoes (treadmill -1.3 ± 0.6%; overground -2.0 ± 0.6%; both p &lt; 0.001) and 50 mm shoes (treadmill -1.6 ± 0.7%; overground -2.3 ± 0.6%, both p &lt; 0.001), but no differences were detected between the modern shoes (40 mm vs. 50 mm treadmill: +0.3% ± 0.6%, p = 0.106; overground: +0.4 ± 0.6%, p = 0.090). Interestingly when running overground V̇O2 decreased over time for the 50 mm shoes, reaching significance between replicates 1 and 4 (p = 0.017), which was not the case for the 40 mm shoes (p = 0.817). The V̇O2 ratio between the 50 mm and 40 mm shoes was 1.003 in replicate 1 and 0.987 in replicate 4 (p = 0.108). Discussion/Conclusion Our data suggests that a 50 mm midsole does not offer significant benefits compared with race-legal 40 mm midsole shoes when tested over short durations. The 50 mm shoes cause a noticeable decrease in V̇O2 over time when used outdoors, which may reflect a learning effect to this unfamiliar midsole thickness. Longer test sessions may be necessary to reveal the actual impact on running economy of shoes with over 40 mm midsoles.

Habitually wearing high heels may improve user walking economy in any footwear.

The habitual use of high-heeled footwear may structurally remodel user leg muscle tendons, thereby altering their functional capabilities. High heels set users' ankles in relatively plantarflexed positions, causing calf muscle tendons to operate at relatively short lengths. Habitually operating muscle tendons at relatively short lengths induces structural remodeling that theoretically affects muscle metabolism. Because structural changes occur within the body, the user's locomotor metabolism may change in any footwear condition (e.g., conventional shoes, barefoot). Here, we studied the influence of habitual high-heel use on users' leg muscle-tendon structure and metabolism during walking in flat-soled footwear. We tested eight participants before and after 14 wk of agreeing to wear high heels as their daily shoes. Overall, participants who wore high heels >1,500 steps per day, experienced a 9% decrease in their net metabolic power during walking in flat-soled footwear (d = 1.66, P ≤ 0.049), whereas participants who took <1,000 daily steps in high heels did not (d = 0.44; P = 0.524). Across participants, for every 1,000 daily steps in high heels, net metabolic power during walking in flat-soled footwear decreased 5.3% (r = -0.73; P = 0.040). Metabolic findings were partially explained (r2 = 0.43; P = 0.478) by trending shorter medial gastrocnemius fascicle lengths (d = 0.500, P = 0.327) and increased Achilles tendon stiffness (d = 2.889, P = 0.088). The high-heel intervention did not alter user walking stride kinematics in flat-soled footwear (d ≤ 0.567, P ≥ 0.387). While our limited dataset is unable to establish the mechanisms underlying the high-heel-induced walking economy improvement, it appears that prescribing specific footwear use can be implemented to alter user muscle-tendon properties and augment their function in any shoes.NEW & NOTEWORTHY Habitually wearing high-heeled footwear structurally remodels leg muscle tendons and improves user walking economy, regardless of worn attire.

A feasibility study investigating cortical hemodynamic changes during infinity walk with fNIRS

This study seeks to explore the correlation between cortical activation and the Infinity Walk pattern, examining how the influence of foot overpronation and footwear may impact motor control. Functional near-infrared spectroscopy (fNIRS), a portable and user-friendly neuroimaging technique, was used to measure hemodynamical changes in six individuals with non-critical pronation degrees. Participants perform the Infinity Walk under various footwear conditions while wearing an fNIRS portable imaging device. Results indicate a consistent hemodynamic pattern in both hemispheres during the Infinity Walk, with no significant differences observed across subjects and footwear conditions in the prefrontal cortex (PFC), pre-motor area, the supplementary motor cortex (PMA & SMC), the primary motor cortex (PMC), and Wernicke’s area (WA). The impact of pronation and footwear on motor control remains inconclusive due to inconsistent hemodynamic patterns. Notably, the activation patterns in Broca’s area (BA) and the temporal gyrus (TG) differ significantly from other brain regions. The balanced hemodynamic responses in the bilateral hemispheres may be attributed to the Infinity Walk’s inherent walking pattern. These findings indicate a need for further investigation into the Infinity Walk to examine the similarities and distinctions in activation patterns within specific brain regions. Additionally, the impact of pronation necessitates more substantial experimental research to establish a correlation between pronation and cortical hemodynamics.

Acute biomechanical responses to wearing a controlled ankle motion (CAM) Walker boot during walking

BackgroundControlled ankle motion (CAM) boots are often prescribed during the rehabilitation of lower limb injuries and pathologies to reduce foot and ankle movement and loading whilst allowing the patient to maintain normal daily function. Research questionThe aim of this study was to quantify the compensatory biomechanical mechanisms undergone by the ipsilateral hip and knee joints during walking. In addition, the compensatory mechanisms displayed by the contralateral limb were also considered. MethodsTwelve healthy participants walked on an instrumented treadmill at their preferred walking speed. They underwent kinematic and kinetic analysis during four footwear conditions: normal shoes (NORM), a Malleo Immobil Air Walker on the right leg (OTTO), a Rebound® Air Walker on the right leg with (EVEN) and without (OSS) an Evenup Shoelift™ on the contralateral leg. ResultsCAM boot wear increased the relative joint contribution to total mechanical work from the ipsilateral hip and knee joints (p < 0.05), which was characterised by increased hip and knee abduction during the swing phase of the gait cycle. EVEN increased the absolute work done and relative contribution of the contralateral limb. CAM boot wear reduced walking speed (p < 0.05), which was partially compensated for during EVEN. SignificanceThe increased hip abduction in the ipsilateral leg was likely caused by the increase in effective leg length and limb mass, which could lead to secondary site complications following prolonged CAM boot wear. Although prescribing an even-up walker partially mitigates these compensatory mechanisms, adverse effects to contralateral limb kinematics and kinetics (e.g., elevated knee joint work) should be considered.

Influence of Footwear Selection on Youth Running Biomechanics: A Pilot Study.

The relationship of running biomechanics, footwear, and injury has been studied extensively in adults. There has been little research on the effects of footwear on running biomechanics in youth. Running biomechanics of youth will be significantly affected by changes in footwear. Minimal shoe running will demonstrate similarities to barefoot. Crossover study design: randomized trial. Level 2. A total of 14 active male youth (8-12 years old) participants with no previous exposure to minimalist shoes or barefoot running had running biomechanics (lower extremity sagittal plane kinematics and vertical ground reaction forces [vGRFs]) collected and analyzed in 3 footwear conditions (barefoot, traditional, and minimal shoe). The average vertical loading rate (AVLR) was significantly greater running barefoot (173.86 bodyweights per second [BW/s]) and in the minimal shoe (138.71 BW/s) compared with the traditional shoe (78.06 BW/s), (P < 0.01). There were significant differences between shoe conditions for knee flexion at initial contact (P < 0.01), knee sagittal plane excursion (P < 0.01), peak dorsiflexion (P < 0.01), and dorsiflexion at initial contact (P = 0.03). No participants displayed a forefoot-strike during this study. The introduction of barefoot and minimalist running in habitually shod youth significantly affected the running biomechanics of youth and caused immediate alterations in both lower extremity kinematics and vGRFs. Running barefoot or in minimal shoes dramatically increased the AVLR, which has been associated with injury, compared with a traditional shoe. This study evaluated the effects of footwear on overground running biomechanics, including AVLR, in pre- and early-adolescent youth males. Based on our findings, clinicians should exercise caution in barefoot or minimal shoe transition among young, habitually shod, runners due to the immediate and dramatic increases in AVLRs.

Effects of Running in Minimal, Maximal and Conventional Footwear on Tibial Stress Fracture Probability: An Examination Using Finite Element and Probabilistic Analyses

This study examined the effects of minimal, maximal and conventional running footwear on tibial strains and stress fracture probability using finite element and probabilistic analyses. The current investigation examined fifteen males running in three footwear conditions (minimal, maximal and conventional). Kinematic data were collected during overground running at 4.0 m/s using an eight-camera motion-capture system and ground reaction forces using a force plate. Tibial strains were quantified using finite element modelling and stress fracture probability calculated via probabilistic modelling over 100 days of running. Ninetieth percentile tibial strains were significantly greater in minimal (4681.13 με) (p &lt; 0.001) and conventional (4498.84 με) (p = 0.007) footwear compared to maximal (4069.65 με). Furthermore, tibial stress fracture probability was significantly greater in minimal footwear (0.22) (p = 0.047) compared to maximal (0.15). The observations from this investigation show that compared to minimal footwear, maximal running shoes appear to be effective in attenuating runners’ likelihood of developing a tibial stress fracture.

The interaction effect of different footwear types and static navicular drop or dynamic ankle pronation on the joint stiffness of the lower limb during running

BackgroundAlthough the effects of footwear type on joint stiffness have previously been investigated, researchers did not consider foot flexibility. Thus, the present investigation aimed to determine the interaction effects of footwear type, static navicular drop and dynamic ankle pronation on dynamic joint stiffness in running. Research questionDoes the footwear types in interaction with the foot posture affect the stiffness of the joints of the lower limb? MethodsForty-seven male individuals participated in this study. Firstly, they were divided into the high navicular, low navicular, and normal navicular drop. Secondly, they were divided into the high dynamic ankle pronation, low dynamic ankle pronation, and normal dynamic ankle pronation groups. Participants performed three running trials at 3 ± 0.2 m/s at minimalist footwear, conventional footwear, and barefoot conditions. We collected the ground reaction forces and three-dimensional kinematic data and calculated joint stiffness over the stance phase. ResultsThere was no significant main effect of navicular drop or dynamic ankle pronation on dynamic joint stiffness for the ankle, knee, and hip (p > 0.05). However, footwear type significantly affected dynamic joint stiffness. The pairwise comparison revealed that the ankle and hip dynamic joint stiffness magnitudes in the conventional footwear condition were greater than in the barefoot and minimalist footwear conditions (p 0.001). In contrast, the knee dynamic joint stiffness magnitude in the conventional footwear condition was lesser than in barefoot and minimalist footwear conditions (p 0.001). SignificanceThe navicular drop or dynamic ankle pronation did not influence lower limb joint stiffness, and there was no significant interaction between navicular drop or dynamic ankle pronation and footwear on lower limb dynamic joint stiffness. However, conventional footwear increased the ankle and hip dynamic joint stiffness while reducing knee dynamic joint stiffness, leading to changes in transfer energy, which could have implications for relative injury risk.