Int J Sports Med 2014; 35(13): 1112-1117
DOI: 10.1055/s-0034-1372627
Orthopedics & Biomechanics
© Georg Thieme Verlag KG Stuttgart · New York

In-Shoe Loading in Rearfoot and Non-Rearfoot Strikers during Running Using Minimalist Footwear

T. W. Kernozek
1   Department of Health Professions, University of Wisconsin-La Crosse, La Crosse, WI, USA
,
S. Meardon
2   Physical Therapy Department, East Carolina University, Greenville, NC, USA
,
C. N. Vannatta
1   Department of Health Professions, University of Wisconsin-La Crosse, La Crosse, WI, USA
› Author Affiliations
Further Information

Publication History



accepted after revision 10 February 2014

Publication Date:
30 June 2014 (online)

Abstract

Recent trends promote a “barefoot” running style to reduce injury. “Minimalist” shoes are designed to mimic the barefoot running with some foot protection. However, it is unknown how “minimalist” shoes alter plantar loading. Our purpose was to compare plantar loads between rearfoot strikers and non-rearfoot strikers after 4 weeks of running in minimalist footwear. 30 females were provided Vibram® Bikila shoes and instructed to gradually transition to running in these shoes. Plantar loading was measured using an in-shoe pressure sensor after the 4 weeks. Multivariate analysis was performed to detect differences in loading between rearfoot and non-rearfoot strikers in different plantar regions. Differences in plantar loading occurred between foot strike patterns running in minimalist footwear. Pressure and force variables were greater in the metatarsals and lower in the heel region in non-rearfoot strikers. Peak pressure for the whole foot was greater in non-rearfoot strikers while no difference was observed in maximum force or contact time for the whole foot between strike types. Allowing time for accommodation and adaptation to different stresses on the foot may be warranted when using minimalist footwear depending on foot strike pattern of the ­runner.

 
  • References

  • 1 Arndt A, Ekenman I, Westblad P, Lundberg A. Effects of fatigue and load variation on metatarsal deformation measured in vivo during barefoot walking. J Biomech 2002; 35: 621-628
  • 2 Bonacci J, Saunders PU, Hicks A, Rantalainen T, Vicenzino BGT, Spratford W. Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study. Br J Sports Med 2013; 47: 387-392
  • 3 Cavanagh PR, Lafortune MA. Ground reaction forces in distance running. J Biomech 1980; 13: 397-406
  • 4 Chuckpaiwong B, Cook C, Pietrobon R, Nunley JA. Second metatarsal stress fracture in sport: comparative risk factors between proximal and non-proximal locations. Br J Sports Med 2007; 41: 510-514
  • 5 Daoud AI, Geissler GJ, Wang F, Saretsky J, Daoud YA, Lieberman DE. Foot strike and injury rates in endurance runners. Med Sci Sports Exerc 2012; 44: 1325-1334
  • 6 De Wit B, De Clercq D, Aerts P. Biomechanical analysis of the stance phase during barefoot and shod running. J Biomech 2000; 33: 269-278
  • 7 Divert C, Baur H, Mornieux G, Mayer F, Belli A. Stiffness adaptations in shod running. J Appl Biomech 2005; 21: 311-321
  • 8 Dixon SJ, Collop AC, Batt ME. Surface effects on ground reaction forces and lower extremity kinematics in running. Med Sci Sports Exerc 2000; 32: 1919-1926
  • 9 Donahue SW, Sharkey NA. Strains in the metatarsals during the stance phase of gait: implications for stress fractures. J Bone Joint Surg Am 1999; 81: 1236-1244
  • 10 Ferris L, Sharkey NA, Smith TS, Matthews DK. Influence of extrinsic plantar flexors on forefoot loading during heel rise. Foot Ankle Int 1995; 16: 464-473
  • 11 Goss DL, Gross MT. Relationships among self-reported shoe type, footstrike pattern, and injury incidence. US Army Med Dep J 2012; 25-30
  • 12 Griffin NL, Richmond BG. Cross-sectional geometry of the human forefoot. Bone 2005; 37: 253-260
  • 13 Gross TS, Bunch RP. A mechanical model of metatarsal stress fracture during distance running. Am J Sports Med 1989; 17: 669-674
  • 14 Harriss DJ, Atkinson G. Ethical standards in sport and exercise science research: 2014 update. Int J Sports Med 2013; 34: 1025-1028
  • 15 Hasegawa H, Yamauchi T, Kraemer WJ. Foot strike patterns of runners at the 15-km point during an elite-level half marathon. J Strength Cond Res 2007; 21: 888-893
  • 16 Hockenbury RT. Forefoot problems in athletes. Med Sci Sports Exerc 1999; 31: S448-S458
  • 17 Hreljac A, Marshall RN, Hume PA. Evaluation of lower extremity overuse injury potential in runners. Med Sci Sports Exerc 2000; 32: 1635-1641
  • 18 Kernozek TW, LaMott EE, Dancisak MJ. Reliability of an in-shoe pressure measurement system during treadmill walking. Foot Ankle Int 1996; 17: 204-209
  • 19 Kernozek TW, Zimmer KA. Reliability and running speed effects of in-shoe loading measurements during slow treadmill running. Foot Ankle Int 2000; 21: 749-752
  • 20 Larson P, Higgins E, Kaminski J, Decker T, Preble J, Lyons D, Mc Intyre K, Normile A. Foot strike patterns of recreational and sub-elite runners in a long-distance road race. J Sports Science 2011; 29: 1665-1673
  • 21 Lieberman DE, Venkadesan M, Werbel WA, Daoud AI, D’Andrea S, Davis IS, Mang’eni RO, Pitsladis Y. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature 2010; 463: 531-535
  • 22 Lohman 3rd EB, Balan Sackiriyas KS, Swen RW. A comparison of the spatiotemporal parameters, kinematics, and biomechanics between shod, unshod, and minimally supported running as compared to walking. Phys Ther Sport 2011; 12: 151-163
  • 23 McDougall C. Born to Run: A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen. New York: Knopf; 2009: 1-304
  • 24 McNair PJ, Marshall RN. Kinematic and kinetic parameters associated with running in different shoes. Br J Sports Med 1994; 28: 256-260
  • 25 Nagel A, Fernholz F, Kibele C, Rosenbaum D. Long distance running increases plantar pressures beneath the metatarsal heads: a barefoot walking investigation of 200 marathon runners. Gait Posture 2008; 27: 152-155
  • 26 Nigg BM. Biomechanical considerations on barefoot movement and barefoot shoe concepts. Footwear Science 2009; 1: 73-79
  • 27 Nigg BM. The role of impact forces and foot pronation: a new paradigm. Clin J Sport Med 2001; 11: 2-9
  • 28 Robbins SE, Gouw GJ. Athletic footwear and chronic overloading. A brief review. Sports Med 1990; 9: 76-85
  • 29 Robbins SE, Hanna AM. Running-related injury prevention through barefoot adaptations. Med Sci Sports Exerc 1987; 19: 148-156
  • 30 Salzler MJ, Bluman EM, Noonan S, Chiodo CP, de Asla RJ. Injuries observed in minimalist runners. Foot Ankle Int 2012; 33: 262-266
  • 31 Squadrone R, Gallozzi C. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J Sports Med Phys Fitness 2009; 49: 6-13
  • 32 Wegener C, Burns J, Penkala S. Effect of neutral-cushioned running shoes on plantar pressure loading and comfort in athletes with cavus feet: a crossover randomized controlled trial. Am J Sports Med 2008; 36: 2139-2146
  • 33 Weinfeld SB, Haddad SL, Myerson MS. Metatarsal stress fractures. Clin Sports Med 1997; 16: 319-338
  • 34 Weist R, Eils E, Rosenbaum D. The influence of muscle fatigue on electromyogram and plantar pressure patterns as an explanation for the incidence of metatarsal stress fractures. Am J Sports Med 2004; 32: 1893-1898
  • 35 Willson JD, Kernozek TW. Plantar loading and cadence alterations with fatigue. Med Sci Sports Exerc 1999; 31: 1828-1833
  • 36 Van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SMA, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med 2007; 41: 469-480