Search

Aims: Incorrectly fitting footwear (IFF) poses a risk of trauma to at‐risk feet with diabetes. The aim of this systematic review was to summarise and assess the evidence that IFF is a statistically significant cause of ulceration. Methods: We searched PubMed, Scopus, Web of Science and Google Scholar for English‐language peer‐reviewed studies reporting the number or percentage of people with diabetes‐related foot ulceration (DFU) attributed to wearing IFF and included a physical examination of the footwear worn. Two independent reviewers assessed the risk of bias using the Newcastle–Ottawa scale. Results: 4318 results were retrieved excluding duplicates with 45 studies shortlisted. Ten studies met the inclusion criteria with most rated as fair (n = 6) or good (n = 3). There is some evidence that DFU is significantly associated with IFF, but this is limited: only 3 of 10 included studies found a statistically significant percentage of those with DFU were wearing IFF or inappropriate footwear which included fastening, material, type or fit (15.0%–93.3%). Risk of bias in these three studies ranged from 'fair' to 'poor'. IFF definitions were often unreported or heterogeneous. Only one study reported IFF‐related ulcer sites: 70% were at plantar hallux/toes and 10% at plantar metatarsal heads. Conclusions: There is some evidence that IFF is a cause of DFU, but further research is needed, which defines IFF, and methodically records footwear assessment, ulcer location and physical activity. Researchers need to uncover why IFF is worn and if this is due to economic factors, a need for footwear education or other reasons. [ABSTRACT FROM AUTHOR]

The most important role of footwear is to ensure safe, functional walking, and foot protection. For the proper functionality of not only the work shoes, the anti-slip behavior of the shoe under various conditions and environments plays an important role in the prevention of slips, trips, falls, and consequent injuries. This article is intended to review the current understanding of the frictional mechanisms between shoe outsoles and various counterfaces that impact the evaluation of outsole slipperiness. Current research focuses on the mechanisms driving outsole friction on different ground surfaces or the definition and description of parameters that influence outsole friction. Subsequently, the review discusses the effect of various surface contaminants on footwear friction. Lastly, challenges and outlooks in the field of footwear outsoles are briefly mentioned. [ABSTRACT FROM AUTHOR]

Purpose: The Nike Vaporfly line of running shoes improves running economy by ∼2.7% to 4.2% at running speeds of 13 to 18 km·h−1. It is unclear whether similar benefits are conferred at slower speeds. Our purpose was to determine the effects of the Nike ZoomX Vaporfly Next% 2 (VFN2) on running economy at 10 and 12 km·h−1 compared with a mass-matched control (CTRL) shoe. Methods: Sixteen runners completed 4 × 5-minute trials at both 10 and 12 km·h−1 on the same day. Each shoe was tested twice at each speed in a counterbalanced, mirrored sequence. Data are displayed as mean (SD). Results: A 2-way repeated-measures analysis of variance showed a significant shoe × speed interaction for oxygen consumption (P =.021). At 12 km·h−1, oxygen consumption (in mL·kg−1·min−1) was lower (−1.4% [1.1%]; P <.001) for VFN2 (35.8 [1.7]) relative to CTRL (36.4 [1.7]). That was greater in magnitude than the differences observed at 10 km·h−1 (−0.9% [1.8%]; P =.065) between VFN2 (29.4 [1.9]) and CTRL (29.6 [1.9]). Conclusions: From these data, it appears that the VFN2 still enhances running economy at 10 and 12 km·h−1; however, these benefits are smaller in magnitude compared with previous research at faster speeds. [ABSTRACT FROM AUTHOR]

Minimalist walking shoes have been shown to improve foot muscle size and strength in active adults, but not in our previous study involving children, which could relate to the more structured footwear used in our study. Hence, this study examined the effects of true minimalists on intrinsic foot muscle size and strength, foot arch integrity, and physical function among primary school children. After a baseline assessment, 30 primary school students aged between 9 and 12 were given a pair of minimalist shoes (minimalist index = 92%) as their regular school shoes for two school terms, followed by a re-assessment. Seventeen of the 30 participants in the minimalist group completed the study. Compared to the control group, the minimalist group showed significantly increased cross-sectional area of abductor hallucis (p = 0.047, Cohen's d = 0.57) and flexor digitorum brevis (p = 0.037, Cohen's d = 0.80), increased strength of the hallux (p = 0.015, Cohen's d = 0.76) and lesser toes (p = 0.014, Cohen's d = 0.66), greater arch height (p = 0.020, Cohen's d = 0.52) and standing long jump distance (p = 0.001, Cohen's d = 9.79). The control group exhibited improved standing long jump performance only (p = 0.020, Cohen's d = 10.70). Minimalist shoes worn daily to school promote intrinsic foot muscle size and strength, and improve foot arch integrity among primary school students. [ABSTRACT FROM AUTHOR]

Footwear has the potential to reduce soft‐tissue vibrations (STV) but responses are highly subject‐specific. Recent evidence shows that compressive garments minimizing STV have a beneficial effect on neuromuscular (NM) fatigue. The aim was to determine whether an individualized midsole hardness can minimize STV and NM fatigue during a half marathon. Twenty experienced runners were recruited for three visits: a familiarization session including the identification of midsole minimizing and maximizing STV amplitude (MIN and MAX, respectively), and two half marathon sessions at 95% of speed at the second ventilatory threshold. STV of the gastrocnemius medialis (GM) muscle, running kinetics, foot strike pattern, rating perceived exhaustion (RPE), and midsole liking were recorded every 3 km. NM fatigue was assessed on plantar flexors (PF) before (PRE) and after (POST) the half marathon. At POST, PF central and peripheral alterations and changes in contact time, step frequency, STV median frequency, and impact force frequency as well as foot strike pattern were found in both MIN and MAX. No significant differences in damping, STV main frequency, flight time, duty factor, and loading rate were observed between conditions whatever the time period. During the half marathon, STV amplitude of GM significantly increased over time for the MAX condition (+13.3%) only. Differences between MIN and MAX were identified for RPE and midsole liking. It could be hypothesized that, while significant, the effect of midsole hardness on STV is too low to substantially affect NM fatigue. [ABSTRACT FROM AUTHOR]

Background: Little is known about factors that influence footwear selection by field hockey players. Methods: An online survey was used to collect data on participant demographics and physical characteristics, factors influencing footwear selection, perceptions regarding footwear design features on injury and performance, and experiences regarding usability. Nominal and ordinal data were described as absolute frequencies and relative frequencies. Free text responses were analysed using content analysis. Sex‐related differences in quantitative and qualitative data were explored. Results: A total of 401 hockey players completed the survey. Participants reported that fit, comfort, support, and cushioning were the most important factors when selecting hockey footwear. Most hockey players believed that stud design could influence athletic performance (65%) and injury risk (63%) but reported having no preference on outsole design or stud shape. Most participants (63%) used hockey‐specific footwear, but 46% of female hockey players did not, with 40% using trail running footwear instead. Qualitative analysis revealed that hockey players, particularly female participants, encounter difficulties finding properly fitting footwear. They desire more options for wide or narrow feet and face challenges in accessing suitable hockey shoes due to limited choices and availability. Conclusions: With over a third of field hockey players not using hockey‐specific footwear, future research should attempt to understand the reasons and assess the impact of different footwear features on comfort, performance, injury risk, and usability. [ABSTRACT FROM AUTHOR]

BACKGROUND: Shoes upper has been shown to affect the shoe microclimate (temperature and humidity). However, the existing data on the correlation between the microclimate inside footwear and the body's physical factors is still quite limited. OBJECTIVE: This study examined whether shoes air permeability would influence foot microclimate and spatial characteristics of lower limb and body. METHODS: Twelve recreational male habitual runners were instructed to finish an 80 min experimental protocol, wearing two running shoes with different air permeability. RESULTS: Participants wearing CLOSED upper structure shoe exhibited higher in-shoe temperature and relative humidity. Although there was no significant difference, shank temperature and metabolism in OPEN upper structure shoes were lower. CONCLUSIONS: This indicates that the air permeability of shoes can modify the microclimate of the feet, potentially affecting the lower limb temperature. This study provides relevant information for the design and evaluation of footwear. [ABSTRACT FROM AUTHOR]

Fashion is a way to express identity and affiliations with specific social networks, and sociocultural organisations of health care facilities are no exception. Employees in hospitals must adhere to strictly regulated dress code policies, albeit shoes are one of few markers that are not regulated. The aim of this study was to analyse the expressed team identity among healthcare staff by studying signs of personality traits they share with colleagues, as found in their choice of footwear. A total of 213 images of hospital footwear, posted on Instagram, were analysed utilising thematic content analysis. The results show that choice of footwear signals seven different personality traits: the anonymous, an understated conformist; the discreet standout, a subtle individualist; the doer on the move, an active and ready contributor; the naturist, a barefoot enthusiast; the superior tourist, a temporarily elite visitor; the outsider, an unconventional maverick; and the legend, a battle-scarred veteran. [ABSTRACT FROM AUTHOR]

BACKGROUND: Despite wobble board use being common in physiotherapy the effect of certain factors, essential to clinical reasoning, have not been investigated. OBJECTIVE: To determine the effect of biological sex, anthropometrics, footwear and dual tasking (DT) on wobble board balance performance. METHODS: Eighty-six healthy participants (44 females) had their wobble board performance measured during double-leg-stance (DLS) with eyes open (DLSEO), closed (DLSEC) and single-leg-stance (SLS) tasks, with and without footwear and a DT added. Anthropometrics were also measured. RESULTS: Females outperformed males during most tasks, with some large effect sizes (ES). Performance was moderately related to weight and shoulder, waist and hip circumference. Overall, there were no differences between footwear and no footwear, except for males during SLS. DT made little difference, except during DLSEO and SLS, where single task was better than DT, though only females had a large ES. CONCLUSION: During wobble board tasks, biological sex differences were observed and a modest correlation between anthropometrics and performance noted. DT and footwear had minimal effect. [ABSTRACT FROM AUTHOR]

Fit of fire boots is a crucial factor in the safety and performance of firefighters on the hostile fireground. Firefighters have reported that ill-fitting fire boots restrict their lower body movement and sometimes cause very dangerous situations by falling off behind the wearer. By using computed tomography, this study demonstrates the potential to quantify and visualize the fit of fire boots, which previously relied on subjective feedback from the wearers. The high-resolution three-dimensional (3D) models of two fire boot products allowed a detailed observation and measurement of the internal space of the boots. Also, the boot's internal dimension was compared to the foot measurement of local firefighters, showing the significant differences between the two boots. Lastly, simulation wrapping the 3D scanned foot with the boot revealed large void spaces around the toe box and ankle, as well as the narrower ball width of the boot than the foot. [ABSTRACT FROM AUTHOR]

The study aim was to quantify the impact of a commercially available variable stiffness shoe (VSS) on 3-dimensional ankle, knee, and hip mechanics and estimated knee contact forces compared with a control shoe. Fourteen participants (10 females) with knee osteoarthritis completed gait analysis after providing informed consent. Shoe conditions tested were control shoe (New Balance MW411v2) and VSS (Abeo SMART3400). An OpenSim musculoskeletal model with static optimization was used to estimate knee contact forces. There were no differences in joint kinematics or in the knee adduction or flexion moments (P =.06; P =.2). There were increases in the knee internal and external rotation (P =.02; P =.03) and hip adduction and internal rotation moments for VSS versus control (P =.03; P =.02). The estimated contact forces were not different between shoes (total P =.3, medial P =.1, and lateral P =.8), but contact force changes were correlated with changes in the knee adduction moment (medial r2 =.61; P <.007). High variability in knee flexion moment changes and increases in the internal rotation moment combined with small decreases in the knee adduction moment did not lead to decreases in estimated contact forces. These results suggest that evaluation of VSS using only the knee adduction moment may not adequately capture its impact on osteoarthritis. [ABSTRACT FROM AUTHOR]

This research investigates the stabilization of leg length and orientation during the landing phase of running, examining the effects of different footwear and foot strike patterns. Analyzing kinematic data from twenty male long-distance runners, both rearfoot and forefoot strikers, we utilized the Uncontrolled Manifold approach to assess stability. Findings reveal that both leg length and orientation are indeed stabilized during landing, challenging the hypothesis that rearfoot strikers exhibit less variance in deviations than forefoot strikers, and that increased footwear assistance would reduce these deviations. Surprisingly, footwear with a lower minimalist index enhanced post-landing stability, suggesting that cushioning contributes to both force dissipation and leg length stability. The study indicates that both foot strike patterns are capable of effectively reducing task-relevant variance, with no inherent restriction on flexibility for rearfoot strikers. However, there is an indication of potential reliance on footwear for stability. These insights advance our understanding of the biomechanics of running, highlighting the role of footwear in stabilizing leg length and orientation, which has significant implications for running efficiency and injury prevention. [ABSTRACT FROM AUTHOR]

Purpose: This study aimed to evaluate professional footwear comfort, functionality and style as well as their relationships with the foot structure among nurses. Methods: We examined 120 clinical nurses aged 40-50 years, occupationally active, wearing specific type of footwear at work for a minimum of 7 h a day, for 5 days prior to the research. The study relied on the CQ-ST podoscope for measurements of foot. Perception of footwear comfort, functionality and style scales were also used in the research. The results were analysed with the use of Mann-Whitney U-test and Spearman's rank correlation. Results: Statistically significant negative associations were found between right and left foot length and overall comfort of footwear (p = 0.045, p = 0.045) as well as between right and left foot width and arch height (p = 0.015, p = 0.028). Heel angle positively correlated with safety (p = 0.008, p = 0.050), ease of donning and doffing (p = 0.001, p = 0.004), as well as shoe style ratings (p = 0.047). Variables determining shoe comfort were positively correlated with most shoe functionality characteristics as well as with shoe style (p < 0.05). Conclusions: Tested medical footwear meets the requirements of nurses in terms of comfort, functionality and aesthetics, and the studied features of footwear can be a useful guideline for the selection of shoes for representatives of this professional group. These footwear can be an element of workwear, and even, in the case of women with transverse flat feet - an alternative to ordinary utility shoes. There is a need to consider different widths for the same length size in medical footwear designs. [ABSTRACT FROM AUTHOR]

The study investigated the process of adjusting the shape of the footwear last using solid modeling elements (individual pads) manufactured through 3D printing. Based on a comparative analysis of the results of anthropometric foot studies with the parameters of existing footwear lasts available on the Ukrainian market, the rationale for improving the method of correction lasts using individual pads in mismatched anthropometric zones to achieve consumer foot comfort is substantiated. A schematic diagram of the transverse crosssection of the foot-lasts-pads-footwear system is provided. The study obtained dependencies of the calculated radius of the outer contour of the pad on the thickness of the upper material of the footwear. The anthropometric regions of the foot that most commonly require adjustment in existing lasts to achieve the production of custom-made comfortable footwear have been identified. The method of adjusting the shape of the last has been improved based on the individual parameters of the customer’s foot, using pads manufactured using 3D printing technology. The interdependencies between stress and deformation under tension have been established, and the strength limit of polymer material samples for corrective pads obtained through 3D printing has been determined. The rational technological parameters of the 3D printing process using elastane material for corrective pads on lasts have been determined and implemented in the production of custom-made footwear. [ABSTRACT FROM AUTHOR]

Purpose: This study assessed the effects of footwear longitudinal bending stiffness on running economy and biomechanics of rearfoot striking older runners. Methods: Nine runners over 60 years of age completed two running bouts at their preferred running pace in each of three footwear conditions: low (4.4 ± 1.8 N·m-1), moderate (5.7 ± 1.7 N·m-1), and high (6.4 ± 1.6 N·m-1) bending stiffness. Testing order was randomized and a mirror protocol was used (i.e., A,B,C,C,B,A). Expired gases, lower limb kinematics, and ground reaction forces were collected simultaneously and lower limb joint kinetics, running economy (i.e., VO2), leg stiffness, and spatio-temporal variables were calculated. Results: Running economy was not different among stiffness conditions (p = 0.60, p = 0.53 [mass adjusted]). Greater footwear stiffness reduced step length (p = 0.046) and increased peak vertical ground reaction force (p = 0.019) but did not change peak ankle plantarflexor torque (p = 0.65), peak positive ankle power (p = 0.48), ankle positive work (p = 0.86), propulsive force (p = 0.081), and leg stiffness (p = 0.46). Moderate footwear stiffness yielded greater peak negative knee power compared to low (p = 0.04) and high (p = 0.03) stiffness. Conclusions: These novel findings demonstrate that increasing footwear longitudinal bending stiffness using flat carbon fiber inserts does not improve running economy and generally does not alter lower limb joint mechanics of rearfoot strike runners over 60 years. Future studies should investigate how other footwear characteristics (e.g., midsole material, plate location, and sole curvature) influence economy and biomechanics in this population. [ABSTRACT FROM AUTHOR]

The running biomechanics of running shoes have been extensively investigated. However, there is limited knowledge about the use of bionic shoes compared to neutral shoes, along with the velocities involved in their use. The aim of this study was to examine the biomechanical alterations associated with various running velocities of bionic shoes. By removing different thicknesses of the forefoot section, bionic shoes created a more natural shape—close to that of a human foot. The study included 16 heel strike runners running at 10 km/h, 12 km/h and 14 km/h in bionic shoes and neutral shoes, respectively. A two-way ANOVA and SPM1d were employed for examining kinematic and kinetic differences. Regarding the results for the shoes, increased ROM was observed for the bionic shoes for the hip (p < 0.001) and ankle joints (p < 0.001). Ankle positive work (p < 0.001) and negative work (p = 0.042) also showed significant differences. Regarding the velocity results, hip ROM (p < 0.001) increased and peak knee angular velocity (p = 0.018) increased, while knee ROM (p = 0.023) decreased. The interaction effects only existed in hip (p = 0.031) and ankle (p = 0.008) ROM. The results of this study suggested that the impact of running propulsion in the bionic shoes was minimal. However, with increased velocities, the bionic shoes demonstrated the ability to absorb more force, created a more stable training environment, and contributed to injury prevention for the hip and ankle joints. [ABSTRACT FROM AUTHOR]

Athletic footwear can improve performance through targeted design features to improve biomechanical mechanisms of performance. The alteration of athletic shoe uppers can impact athletic performance and biomechanics in both males and females; moreover, the impact may differ between males and females due to anatomical differences between sexes. Therefore, assessment of sex-specific impacts of footwear modification on athletic performance is essential when determining how to modify footwear. The purpose of this research was to determine the impact of upper panel stiffness on biomechanical performance during agility tasks and determine if the optimal upper stiffness depends on the sex of the athlete. It was hypothesized that stiffening the upper panel, quantified through uniaxial tension testing, would result in decreased contact time and increased force production during jumping and change of direction tasks. Forty participants (20 males, 20 females) were recruited and completed eight lateral skater jumps, eight counter movement jumps, three triangle drop step drills and six anterior-posterior drills in three footwear conditions that varied in upper panel stiffness. 3D motion capture and embedded force plates were used to measure biomechanical outcomes that were compared between stiffness conditions using a linear mixed effect model. Upper panel stiffness significantly affected contact time during the lateral skater jump with the stiffest shoe resulting in the shortest contact time compared to the two other conditions (p =.02–.046, η2 = 0.18). No sex-related interactions were found for any outcome variable. Taken together, upper panel stiffness is important to consider when developing both male and female footwear. [ABSTRACT FROM AUTHOR]

• There is a lack of an objective, end-user tool for evaluating shoe tread to prevent slips. • A shoe tread scanner was developed which utilizes Frustrated Total Internal Reflection technology. • The scanner captured the heel tread geometry from 57 worn and 38 new SR shoes. • The region of wear on the worn shoes was able to predict slip risk, validating the tool. • Contact area of new shoes was not associated with slipping risk. Problem : Worn shoes are an important contributor to occupational slip and fall injuries. Tools to assess worn tread are emerging; imaging tools offer the potential to assist. The aim of this study was to develop a shoe tread scanner and evaluate its effectiveness to predict slip risk. Methods: This study analyzed data from two previous studies in which worn or new slip-resistant shoes were donned during an unexpected slip condition. The shoe tread for each shoe was scanned using a portable scanner that utilized frustrated total internal reflection (FTIR) technology. The shoe tread parameters of the worn region size (WRS) for worn shoes and total contact area for new shoes were measured. These parameters were then used to predict slip risk from the unexpected slip conditions. Results: The WRS was able to accurately predict slip risk, but the contact area was not. Discussion: These findings support that increased WRS on the shoe outsole is associated with worse slip outcomes. Furthermore, the tool was able to offer robust feedback across a wide range of tread designs, but the results of this study show that the tool may be more applicable for slip-resistant shoes that are worn compared to their new counterparts. Summary: This study shows that FTIR technology utilized in this tool may be a useful and portable method for determining slip risk for worn shoes. Practical Applications : This tool has the potential to be an efficient, objective, end-user tool that improves timely replacement of shoes and prevention of injuries. [ABSTRACT FROM AUTHOR]

• Footwear examiners were more accurate than novices on a shoe comparison task. • Examiners made false identifications & false exclusions on 3% & 2% of trials. • Novices made false identifications & false exclusions on 19% & 17% of trials. • Results showed no relationship between accuracy & proxies used to infer expertise. • Examiners also demonstrated better consensus in their opinions than novices. The value of a footwear examiner's opinion centres on their ability to determine whether a particular shoe made an impression with greater accuracy than a novice. However, there has been limited research on the expertise of footwear examiners and the accuracy and reproducibility of their decisions. In the current study, we measured the accuracy and consensus of 31 footwear examiners versus a comparison group of 29 novices. Participants completed 20 ground truth known mock shoe comparisons. Results demonstrated that footwear examiners were more accurate than novices, regardless of comparison difficulty. Overall, on trials where probative decisions were given, examiners made false identifications and false exclusions on a total of 3% and 2% of trials, while novices made false identifications and false exclusions on a total of 19% and 17% of trials. Examiners also demonstrated better consensus in their opinions than novices, although both groups demonstrated low levels of agreement in their responses and variability in their interpretation of the conclusion scale. In summary, these findings support the proposition that footwear examiners show expert-level performance in matching known and unknown footwear impressions. These performance estimates may help the criminal justice system to appropriately value footwear examination evidence. [ABSTRACT FROM AUTHOR]

To explore footwear characteristics and foot problems in community dwelling people with stroke as most research to date focused on the general elderly population. Thirty people with mild to moderate stroke (nine men, mean age 68, mean time since onset 67 months) attended a single session to assess footwear and foot problems using established podiatry foot (wear) and ankle assessments. Most participants wore slippers indoors (n = 17, 57%) and walking shoes outdoors (n = 11, 37%). Over half wore unsupportive ill-fitting shoes indoors and 47% of outdoor shoes fitted badly. All participants had foot problems (mean 6.5 (3.1), 95% CI: 5.4–7.7), including impaired single limb heel raise (93%), reduced range of movement (77%), sensation (47%), and muscle strength (43%). Many had foot-pain, hallux valgus (both 50%), or swollen feet (40%). Foot problems were associated with reduced balance confidence, activity, and community participation (all p < 0.05). A greater proportion of fallers (13/16) than non-fallers (4/14) reported foot problems (p = 0.029). Many community-dwelling people with stroke wore poorly fitting shoes; all had foot problems. Foot problems were linked to reduced mobility. Finding more effective pathways to support people with stroke to select supportive, well-fitting indoor and outdoor footwear is indicated. People with stroke often wear unsupportive ill-fitting shoes and experience foot problems. Assessment of foot problems and footwear advice should be considered during stroke rehabilitation particularly when interventions target fall prevention or improvements in balance and mobility. Information on appropriate footwear and signposting that new shoe purchases should include measuring feet to ensure a good fit is recommended. [ABSTRACT FROM AUTHOR]

The forefoot is the foot part most affected by ill-fitting shoes. Footwear fitting considers the measurements of length, width, and arch length. Toe shape has not yet been used in sizing feet and fitting shoes. This study aims to investigate the variation in toe shape, as measured by the hallux valgus angle. An automatic and reproducible hallux valgus angle measuring method using 3D foot scans with no palpation markers is proposed and applied to about half a million samples collected across North America, Europe, and Asia. The measuring method is robust and can detect the medial contour along the proximal phalanx even in extreme cases. The hallux valgus angle has a normal distribution with long tails on both sides in the general population. Large dispersions of HVA values were observed for both genders and in all three geographical regions. Practitioner summary: The hallux valgus angle has a broad distribution in the general population. Females have larger hallux valgus angles than males, and people from Asia have larger hallux valgus angles than people from North America and Europe. Shoe toe boxes should be designed to fit the actual shapes of shoppers' toes. The proposed method for measuring HVA opens a new opportunity to study the causal relationship between shoe wearing habits and HVA on a large scale. [ABSTRACT FROM AUTHOR]

Abstract Background Chronic hip pain is common and disabling and is largely due to osteoarthritis (OA). Self-management is recommended by international OA clinical guidelines yet there are few effective treatment options. Footwear has been suggested as a self-management approach, given that foot motion influences hip forces. Currently, guidelines advocate ‘stable supportive’ shoes for people with OA, however this is based solely on expert opinion given no research has investigated whether these shoes are effective at reducing symptoms in people with OA-related chronic hip pain. Therefore, this randomized controlled trial (RCT) aims to determine if stable supportive footwear reduces hip pain during walking compared to flat flexible footwear in people with chronic hip pain consistent with OA. Methods This trial is a 6-month, participant- and assessor-blinded, pragmatic, comparative effectiveness, superiority RCT conducted in Melbourne, Australia. We are recruiting 120 participants aged over 45 years with chronic hip pain consistent with OA from the community. Following baseline assessment, participants are randomized to receive either i) stable supportive shoes or ii) flat flexible shoes. Participants are permitted to choose two different pairs of shoes in their allocated group from a range of options that match prespecified shoe classification criteria. They are advised to wear either pair of study shoes daily for a minimum of 6 hours each day for 6 months. The primary outcome is the 6-month change in average hip pain on walking in the last week. Secondary outcomes include changes in other measures of hip pain, symptoms, function in daily living and sports and recreation, hip-related quality of life, pain at other sites, adverse events, and physical activity. Other measures include co-intervention use, adherence, shoe comfort, descriptive characteristics, footwear characteristics, and objective foot measures. Discussion This RCT will determine whether stable supportive shoes reduce hip pain during walking more than flat flexible shoes in people with chronic hip pain. Outcomes will help to inform footwear recommendations in international clinical guidelines for OA-related chronic hip pain, which to date have been based solely on expert opinion because of an absence of RCTs. Trial registration Australian New Zealand Clinical Trials Registry reference: ACTRN12621001532897.

Footwear plays an important role in worker safety.Work boots with safety toes are often utilized at mine sites to protect workers from hazards. Increasingly, mining operations require metatarsal guards in addition to safety toe protection in boots.While these guards provide additional protection, the impact of metatarsal guards on gait are unknown. This study aimed to measure the effects of 4 safety work boots, steel toe, and steel toe with metatarsal protection in wader- and hiker-style boots, on level and inclined walking gait characteristics, during ascent and descent. A total of 10 participants completed this study. A motion capture system measured kinematics that allowed for the calculation of key gait parameters. Results indicated that gait parameters changed due to incline, similar to previous literature.Wader-style work boots reduced ankle range of motion when ascending an incline. Hip, knee, and ankle ranges of motion were also reduced during descent for this style of boot. Wader-style boots with metatarsal guards led to the smallest ankle range of motion when descending an inclined walkway. From these results, it is likely that boot style affects gait parameters and may impact a miner's risk for slips, trips, or falls. [ABSTRACT FROM AUTHOR]

Background: Regular walking in different types of footwear may increase the mediolateral shear force, knee adduction moment, or vertical ground-reaction forces that could increase the risk of early development of knee osteoarthritis (OA). Purpose: To compare kinematic and kinetic parameters that could affect the development of knee OA in 3 footwear conditions. Study Design: Controlled laboratory study. Methods: A total of 40 asymptomatic participants performed walking trials in the laboratory at self-selected walking speeds under barefoot (BF), minimalistic (MF), and neutral (NF) footwear conditions. Knee joint parameters were described using discrete point values, and continuous curves were evaluated using statistical parametric mapping. A 3 × 1 repeated-measures analysis of variance was used to determine the main effect of footwear for both discrete and continuous data. To compare differences between footwear conditions, a post hoc paired t test was used. Results: Discrete point analyses showed a significantly greater knee power in NF compared with MF and BF in the weight absorption phase (P <.001 for both). Statistical parametric mapping analysis indicated a significantly greater knee angle in the sagittal plane at the end of the propulsive phase in BF compared with NF and MF (P =.043). Knee joint moment was significantly greater in the propulsive phase for the sagittal (P =.038) and frontal planes (P =.035) in BF compared with NF and MF and in the absorption phase in the sagittal plane (P =.034) in BF compared with MF and NF. A significant main effect of footwear was found for anteroposterior (propulsion, ↑MF, NF, ↓BF [ P =.008]; absorption, ↑BF, MF, ↓NF [ P =.001]), mediolateral (propulsion, ↑MF, NF, ↓BF [ P =.005]; absorption, ↑NF, MF, ↓BF [ P =.044]), and vertical (propulsion, ↑NF, BF, ↓MF [ P =.001]; absorption, ↑MF, BF, ↓NF [ P <.001]) ground-reaction forces. Knee power showed a significant main effect of footwear (absorption, ↑NF, MF, ↓BF [ P =.015]; propulsion, ↑MF, NF, ↓BF [ P =.039]). Conclusion: Walking in MF without sufficient accommodation affected kinetic and kinematic parameters and could increase the risk of early development of knee OA. [ABSTRACT FROM AUTHOR]

Background: Adolescents are often required to wear footwear that adheres to uniform guidelines at secondary school. There is a paucity of literature on factors influencing school footwear choice and what drives the development of school footwear guidelines. The aims of this study were to describe (i) current school footwear guidelines in secondary schools across Australia, (ii) factors that influence footwear choice in secondary school students and their parents, and (iii) principals, parents, and students' beliefs on factors which contribute to school footwear guidelines. Methods: An online survey was distributed to principals, secondary school students (aged 14–19 years) and their parents across Australia. The survey included questions on current school footwear guidelines, factors influencing footwear choice (for students and parents), participants beliefs on the effect footwear has on musculoskeletal health, current and previous lower limb pain, and beliefs on factors that contribute to school footwear guidelines. Parent and student responses to factors that influence their footwear choice were compared using proportional odds logistic regression. Students and parents' responses to factors influencing footwear guidelines were compared to principal responses using proportional odds logistic regression. Significance was set at an alpha of < 0.05. Results: Eighty principals, 153 parents and 120 secondary school students responded to the survey. 96% (77/80) of principals reported that their schools have set guidelines for school footwear. 88% of principals considered comfort to be important when developing school footwear guidelines. Proportional odds logistics regression showed that parents and students were 3.4 and 4.9 times more likely, respectively, than principals to rate comfort as being important when schools develop footwear guidelines. More than 40% of students reported experiencing musculoskeletal pain, and 70% of these students reported the pain to be exacerbated when in their school shoes. Less than a third of participants considered healthcare recommendations important to the development of footwear guidelines. Conclusions: Nearly all principals that participated in this survey had set guidelines for school footwear. There is a discord between parents, students, and principals on the importance that factors such as comfort, play in the development of school footwear guidelines. [ABSTRACT FROM AUTHOR]

The sporting goods sector can serve as a proving ground for new technologies. We propose that climbing shoes are an excellent case study for showcasing a systematic approach to bio-inspired design. Foot adaptations to climbing have been described before in some animals and have even been incorporated into bio-inspired products. However, there has not yet been a systematic description of climbing adaptations in mammals, and especially in rock climbing species. We present a description of foot morphology in mammals and compare rock climbing species to those with other locomotion types. Our results show that rock climbing species in our sample had fewer digits and larger anterior pads than arboreal species. Rock climbing species often had hooves or, if they had foot pads, these were relatively smooth. These examples look a bit like current climbing shoe designs, perhaps suggesting convergent evolution. However, there was also variation, with rock climbing species having pads varying in shape, placement and texture. Much of this variation is likely to be dependent on the relatedness of species, with those that are more related having more similar feet. We suggest that incorporation of novel textures and compliant pads might be an interesting focus for future climbing shoe designs. [ABSTRACT FROM AUTHOR]

Adherence to prescribed footwear is essential to prevent diabetes-related foot ulcers. The aim was to compare different measures of adherence and wearing time of prescribed footwear with a reference adherence measure, among people with diabetes at high risk of foot ulceration. We followed 53 participants for 7 consecutive days. A temperature sensor measured wearing time of prescribed footwear and a triaxial accelerometer assessed weight-bearing activities. Subjective wearing time was self-reported. Reference adherence measure was proportion of weight-bearing time prescribed footwear was worn. We calculated Spearman's correlation coefficients, kappa coefficients, and areas under the curve (AUC) for the association between the reference measure and other measures of adherence and wearing time. Proportion of daily steps with prescribed footwear worn had a very strong association (r = 0.96, Κ = 0.93; AUC: 0.96–1.00), objective wearing time had a strong association (r = 0.91, Κ = 0.85, AUC: 0.89–0.99), and subjective wearing time had a weak association (r = 0.42, Κ = 0.38, AUC: 0.67–0.81) with the reference measure. Objectively measured proportion of daily steps with prescribed footwear is a valid measure of footwear adherence. Objective wearing time is reasonably valid, and may be used in clinical practice and for long-term measurements. Subjective wearing time is not recommended to be used. [ABSTRACT FROM AUTHOR]

One of the recommendations for individuals with knee osteoarthritis (OA) is the use of specific footwear, such as sturdy or cushioned shoes. However, the long-term use effects of using cushioned shoes on the pain and spatiotemporal gait parameters in individuals with knee OA are yet to be reported. We therefore aimed to compare the efficacy of cushioned sport footwear versus sham shoes on motor functions, pain and gait characteristics of individuals with knee OA who used the shoes for 3 months. In a double-blinded study, we provided 26 individuals with knee OA with cushioned sport shoes and 12 individuals with knee OA with similar sport shoes without cushioning for 3 months. The gait analysis, the timed up and go (TUG) test and the Western Ontario and McMaster Universities Arthritis Index (WOMAC) were conducted and the pain levels were measured at the baseline, 1 month, and 3 months after the baseline. We found that the cushioned shoes reduce the amount of pain (based on WOMAC) in the affected knee and increase functionality in the research group, but not in the control group. Gait velocity and cadence were increased in both groups. Gait spatiotemporal parameters and their symmetry were unaffected during the intervention. We conclude that the use of cushioned shoes should be recommended to individuals with knee OA for alleviating pain. [ABSTRACT FROM AUTHOR]

The footwear assessment tool was designed to advise an appropriate footwear for each situation and patient. Footwear alterations structures can influence in musculoskeletal disorders, developing foot ulcers, increase the peak plantar pressure, bacterial growth, low back pain. Methods: To validate the study 101 subjects were recruited. The study was tested by two expert podiatrists using the tool for the assessment of footwear characteristics that is composed by five domains, fit, general features, general structure, motion control properties and cushioning system. Each domain analyzes different shoe items. Results: An excellent agreement between the test-retest. A suitable Cronbach's α was suggested for the five domains of fit (α = 0.952), general features (α = 0.953), general structure (α = 0.947), motion control properties (α = 0.951), and cushioning system (α = 0.951). Test-retest reliability was excellent for all domains. There were no significant differences between any domain (p > 0.05). There was only statistically significant difference in the item forefoot height (p = 0.011). For all the domains items there were no statistically significant difference (p > 0.05). Conclusions: The tool for the assessment European footwear is a suitable repeatability and reliability footwear tool that can be used in Spanish language subjects. • A footwear tool is useful to the shoe management. • A footwear tool is reliability and repeatability for shoe management. • The footwear tool advice in fit, general features, general structure, motion control properties and cushioning system. [ABSTRACT FROM AUTHOR]

To date there is a paucity of information about how different types of conventional running shoes influence lower limb kinematics. The aim of the study was to determine the influence of motion control, neutral, and cushioned running shoes upon lower limb kinematics. Twenty-eight active males completed one test session running in standardized motion control, neutral, and cushioned running shoes on a treadmill at a self-selected pace (2.9 [0.6] m·s−1). Kinematic data were collected using a VICON motion analysis system with hip, knee, and ankle joint angles calculated. Discrete parameters associated with stance phase kinematics were compared between footwear conditions. Significant (P <.05) differences in knee flexion and internal rotation at toe off, and knee adduction range of motion were reported between footwear conditions. Significant (P <.05) differences in ankle joint dorsiflexion and adduction upon initial contact, peak dorsiflexion, eversion and abduction, and inversion at toe off were reported between footwear conditions. The influence of motion control, neutral, and cushioned running shoes on joint function dissipates moving proximally, with larger changes reported at the ankle compared with knee and hip joints. Although significant differences were reported between footwear conditions, these changes were of a small magnitude and effect size. [ABSTRACT FROM AUTHOR]

Prosthesis geometry and behaviour limit the footwear options available to women. Using a commercially available prosthetic foot that permits user-alignment to accommodate shoes with different heel heights, we investigated the effect of footwear on gait kinematics, with and without adjustment for differences in heel-forefoot differential. Three women with transtibial amputation walked at a self-selected pace, first in an athletic shoe (prosthetist-aligned; baseline condition), then (i) in a flatter shoe without realigning the prosthesis, and (ii) in flat and heeled shoes following user re-alignment. Kinematics in each condition were compared to baseline. Baseline gait patterns were highly variable across participants. Gait was slower in comparison to baseline in all conditions, but movement compensations varied across participants. An increased lower limb extension tendency was evident with the misaligned prosthesis. With user re-alignment to accommodate the shoe there were fewer deviations from baseline, however kinematic differences remained in both the flat and heeled shoes. The user-alignment feature of the prosthetic foot reduced the effect of a change in footwear on kinematics, and permitted walking in heeled shoes when it might otherwise not be possible. Persistence of some deviations suggests differences in walking task demand remained despite adjustment. Permitting prosthesis users to don footwear of choice may improve body image, well-being and quality of life following amputation. Prosthetic feet that permit user ankle adjustment can reduce gait deviations associated with a change in footwear heel height, although kinematic adaptations are individual. [ABSTRACT FROM AUTHOR]

Background: Shoe longitudinal bending stiffness is known to influence running economy (RE). Recent studies showed divergent results ranging from 3% deterioration to 3% improvement in RE when bending stiffness increases. The variability of these results highlights inter-individual differences. Thus, our purpose was to study the runner-specific metabolic responses to changes in shoe bending stiffness. Methods: After assessing their maximal oxygen consumption ( V ˙ O 2 max) and aerobic speed (MAS) during a first visit, 96 heterogeneous runners performed two treadmill 5 min runs at 75% V ˙ O 2 max with two different prototypes of shoes on a second day. Prototypes differed only by their forefoot bending stiffness (17 N/mm vs. 10.4 N/mm). RE and stride kinematics were recorded during each trial. A clustering analysis was computed by comparing the measured RE and the technical measurement error of our gas exchange analyzer to identify functional groups of runners, i.e., responding similarly to footwear interventions. ANOVAs were then computed on biomechanical and morphological variables to compare the functional groups. Results: Considering the whole sample (n = 96), there was no significant difference in RE between the two conditions. Cluster 1 (n = 29) improves RE in the stiffest condition (2.7 ± 2.1%). Cluster 2 (n = 26) impairs RE in the stiffest condition (2.7 ± 1.3%). Cluster 3 (n = 41) demonstrated no change in RE (0.28 ± 0.65%). Cluster 1 demonstrated 1.7 km·h−1 greater MAS compared to cluster 2 (p = 0.014). Conclusion: The present study highlights that the effect of shoe bending stiffness on RE is runner-specific. High-level runners took advantage of increased bending stiffness, whereas medium-level runners did not. Finally, this study emphasizes the importance of individual response examination to understand the effect of footwear on runner's performance. [ABSTRACT FROM AUTHOR]

Traumatic injuries caused due to slipping and falling are prevalent in India and across the globe. These injuries not only hamper quality of life but are also responsible for huge economic and compensation burdens. Unintentional slips usually occur due to inadequate traction between the shoe and floor. Due to the economic conditions in low and middle-income countries, the public tends to buy low-cost footwear as an alternative to costly slip-resistant shoes. In this study, ten high-selling formal shoes under $25 were considered. These shoes were tested on three commonly available dry floorings and across contaminated common floor surfaces (i.e., water and floor cleaners). The traction performance of the shoes was quantified by using a biofidelic slip tester. The majority of formal shoes were not found to produce the slip-resistant performance across common slippery surfaces. Shoes with softer outsoles exhibited increased slip-resistant performance (R2 = 0.91). Shoe outsoles with less-to-no treads at the heel region showed poor traction performance as compared to other shoes. The apparent contact area was found as an important metric influencing the slip risks in dry and wet slipping conditions (R2 = 0.88). This research is anticipated to help the public and footwear manufacturers select safer shoes to reduce slip-and-fall incidents. [ABSTRACT FROM AUTHOR]

Falls are an inescapable problem influencing the health and threatening the safety of older adults. Exploring the kinematic strategies of aging adults can help reduce the risk of falls. To study kinematic strategies of aging adults in response to footwear (flat shoes, toe spring shoes, rocker sole shoes) and ground surfaces (level ground, grassland and rock road), a 3D motion capture system and subjective stability evaluation, with 14 female participants, were performed. Results indicated that footwear and ground surfaces significantly impacted joint dynamics during walking. Compared with young adults, aging adults tended to adopt a more conservative walking pattern. Wearing different shoes on the three ground surfaces mainly reduced the ROM (range of motion) of the ankle (p < 0.05). By analyzing the objective and subjective results, rocker sole shoes gave aging adults a stronger sense of instability, so they controlled the movement of ankle joint initiatively. When walking on grassland and rock road, aging adults adjusted the movements of hip, knee and ankle joints to maintain gait stability. Aging adults are recommended to strengthen flexibility training of the ankle joint, perform hip adduction and abduction exercises, and wear rocker sole shoes to improve their balance ability and sustainable well-being. [ABSTRACT FROM AUTHOR]

This study aimed to compare impact loading between two age groups of preschool children (3–4 and 5–6 years old) and one group of young adults representing mature level of running skill (n = 15 per group). Three-dimensional biomechanical data were collected during running barefoot, in minimalist and running shoes. A two-way mixed ANOVA was performed to assess age and footwear differences in vertical instantaneous loading rate (VILR). An interaction was found in VILR. Older (5–6) preschoolers had 30–31% lower VILR than younger (3–4) (p = 0.012, d = 1.02; p = 0.001, d = 1.18) and adults had 51–77% lower VILR than younger preschoolers (p = 0.001, d = 1.85; p = 0.001, d = 2.82) in minimalist and running shoes, respectively. Additionally, adults had lower VILR than older preschoolers in running shoes (p = 0.001, d = 2.68). No differences were found between older children and adults in barefoot and minimalist shoes. Loading decreased with increasing age, particularly in minimalist and running shoes. Unchanged cadence and running speed did not explain the decrease of VILR during preschool age. The explanation likely underlies in lower limb alignment during footstrike and developmental ontogenetic changes. [ABSTRACT FROM AUTHOR]

Objectives: The purpose of this study was to clarify the effect of gait protocols and postoperative shoes on forefoot load in preoperative patients for forefoot disorders and compare footwear comfort between different types of postoperative shoes. Methods: Fourteen subjects scheduled to undergo forefoot surgeries were recruited. The maximum force under the forefoot region was measured during 10 m straight walking in two gait patterns with six different shoe types. Visual analogue scale (VAS) scores for footwear comfort, subjective lower thigh pain, and electrical activities of lower thigh muscles were also evaluated. Results: The body weight-normalized maximum force under the forefoot region significantly decreased in step-to gait compared to normal gait regardless of the shoe types used. Under the same gait condition, no significant difference was observed in the forefoot off-loading effect between the different shoe types used. Significantly worse VAS scores, significantly higher tibialis anterior muscle activities, and complaints of lower thigh pain were demonstrated in the gait with the reverse camber shoe. Conclusions: Gait protocol of step-to gait had more forefoot off-loading effect than postoperative shoes. The forefoot off-loading effect did not differ among the postoperative shoes, suggesting that postoperative shoes can be selected with an emphasis on footwear comfort. [ABSTRACT FROM AUTHOR]

Abstract Background Adolescents are often required to wear footwear that adheres to uniform guidelines at secondary school. There is a paucity of literature on factors influencing school footwear choice and what drives the development of school footwear guidelines. The aims of this study were to describe (i) current school footwear guidelines in secondary schools across Australia, (ii) factors that influence footwear choice in secondary school students and their parents, and (iii) principals, parents, and students' beliefs on factors which contribute to school footwear guidelines. Methods An online survey was distributed to principals, secondary school students (aged 14–19 years) and their parents across Australia. The survey included questions on current school footwear guidelines, factors influencing footwear choice (for students and parents), participants beliefs on the effect footwear has on musculoskeletal health, current and previous lower limb pain, and beliefs on factors that contribute to school footwear guidelines. Parent and student responses to factors that influence their footwear choice were compared using proportional odds logistic regression. Students and parents' responses to factors influencing footwear guidelines were compared to principal responses using proportional odds logistic regression. Significance was set at an alpha of

BackgroundThe incidence of diabetic foot ulceration (DFU) is increasing worldwide. Therapeutic footwear is usually recommended in clinical practice for preventing foot ulcers in persons with diabetes. The project Science DiabetICC Footwear aims to develop innovative footwear to prevent DFU, specifically a shoe and sensor-based insole, which will allow for monitoring pressure, temperature, and humidity parameters.MethodThis study presents a three-step protocol for the development and evaluation of this therapeutic footwear, specifically: (i) a first observational study will specify the user requirements and contexts of use; (ii) after the design solutions were developed for shoe and insole, the semi-functional prototypes will be evaluated against the initial requirements; (iii) and a pre-clinical study protocol will enable the evaluation of the final functional prototype. The eligible diabetic participants will be involved in each stage of product development. The data will be collected using interviews, clinical evaluation of the foot, 3D foot parameters and plantar pressure evaluation. This three-step protocol was defined according to the national and international legal requirements, ISO norms for medical devices development, and was also reviewed and approved by the Ethics Committee of the Health Sciences Research Unit: Nursing (UICISA: E) of the Nursing School of Coimbra (ESEnfC).ResultsThe involvement of end-users (diabetic patients) will enable the definition of user requirements and contexts of use to develop design solutions for the footwear. Those design solutions will be prototyped and evaluated by end-users to achieve the final design for therapeutic footwear. The final functional prototype will be evaluated in pre-clinical studies to ensure that the footwear meets all the requirements to move forward to clinical studies.DiscussionThe three-step study outlined in this protocol will provide the necessary insights during the product development, ensuring this new therapeutic footwear's main functional and ergonomic features for DFU prevention.

Background: A small but building pool of evidence of the impact of footwear on children's function means understanding the different beliefs of stakeholders about footwear key features and flexibility is critical for translation into recommendations and to support parents and caregivers in purchasing footwear for their children. Therefore, this research aimed to describe how different stakeholders (health professionals, parents, and footwear industry representatives) described the importance of flexibility and other footwear features for young children. Methods: This qualitative study was nested within an international modified Delphi online survey. Participants responded to open-ended questions about footwear component flexibility and asked if and why flexibility in these areas were important. Participants also described any other important footwear features. Inductive thematic analysis was used to generate themes. Results: There were 121 responses from three stakeholder groups including health professionals (n = 90), parents of young children (n = 26) and footwear industry representatives (n = 5). Overarching themes described by participants included developmental impacts of footwear, therapeutic impact and how footwear may play a role in function. Conclusion: There were key differences in how stakeholders viewed footwear and any perceived benefits of footwear components, much of which was not backed with empirical evidence. It was also identified that health professionals are using footwear within treatment recommendations. This work highlights the importance of understanding circumstances in which footwear may have a therapeutic impact or be the first line of treatment for children with complex foot needs. This is the first step in developing contemporary footwear recommendations for parents and caregivers. [ABSTRACT FROM AUTHOR]

Background: The biomechanics of barefoot and shod running are different for typically developing children but unknown for children with cerebral palsy (CP). Such differences may have implications for injury and performance.Aims: The primary aims of this study were to compare the lower limb biomechanics of barefoot and shod running in children with CP, and to determine whether any differences were the same in GMFCS levels I and II.Methods: This cross-sectional study examined 38 children with CP (n = 24 (GMFCS) level I; n = 14 GMFCS II), running overground at 3 speeds (jog, run, sprint) in barefoot and shod conditions. Marker trajectories and force plate data were recorded, and lower limb kinematics, kinetics and spatiotemporal variables were derived. Differences between barefoot and shod running were analysed using linear mixed models.Results: For both GMFCS levels, barefoot running resulted in higher loading rates, but smaller impact peaks at all speeds. Barefoot running was associated with greater hip and knee power; less ankle dorsiflexion and hip flexion at initial contact, and less ankle and knee range of motion during stance, compared to shod running, at all speeds. Barefoot stride length was shortened, and cadence increased compared to shod during jogging and running but not sprinting. For GMFCS level I only, barefoot running involved a higher incidence of forefoot strike, greater ankle power generation and less hip range of motion during stance.Significance: Running barefoot may facilitate running performance by increasing power generation at the ankle in children with CP, GMFCS level I. Higher barefoot loading rates may have implications for performance and injury. [ABSTRACT FROM AUTHOR]

Introduction: We explored the footwear profiles and foot-related problems reported by netball players and whether these differed between males and females. Methods: Two thousand nine hundred and twenty-five amateur, sub-elite and elite netball players (men n = 279; women n = 2646; age 26.4 ± 10.0 years) completed a custom-designed online survey with questions related to netball experience, current netball footwear habits and history of foot-related problems. Footwear profiles and foot-related problems were considered in logistic regressions against sex and competition level to ascertain significant relationships (p < 0.05) and predictive values (odds ratio). Results: Although 80.4% of respondents reported wearing netball-specific shoes, females were 13.2 times more likely to wear netball-specific shoes than males. Foot-related problems and foot pain were reported by 84.3% and 56.8% of netball players, respectively; with blisters, ankle sprain/strains and calluses being most common. Although women were significantly more likely to suffer from foot-related problems than men, males were significantly more likely to believe their foot pain was caused by the footwear they wore for netball. Conclusion: The high prevalence of foot-related problems and pain reported by all netball players suggests that the shoes players are currently wearing for netball are not meeting the requirements of players, particularly regarding fit, comfort and functionality. As male netball players have significantly different footwear profiles to female players, men are likely to require netball-specific footwear that differs to the netball-specific shoes designed for female players. [ABSTRACT FROM AUTHOR]

Footwear properties can influence physiological and biomechanical variables, which may lead to positive changes in distance running performance. One innovative development in running shoe technology is adding carbon fiber plates to increase midsole bending stiffness. However, there are only a few studies investigating the influence of shoe conditions on both physiological and biomechanical variables, simultaneously, when running for longer than 5 min or for distances > 1 km. Hence, the purpose of the current study was to investigate the influence of different running shoe concepts with carbon fiber plates on physiological and biomechanical parameters during a 10 km treadmill run. Twenty-three athletes participated in the study, which comprised four measurement days for each subject. On the first day, subjects performed a treadmill exhaustion test to determine maximum oxygen uptake. On the second, third, and fourth days, each subject ran 10 km at 70% of their maximum oxygen uptake in one of three shoe models. Significant differences were found between the shoe conditions for the biomechanical parameters, but not for the physiological parameters. It seems that runners adjusted their running styles to the shoe conditions during the 10 km run to reduce the load on the lower extremities without compromising their endurance performance. These results may have practical implications for runners, coaches, and shoe manufacturers. [ABSTRACT FROM AUTHOR]

Understanding the mechanical properties of ankle-foot orthoses (AFOs) is important to maximize their benefit for those with movement disorders during gait. Though mechanical properties such as stiffness and/or energy efficiency of AFOs have been extensively studied, it remains unknown how and to what extent shoes influence their properties. The aim of this study was to investigate the effect of shoes on stiffness and energy efficiency of an AFO using a custom mechanical testing device. Stiffness and energy efficiency of the AFO were measured in the plantar flexion and dorsiflexion range, respectively, under AFO-alone and AFO-Shoe combination conditions. The results of this study demonstrated that the stiffness of the AFO-Shoe combination was significantly decreased compared to the AFO-alone condition, but no significant differences were found in energy efficiency. From the results, we recommend that shoes used with AFOs should be carefully selected not only based on their effect on alignment of the lower limb, but also their effects on overall mechanical properties of the AFO-Shoe combination. Further study is needed to clarify the effects of differences in shoe designs on AFO-Shoe combination mechanical properties. [ABSTRACT FROM AUTHOR]