The Effect of Running Shoes on Lower Extremity Joint Torques

Objective To determine the effect of modern-day running shoes on lower extremity joint torques during running. Design Two-condition experimental comparison. Setting A 3-dimensional motion analysis laboratory. Participants A total of 68 healthy young adult runners (37 women) who typically run in running shoes. Methods All subjects ran barefoot and in the same type of stability running footwear at a controlled running speed. Three-dimensional motion capture data were collected in synchrony with ground reaction force data from an instrumented treadmill for each of the 2 conditions. Main Outcome Measurements Peak 3-dimensional external joint torques at the hip, knee, and ankle as calculated through a full inverse dynamic model. Results Increased joint torques at the hip, knee, and ankle were observed with running shoes compared with running barefoot. Disproportionately large increases were observed in the hip internal rotation torque and in the knee flexion and knee varus torques. An average 54% increase in the hip internal rotation torque, a 36% increase in knee flexion torque, and a 38% increase in knee varus torque were measured when running in running shoes compared with barefoot. Conclusions The findings at the knee suggest relatively greater pressures at anatomical sites that are typically more prone to knee osteoarthritis, the medial and patellofemoral compartments. It is important to note the limitations of these findings and of current 3-dimensional gait analysis in general, that only resultant joint torques were assessed. It is unknown to what extent actual joint contact forces could be affected by compliance that a shoe might provide, a potentially valuable design characteristic that may offset the observed increases in joint torques.