Abstract
Background
The Reebok Easy Tone shoe concept was developed to induce instability during walking
and standing with the primary purpose of increasing muscle activity of the lower extremity
muscles. To the authors' knowledge, no scientific work has been published, which analyzed
neuromuscular and biomechanical effects when walking and standing with Reebok Easy
Tone shoes. Therefore, the purpose of this study was to investigate the immediate
effects of using such footwear on gait biomechanics for the lower extremity in healthy
participants.
Methods
Five healthy female and seven healthy male participants volunteered to participate
in this study. During quiet standing, centre of pressure excursion was determined.
3D gait analyses were performed with simultaneously collecting surface electromyography
data of the leg muscles when walking with regular shoes and with Reebok Easy Tone
shoes.
Findings
Centre of pressure excursion did not show any significant differences. For walking,
only slight differences were found in kinematics and kinetics. When walking with Reebok
Easy Tone shoes, the first vertical peak of the ground reaction force was significantly
increased as well as the maximum plantarflexion moment during initial contact and
loading response. Mean muscle activation for vastus medialis and lateralis showed
an increase during the second half of stance, but failed to reach significance.
Interpretation
Results of this study did not show any increased instability during standing and only
a slight increase of vastii activity during stance. Thus, the marketing claims that
“toning shoes” could serve as a sort of training devices for lower limb muscles during
walking, cannot be supported.
Keywords
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References
- All you ever wanted to know about the Conventional Gait Model but were afraid to ask.Women and Children's Health, Melbourne2003
- Data management applications in gait analysis for clinical applications.Clin. Biomech. 1998; 13: 204-215
- Controlling the false discovery rate: a practical and powerful approach to multiple testing.J. R. Stat. Soc. B Methodol. 1995; 57: 289-300
- Effects of ankle and hip muscle fatigue on postural sway and attentional demands during unipedal stance.Gait Posture. 2011; 33: 83-87
- Lower extremity joint loading during level walking with Masai barefoot technology shoes in overweight males.Scand. J. Med. Sci. Sports. 2010; 22: 372-380
- Effects of age on lower extremity joint kinematics and kinetics during level walking with Masai barefoot technology shoes.Eur. J. Phys. Rehabil. Med. 2012; : 1-12
- A gait analysis data collection and reduction technique.Hum. Mov. Sci. 1991; 10: 575-587
- The effects of shoes with a rounded soft sole in the anterior–posterior direction on leg joint angle and muscle activity.Foot (Edinb.). 2012; 22: 150-155
- EMG Analysis of Level and Incline Walking in Reebok EasyTone ET Calibrator.in: Dremstrup K. Rees S. Jensen M.Ø. 15th Nordic-Baltic Conference on Biomedical Engineering and Medical Physics (NBC 2011). Springer, Berlin, Heidelberg2011: 109-112
- European Recommendations for Surface Electromyography (SENIAM).([WWW Document]. URL)www.seniam.org(accessed 10.15.10)Date: 2010
- The molecular basis of skeletal muscle atrophy.Am. J. Physiol. Cell Physiol. 2004; 287: C834-C843
- Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait.J. Orthop. Res. 1989; 7: 849-860
- Measurement of lower extremity kinematics during level walking.J. Orthop. Res. 1990; 8: 383-392
- Relationship between vertical ground reaction force and speed during walking, slow jogging, and running.Clin. Biomech. 1996; 11: 253-259
- Standing in an unstable shoe increases postural sway and muscle activity of selected smaller extrinsic foot muscles.Gait Posture. 2010; 32: 215-219
- Statistical significance and statistical power in hypothesis testing.J. Orthop. Res. 1990; 8: 304-309
- Effect of an unstable shoe construction on lower extremity gait characteristics.Clin. Biomech. 2006; 21: 82-88
- Gait analysis: normal and pathological function.2nd ed. SLACK, Thorofare, NJ2010
- Single-leg balance in “instability” footwear.J. Foot Ankle Res. 2012; 5: p10
- Current issues in the design of running and court shoes.Sportverletz. Sportschaden. 2000; 14: 71-81
- Dynamic Biomechanics of the Normal Foot and Ankle During Walking and Running.Phys. Ther. 1988; 68: 1822-1830
- Changes in gait and EMG when walking with the Masai Barefoot Technique.Clin. Biomech. 2006; 21: 75-81
- Electromyography in biomechanics.Phys. Ther. 1984; 64: 1813-1820
- Short and long term adaptation of variability during walking using unstable (Mbt) shoes.Clin. Biomech. 2010; 25: 816-822
- Kinematic and kinetic characteristics of Masai Barefoot Technology footwear.Gait Posture. 2012; 35: 567-572
- Plug-in Gait: Product Guide Foundation Notes Rev. 2.0.2010
Article info
Publication history
Published online: February 14, 2013
Accepted:
January 15,
2013
Received:
October 31,
2012
Identification
Copyright
© 2013 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.