Advertisement

Effects of foot orthoses on Achilles tendon load in recreational runners

      Highlights

      • Investigation of the effects of foot orthoses on Achilles tendon loads during running.
      • Foot orthoses served to significantly reduce Achilles tendon loads.
      • Orthotics may serve to attenuate Achiles tendon injury risk in runners.

      Abstract

      Background

      Achilles tendon pathology is a frequently occurring musculoskeletal disorder in runners. Foot orthoses have been shown to reduce the symptoms of pain in runners but their mechanical effects are still not well understood.

      Methods

      This study aimed to examine differences in Achilles tendon load when running with and without orthotic intervention. Twelve male runners ran at 4.0 m·s−1. Ankle joint moments and Achilles tendon forces were compared when running with and without orthotics.

      Findings

      The results indicate that running with foot orthotics was associated with significant reductions in Achilles tendon load compared to without orthotics.

      Interpretation

      In addition to providing insight into the mechanical effects of orthotics in runners, the current investigation suggests that via reductions in Achilles tendon load, foot orthoses may serve to reduce the incidence of chronic Achilles tendon pathologies in runners.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Biomechanics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Alfredson H.
        • Cook J.
        A treatment algorithm for managing Achilles tendinopathy: new treatment options.
        Br. J. Sports Med. 2007; 41: 211-216
        • Cappozzo A.
        • Catani F.
        • Leardini A.
        • Benedeti M.G.
        • Della C.U.
        Position and orientation in space of bones during movement: anatomical frame definition and determination.
        Clin. Biomech. 1995; 10: 171-178
        • Donoghue O.A.
        • Harrison A.J.
        • Laxton P.
        • Jones R.K.
        Orthotic control of rear foot and lower limb motion during running in participants with chronic Achilles tendon injury.
        Sports Biomech. 2008; 7: 194-205
        • Gross M.
        • Davlin L.
        • Evanski P.
        Effectiveness of orthotic shoe inserts in the long-distance runner.
        Am. J. Sports Med. 1991; 19: 409-412
        • Kountouris A.
        • Cook J.
        Rehabilitation of Achilles and patellar tendinopathies.
        Best Pract. Res. Clin. Rheumatol. 2007; 21: 295-316
        • Kulmala J.P.
        • Avela J.
        • Pasanen K.
        • Parkkari J.
        Forefoot strikers exhibit lower running-induced knee loading than rearfoot strikers.
        Med. Sci. Sports Exerc. 2013; 45: 2306-2313
        • Lieberman D.E.
        • Venkadesan M.
        • Werbel W.A.
        • Daoud A.I.
        • D'Andrea S.
        • Davis I.S.
        • et al.
        Foot strike patterns and collision forces in habitually barefoot versus shod runners.
        Nature. 2010; 463: 531-535
        • Lysholm J.
        • Wiklander J.
        Injuries in runners.
        Am. J. Sports Med. 1987; 15: 168-171
        • Mayer F.
        • Hirschmuller A.
        • Muller S.
        • Schuberth M.
        • Baur H.
        Effects of short-term treatment strategies over 4 weeks in Achilles tendinopathy.
        Br. J. Sports Med. 2007; 41: S6
        • Mundermann A.
        • Nigg B.M.
        • Humble N.R.
        • Stefanyshyn D.J.
        Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners.
        Med. Sci. Sports Exerc. 2003; 35: 1710-1719
        • Nawoczenski D.A.
        • Ludewig P.M.
        Electromyographic effects of foot orthotics on selected lower extremity muscles during running.
        Arch. Phys. Med. Rehabil. 1999; 80: 540-544
        • Schepsis A.A.
        • Jones H.
        • Haas A.L.
        Achilles tendon disorders in athletes.
        Am. J. Sports Med. 2002; 30: 287-305
        • Self B.P.
        • Paine D.
        Ankle biomechanics during four landing techniques.
        Med. Sci. Sports Exerc. 2001; 33: 1338-1344
        • Selvanetti A.
        • Cipolla M.
        • Puddu G.
        Overuse tendon injuries: basic science and classification.
        Oper. Tech. Sports Med. 1997; 5: 110-117
        • Sinclair J.
        Effects of barefoot and barefoot inspired footwear on knee and ankle loading during running.
        Clin. Biomech. 2014; 29: 395-399
        • Sinclair J.
        • Taylor P.J.
        • Edmundson C.J.
        • Brooks D.
        • Hobbs S.J.
        Influence of the helical and six available Cardan sequences on 3D ankle joint kinematic parameters.
        Sports Biomech. 2012; 11: 430-437
        • Sinclair J.
        • Hobbs S.J.
        • Taylor P.J.
        • Currigan G.
        • Greenhalgh A.
        The influence of different force measuring transducers on lower extremity kinematics.
        J. Appl. Biomech. 2013; 30: 166-172
        • Sinclair J.
        • Greenhalgh A.
        • Edmundson C.J.
        • Brooks D.
        • Hobbs S.J.
        The influence of barefoot and barefoot-inspired footwear on the kinetics and kinematics of running in comparison to conventional running shoes.
        Footwear Sci. 2013; 5: 45-53
        • Van Ginckel A.
        • Thijs Y.
        • Hesar N.G.Z.
        • Mahieu N.
        • De Clerq D.
        • Roosen P.
        • et al.
        Intrinsic gait-related risk factors for Achilles tendinopathy in novice runners: a prospective study.
        Gait Posture. 2008; 29: 387-391