Highlights
- •Shoe mileage is an important factor that influences the risk of sustaining injuries.
- •Findings indicated lower shoe stiffness at baseline compared to posttest.
- •The changes in ground reaction forces are more prominent in genu varus than control.
- •Rectus femoris activity was higher during loading phase in pretest than posttest.
Abstract
Background
Shoe mileage is an important factor that may influence the risk of sustaining injuries
during walking. The aims of this study were to examine the effects of shoe mileage
on ground reaction forces and activity of lower limb muscles during walking in genu
varus individuals compared with controls.
Methods
Fifteen healthy and 15 genu varus females received a new pair of running shoes. They
were asked to wear these shoes over 6 months. Pre and post intervention, mechanical
shoe testing was conducted and ground reaction forces and muscle activities of the
right leg were recorded during walking at preferred gait speed.
Findings
Significant group-by-time interactions were found for shoe stiffness, antero-posterior
and vertical impact peak. We observed higher shoe stiffness and lower impact peaks
after intervention in both groups with larger effect sizes in genu varus. Significant
group-by-time interactions were identified for vastus medialis (loading phase) and
rectus femoris (loading and push-off). For vastus medialis, significant decreases
were found from pre-to-post during the loading phase in the control group. Rectus
femoris activity was higher post intervention during the loading and push-off phases
in both groups with larger effect sizes in genu varus.
Interpretation
Our findings indicate that the observed changes in ground reaction forces are more
prominent in genu varus individuals. Together with our findings on shoe stiffness,
it seems appropriate to change running shoes after an intense wearing time of 6 months,
particularly in genu varus individuals.
Keywords
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References
- The mechanical properties of the human heel pad: a paradox resolved.J. Biomech. 1995; 28: 1299-1308
- Lower extremity walking mechanics of young individuals with asymptomatic varus knee alignment.J. Orthop. Res. 2009; 27: 1414-1419
- The influence of alignment on risk of knee osteoarthritis progression according to baseline stage of disease.Arthritis & Rheumatism. 2002; 46: 2632-2636
- Aging of running shoes and its effect on mechanical and biomechanical variables: implications for runners.J. Sports Sci. 2014; 32: 1013-1022
- Gender differences in walking and running on level and inclined surfaces.Clin. Biomech. 2008; 23: 1260-1268
- Role of EVA viscoelastic properties in the protective performance of a sport shoe: computational studies.Biomed. Mater. Eng. 2006; 16: 289-299
- The anatomy of the hip abductor muscles.Clin. Anat. 2014; 27: 241-253
- Understanding and preventing noncontact anterior cruciate ligament injuries: a review of the Hunt Valley II meeting, January 2005.Am. J. Sports Med. 2006; 34: 1512-1532
- Systematically modified crash-pad reduces impact shock in running shoes.Footwear science. 2010; 2: 85-91
- The influence of shoe aging on children running biomechanics.Gait & Posture. 2017; 56: 123-128
- European recommendations for surface electromyography.Roessingh research and development. 1999; 8: 13-54
- Differences in normal and perturbed walking kinematics between male and female athletes.Clin. Biomech. 2004; 19: 465-472
- Combining valgus knee brace and lateral foot wedges reduces external forces and moments in osteoarthritis patients.Gait & posture. 2018; 59: 104-110
- Effect of 16-week corrective training program on three dimensional joint moments of the dominant and non-dominant lower limbs during gait in children with genu varus deformity.Science & Sports. 2019;
- Gender differences in joint biomechanics during walking: normative study in young adults.American journal of physical medicine & rehabilitation. 1998; 77: 2-7
- Therapeutic Exercise: Foundations and Techniques.Fa Davis, 2017
- Running in new and worn shoes: a comparison of three types of cushioning footwear.Br. J. Sports Med. 2009; 43: 745-749
- Effect of shoe wearing time and midsole hardness on ground reaction forces, ankle stability and perceived comfort in basketball landing.J. Sports Sci. 2019; : 1-9
- How tibiofemoral alignment and contact locations affect predictions of medial and lateral tibiofemoral contact forces.J. Biomech. 2015; 48: 644-650
- Comparison the time to stabilization and activity of the lower extremity muscles during jump-landing in subjects with and without Genu Varum.Gait & Posture. 2018; 65: 256-261
- Mechanical ageing performance of minimalist and traditional footwear foams.Footwear Science. 2017; 9: 9-20
- Effects of varus knee alignment on gait biomechanics and lower limb muscle activity in boys: a cross sectional study.Gait & posture. 2019; 72: 69-75
- Lower limb muscle activity during gait in individuals with hearing loss.Australasian Physical & Engineering Sciences in Medicine. 2017; 40: 659-665
- Perceptual and biomechanical variables for running in identical shoe constructions with varying midsole hardness.Clin. Biomech. 1997; 12: 294-300
- Biomechanical factors associated with tibial stress fracture in female runners.Med. Sci. Sports Exerc. 2006; 38: 323
- Kinematic risk factors for lower limb tendinopathy in distance runners: a systematic review and meta-analysis.Gait & posture. 2019; 69: 13-24
- Tibialis posterior EMG activity during barefoot walking in people with neutral foot posture.J. Electromyogr. Kinesiol. 2009; 19: e69-e77
- Sex differences in clinical measures of lower extremity alignment.J. Orthop. Sports Phys. Ther. 2007; 37: 389-398
- Mechanical contributors to sex differences in idiopathic knee osteoarthritis.Biol. Sex Differ. 2012; 3: 28
- The influence of running velocity and midsole hardness on external impact forces in heel-toe running.J. Biomech. 1987; 20: 951-959
- Anatomy and Human Movement: Structure and Function.Elsevier Health Sciences, 2006
- Influences of inversion/eversion of the foot upon impact loading during locomotion.Clin. Biomech. 1995; 10: 253-257
- The influences of impact interface, muscle activity, and knee angle on impact forces and tibial and femoral accelerations occurring after external impacts.J. Appl. Biomech. 2010; 26: 1-9
- Human walking.2010
- Interaction between active and passive knee stabilizers during level walking.J. Orthop. Res. 1991; 9: 113-119
- The role of varus and valgus alignment in the initial development of knee cartilage damage by MRI: the MOST study.Ann. Rheum. Dis. 2013; 72: 235-240
- Running Shoe Design: Protection and Performance. Marathon Medicine.2000: 159-169
- The effects of shoe cushioning on impact force during running.in: Proc. 6th ISB Symp. Footwear Biomechanics. University of Otago, New Zealand2003
- The ‘heel impact’ force peak during running is neither ‘heel’ nor ‘impact’ and does not quantify shoe cushioning effects.Footwear Science. 2011; 3: 41-58
- A prospective study of running injuries: the Vancouver Sun Run “in training” clinics.Br. J. Sports Med. 2003; 37: 239-244
- A 2-year follow-up of a study to compare the efficacy of lateral wedged insoles with subtalar strapping and in-shoe lateral wedged insoles in patients with varus deformity osteoarthritis of the knee.Osteoarthr. Cartil. 2006; 14: 231-237
- Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait.J. Am. Podiatr. Med. Assoc. 2005; 95: 531-541
- Heel–shoe interactions and the durability of EVA foam running-shoe midsoles.J. Biomech. 2004; 37: 1379-1386
- Hip and knee joint rotations differ between patients with medial and lateral knee osteoarthritis: gait analysis of 30 patients and 15 controls.J. Orthop. Res. 2006; 24: 1890-1899
- Gait Analysis: An Introduction.Butterworth-Heinemann, 2014
- Epidemiology of osteoarthritis.Clin. Geriatr. Med. 2010; 26: 355-369
Article Info
Publication History
Published online: January 13, 2020
Accepted:
January 8,
2020
Received:
November 6,
2019
Identification
Copyright
© 2020 Elsevier Ltd. All rights reserved.