Professional Documents
Culture Documents
The Biomechanical Approach To Footwear: Kelsey Zane 8/19/15
The Biomechanical Approach To Footwear: Kelsey Zane 8/19/15
APPROACH TO FOOTWEAR
OBJECTIVES
1. Understand why running shoe knowledge is
relevant.
2. Increase awareness of shoe terminology.
3. Awareness of types of shoes on the market: what
you’ll see in the clinic.
4. Have ideas of what shoe’s are appropriate for:
the Recreational Runner, Gym Rat (Crossfit,
circuit training), Walker, Minimalist
5. Learn something new.
SO WHAT ABOUT SHOES?
We are movement experts which means that we should be concerned
about something a patient wears everyday….
Whether it’s helping or hurting them we should be aware of what’s out there.
Research shows that it’s not only the arch height that is necessary in prescribing
the correct kind of footwear.1
The incidence of LE injury in traditional running shoes is as high as 79.3 %2
HOW DO YOU BEGIN TO CHOOSE?
Per “American Academy of Podiatric Sports Medicine” the
correct/most beneficial approach to choosing footwear is based off
gait patterns:3
According to the biomechanics research, humans do not respond in
a systematic way to footwear features and since gait patterns are
highly unique, it is not always possible to predict how someone will
interact with a given shoe. So instead of recommending shoes, the
AAPSM advises that individuals become familiar with the structural
features that work well for them and then seek out those features
when replacing shoes
Don’t we analyze gait?
SHOE ANATOMY:
Outsole: blown or carbon rubber
-Motion control shoe: primary goal is to limit moderate to severe over pronation
throughout single limb support phase of gait cycle
Properties: straight last, larger medial post with incorporated plastic shank, heavier weight,
medial/lateral STJ control
POPULAR SHOES/BRANDS
-Top 5 Best Sellers According to…
-Personal Experience:
Brooks: Defyance/Glycerin, Adrenaline & Beast/Ariel
Asics: Nimbus/Cumulus, 2100 Series & Kayano
Mizuno: Rider, Inspire & Alchemy
Adidas: Supernova
Nike: Pegasus, Free Run, Structure
Saucony: Kinvara, Guide
RECENT RESEARCH FINDINGS:
Shu et al (2015): Found morphological differences in foot shape
amongst groups that wore shoes and those that didn’t. Supported
other research associated with the long term effects of ill fitting
shoes.4
Fredericks et al (2014): Footwear influences foot strike pattern.5
Goss et al (2015): Runners cannot properly assess their footstrike
pattern (only 68.3% properly).6
Jones et al Lateral wedge insoles (supported and lateral) helped to
reduce the medial knee pressure in stance phase of gait cycle.7
Two types of lateral wedge insoles: one with only lateral support and the other with
medial and lateral support
Both had 5 degree’s of support
COMMON GAIT CYCLE DEVIATIONS:
*Disclaimer about pronation: some amount is necessary.
Joint motions: combination of DF TC, Eversion & ABD STJ
-over pronation potential causes:
Ligamentous laxity on medial side of foot
Midfoot joint capsule laxity in response to decreased
capsular motion at hindfoot (“stuck hindfoot”)
Decreased dynamic control at muscles that cross the
ankle
Peroneal tightness