Selection Running Shoes

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Selecting Running

Shoes

Injury Prevention and

Performance Enhancement

Shoe Anatomy

• sole: bottom of shoe

– insole: interior bottom of a shoe

• some models have removable insoles

– outsole: material in direct contact with ground (tread)

– midsole: material between insole and outsole (made of EVA or PU)

• upper: top of shoe that holds shoe to foot

• Low-cut, mid-cut and high-cut uppers

– toe box: area that holds toes and heads of metatarsals

– vamp: material over the instep

– heel counter: specialized area at heel that is relatively rigid in running shoes

• last: form for shaping shoe (straight, semicurved, curved) and footprint

Biomechanics Laboratory, School of Human Kinetcs

Forces during Walking vs. Running

• walking:

– long duration

– double “active” peaks

– +/-20% body weight

• running/sprinting/jumping:

– brief durations

– single “active” peak

– 3 times BW

– heel-toe landing

• landings:

– brief duration

– up to 10+ times BW

– forefoot landing

Vertical ground reaction forces

3xBW

2xBW

1xBW

0

running active peaks walking

Time (s)

Biomechanics Laboratory, School of Human Kinetcs

Why Does Running Cause Injuries?

• ground reaction forces are high (3x body weight)

• impact is brief therefore little time for muscles to dissipate forces

• some people’s anatomy may predispose injury (leg length discrepancy, excessively pronated/supinated feet or varus/valgus knees)

• running surfaces are rigid (roads, sidewalks, frozen earth)

• people tend to over-train (amount per day, no recovery days)

• warm-up and stretching are often neglected

Biomechanics Laboratory, School of Human Kinetcs

Running Injuries

• plantar fasciitis

– anatomical, excessive heel impacts, poor running mechanics

• heel spur, hammer toes, bunions

– poor shoe fit

• ankle and foot sprains

– mechanically caused by landing off balance or on an obstacle

• tibial stress syndrome/fracture

– overuse injury, training on hard surfaces, old or poor footwear

• knee/back pain

– anatomical differences (leg length, abnormal Q-angle)

• shin splints

– mechanically caused by rapid changes in training surfaces and overuse

Biomechanics Laboratory, School of Human Kinetcs

Purposes of Shoes

• protection from:

– sprains (high cut shoes may help but reduce flexibility)

– cuts and abrasions (strong uppers may increase weight and decrease mobility)

– punctures from nails, rocks, slivers etc. especially for road running (thick soles help but reduce efficiency)

• traction or prevent slippage

– tread helps especially on wet surfaces

– spikes and studs (check rule books)

• cushioning

– in midsoles (reduces efficiency)

• ventilation

– air circulation, water drainage or waterproof?

Biomechanics Laboratory, School of Human Kinetcs

Cut of Uppers

• low cut

– greatest mobility

• mid cut

• high cut

– may help to control ankle sprains

Biomechanics Laboratory, School of Human Kinetcs

Running Shoe Types

• Cushion:

– for high-arch feet, underpronator

– extra cushioning in the midsoles to help absorb shocks; their soles have a curved or semicurved shape (last) that promotes a normal running motion

• Motion control:

– for flat feet or feet that pronate after landing

– straight last and a more rigid midsole than other running shoes, these help keep your feet properly aligned.

• Stability:

– for normal or neutral feet

– semicurved last, but the less rigid midsoles allow feet to strike the ground naturally

Biomechanics Laboratory, School of Human Kinetcs

Cushioning

• measured by durometer (hardness)

• mainly in midsole

• cushioning is helpful for hard surfaces

• especially as muscles start to fatigue

• greater cushioning means less efficiency

• may cause ankle instability and sprains

• gel or air cushions cause landing instability

• cushioning columns are better

• breaks down over time

• impact testing for endurance

Biomechanics Laboratory, School of Human Kinetcs

Biomechanical Efficiency?

• all shoes absorb and dissipate energy

• cushioned running shoes absorb the most energy

• the greater the cushioning the more lost energy

• sprinters’ shoes have the least cushioning and are therefore the more efficient

• bare feet are most efficient but traction may be compromised and they offer little protection from stones, heat or sharp objects

Biomechanics Laboratory, School of Human Kinetcs

Athletic Shoe Types

• basketball/volleyball

– sturdiest with thick midsole cushioning

– for wooden floors and high impacts

• cross-trainers

– most versatile athletic shoes available

– less cushioning

• spiked for track & field

– greatest traction on rubberized tracks

– lightest and fastest

• studded for soccer or rugby etc.

– greatest traction of grass or artificial turf

Biomechanics Laboratory, School of Human Kinetcs

Pronation versus Supination

• of hand:

– one-dimensional rotation

– turning palm upwards is supination, downwards is pronation

• of foot

– three-dimensional motion

• inversion, plantiflexion and internal rotation

– supination is turning foot so that plantar surface (bottom of foot) is directed medially (towards midline)

– pronation is turning foot so that plantar surface (bottom of foot) is directed laterally (away from midline), this is most common motion when a foot lands during running

Biomechanics Laboratory, School of Human Kinetcs

Supinated Foot Pronates during Landings

• foot is supinated at landing pronates during loading

• orthotics help to reduce rates of pronation during landings

(Bates et al.

1979; M ündermann et al., 2003; Stackhouse et al .,

2004) but it is unclear how they affect the kinetics (MacLean et al., 2006)

Biomechanics Laboratory, School of Human Kinetcs

Orthoses and Orthotics

• orthosis

– device added to support an anatomical structure

– i.e., brace or wedge

– e.g., custom foot orthotic (CFO) appliances (“orthotics”), ankle-foot orthoses (AFO) and knee braces

Biomechanics Laboratory, School of Human Kinetcs

Foot Orthotic Appliances

• orthotic with medial forefoot post for forefoot supination (varus)

• orthotic with lateral forefoot post for forefoot pronation (valgus or plantiflexed first ray)

• orthotic with medial heel post for subtalar varus

Biomechanics Laboratory, School of Human Kinetcs

References

• Bates B et al. Amer J Sports Med 7:338-342,1979.

• Huberti HH & Hayes WC. J Bone Jnt Surg 66A :715-724,1984.

• Insall J, Falvo KA & Wise DW. J Bone Jnt Surg 58A :1-8,1976.

• MacLean C, McClay Davis, I & Hamill J. Clin Biomech 21:623-

630 , 2006.

• Mündermann A et al. Clin Biomech 18:254-262 , 2003.

• Stackhouse CL, McClay Davis, I & Hamill J. Clin Biomech

19:64-70 , 2004.

Biomechanics Laboratory, School of Human Kinetcs

Knee (Genu) Valgus

• valgus: outward angulation of the distal segment

– distal segment is rotated

L aterally

– distal means farther away from the body’s centre

– “knock-kneed”

– common in women

Biomechanics Laboratory, School of Human Kinetcs

Knee (Genu) Varus

• inward angulation of the distal segment

– “bowlegged”

– common in horse riders

Biomechanics Laboratory, School of Human Kinetcs

Quadriceps-angle or Q-angle

• “quadriceps-angle” is formed in the frontal plane by two line segments:

– from tibial tubercle to the middle of the patella

– from the middle of the patella to the anterior superior iliac sine (ASIS)

• in adults is typically 15 degrees

• Increases or decreases in the Q-angles are associated with increased peak patellofemoral contact pressures (Huberti &

Hayes, 1984).

• Insall, Falvo, & Wise (1976) implicated increased Q-angle in a prospective study of patellofemoral pain.

Biomechanics Laboratory, School of Human Kinetcs

Prostheses

• prosthesis

– device that replaces an anatomical structure

– i.e., an artificial limb

– e.g., solid-ankle, cushioned-foot (SACH) foot,

FlexFoot, C-knee, Mauch leg

Biomechanics Laboratory, School of Human Kinetcs

Sprinting Prostheses

LAUSANNE, Switzerland --

Double-amputee sprinter Oscar

Pistorius won his appeal Friday and can compete for a place in the

Beijing Olympics.

Olympic Rule: For the purpose of this Rule the following shall be considered assistance, and are therefore not allowed:

– e) use of any technical device that incorporates springs, wheels or any other element that provides the user with an advantage over another athlete not using such a device.

It's a great day for sport. I think this day is going to go down in history for the equality of disabled people.

-- Oscar Pistorius

Biomechanics Laboratory, School of Human Kinetcs

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