Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “SHOES”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 343 records · Page 19Linked to original sources

Torque developed at simulated sliding between sport shoes and an artificial turf.

Rotation torque is known to be one of many factors affecting the risk of injury in athletics. Experiments were performed to examine the torque and friction on different sport shoes when sliding on an artificial turf. An apparatus was constructed in which it is possible to measure simultaneously the torque and the frictional force developed when a shoe slides on a surface. Measurements were made for 25 different shoes on an artificial turf. The frictional force was independent of the speed in the range 1 to 5 m/s. The torque was dependent on the physical distribution of the texture of the sole and slightly dependent on the frictional force. The results indicate that the physical distribution of the sole at the heel and toe, as well as the material, is of great importance for the torque developed.

Ankle Injuries↗

Effect of viscoelastic shoe insoles on vertical impact forces in heel-toe running.

The purposes of this study were: 1) to compare the impact forces in running using running shoes with conventional insoles to the impact forces using running shoes with four different viscoelastic insoles, 2) to discuss possible effects of the viscoelastic insoles on lower leg kinematics, and 3) to explain the force and kinematic results using a mechanical model. Kinetic and kinematic data were collected for 14 subjects running heel-toe at an average speed of 4 m/s. The results showed that the four tested viscoelastic insoles did not differ in variables describing the vertical impact forces (vertical force peak, time of occurrence of vertical force peak, maximum vertical loading rate) compared to the conventional insoles furnished in running shoes. Furthermore, the viscoelastic insoles did not influence kinematic variables of the lower extremities in a systematic way.

Computer Simulation↗

The effect of shoe sole composition on in vivo tibial strains during walking.

To test the hypothesis that shoe sole composition can affect the level of bone strain and strain rates that contribute to the development of stress fractures, in vivo tibial strain measurements were made during treadmill walking while wearing four shoes which differed only in their sole composition. Soles of 65 Shore A polyurethane with an embedded heel air cell had significantly lower compression and shear strains and shear strain rates than soles of 65, 75 and a composite of 40/65 Shore A polyurethane with no embedded air cells. A sole composed of 65 Shore A polyurethane with an embedded air cell can potentially be protective against stress fracture in a walking shoe.

Adult↗

The effects of wearing high heeled shoes on pedal pressure in women.

The purpose of this study was to investigate the effects of increased heel height in women's shoes on foot pressure during walking. An increase in heel height increased the maximum peak pressure under the metatarsal heads in the forefoot, decreased the time to maximum peak pressure under the metatarsal heads, and increased the rate of loading to the metatarsals during early support. The higher pressures noted with increased heel height were accompanied by a more uniform distribution of pressure beneath the forefoot. These findings may denote increased stress to the various tissues in the foot when walking in high heeled shoes, which may contribute to deleterious orthopaedic changes. Quantitative studies need to be conducted to determine whether orthopaedic changes occur with prolonged wearing of high heeled shoes.

Adult↗

Reliability of an in-shoe pressure measurement system during treadmill walking.

We examined the reliability of in-shoe foot pressure measurement using the Pedar in-shoe pressure measurement system for 25 participants walking at treadmill speeds of 0.89, 1.12, and 1.34 meters/sec. The measurement system uses EMED insoles, which consist of 99 capacitive sensors, sampled at 50 Hz. Data were collected for 20 seconds at two separate times while participants walked at each gait speed. Differences in some of the loading variables across speed relative to the total foot and across the different anatomical regions were detected. Different anatomical regions of the foot were loaded differently with variations in walking speed. The results indicated the need to control speed when evaluating loading parameters using in-shoe pressure measurement techniques. Coefficients of reliability were calculated. Variables such as peak force for the total foot required two steps to achieve a coefficient of reliability of 0.98. To achieve excellent reliability (> 0.90) in the peak force, force time integral, peak pressure, and pressure time integral across the total foot and the seven regions, a maximum of eight steps was needed. In general, timing variables, such as the instant of peak force and the instant of peak pressure, tended to be the least reliable measures.

Adult↗

The effect of shoe gear on human tibial strains recorded during dynamic loading: a pilot study.

The study was conducted to test the hypothesis that alterations in shoe gear can affect tibial strains in the human during dynamic loading. Rosette strain gauges were mounted on the medial border of the mid-diaphysis in two human subjects with a new strain gauge bonding technique using methyl methacrylate. Strain measurements were made at this site, the most frequent location for stress fractures in the Israeli Army during treadmill walking and free running while wearing various sport shoes (Rockport ProWalkers and New Balance NBX 900) and army boots (light Israeli infantry, double layered sole Israeli infantry, and Zohar infantry boots). Data were analyzed for only one of the subjects because strain gauge bonding was found to be inadequate at the time of surgical removal in the other subject. No single shoe lowered both the principal tibial compression and tensile strains, and the shear strains. The Zohar boot had the lowest principal compression strains during treadmill walking and mobile running, despite its relatively higher weight and sole durometry.

Biomechanical Phenomena↗

A comparison study of plantar foot pressure in a standardized shoe, total contact cast, and prefabricated pneumatic walking brace.

Total contact casting is the current recommended treatment for Wagner Stage 1 and 2 neuropathic plantar ulcers. The rationale for this treatment includes the equalization of plantar foot pressures and generalized unweighting of the foot through a total contact fit at the calf. Total contact casting requires meticulous technique and multiple cast applications to avoid complications before ulcer healing. An alternative to total contact casting is the use of a prefabricated brace designed to maintain a total contact fit. This study compares plantar foot pressure metrics in a standardized shoe (SS), total contact cast (TCC), and prefabricated pneumatic walking brace (PPWB). Five plantar foot sensors (Interlink Electronics, Santa Barbara, CA) were placed at the first, third, and fifth metatarsal heads, fifth metatarsal base, and midplantar heel of 10 healthy male subjects. Each subject walked at a constant speed over a distance of 280 meters in a SS, PPWB, and TCC. A custom-made portable microprocessor-based system, with demonstrated accuracy and reliability, was used to acquire the data. No significant differences in peak pressure or contact duration were found between the initial and repeat SS trials (P > 0.05). Peak pressures were reduced in the PPWB as compared to the SS for all sensor locations (P < 0.05). Similarly, peak pressures were reduced in the TCC compared to the SS for all sensor locations (P < 0.05) with the exception of the fifth metatarsal base (P = 0.45). Our results are summarized as follows: (1) the methods used in the current study were found to be reliable through a test-retest analysis; (2) the PPWB decreased peak plantar foot pressures to an equal or greater degree than the TCC in all tested locations of the forefoot, midfoot, and hindfoot; (3) compared to a SS, contact durations were increased in both the TCC and PPWB for most sensor locations; and (4) the relationship of peak pressure over time, the pressure-time integral, is lower in the brace compared to the shoe at the majority of sensor locations. The values are not significantly different between the cast and shoe. These findings suggest an unweighting of the plantar foot and equalization of plantar foot pressures with both the PPWB and TCC. Based on these findings, the PPWB may be useful in the treatment of neuropathic plantar ulcerations of the foot.

Braces↗

Successes and pitfalls in the healing of neuropathic forefoot ulcerations with the IPOS postoperative shoe.

Unnecessary amputations can be avoided with the healing of foot ulcerations in neuropathic feet. Traditional approaches have relied on relieving plantar and other extrinsic foot pressures. A retrospective review was performed of the office records of patients with Wagner grade 1 and 2 neuropathic forefoot ulcerations who were prescribed an IPOS (Niagara Falls, NY) postoperative shoe. A total of .33 patients were in the chart review. Twenty-three of these patients were located and agreed to participate in a telephone survey. Patients showed a compliance of 78%. Seventy-seven percent of the patients healed their ulcers and wore prescription inserts and extra-depth shoes at a mean of 8 weeks. Seventy-eight percent of our telephone survey patients were either satisfied or satisfied with reservations. Problems or complications from wearing the IPOS postoperative shoe occurred with 38% of all patients.

Adult↗

Effect of shoe inserts on kinematics, center of pressure, and leg joint moments during running.

PURPOSE: The purposes of this project were to assess the effect of four different shoe inserts on the path of the center of pressure (COP), to quantify the effect of these inserts on selected knee joint moments during running, and to assess the potential of COP data to predict the effects of inserts/orthotics on knee joint moments. METHODS: Kinematics for the lower extremities, resultant ankle and knee joint moments, and the path of the COP were collected from the right foot of 15 male subjects while running heel-toe with five different shoe inserts (full or half with 4.5-mm postings). RESULTS: Individual movement changes with respect to the neutral insert condition were typically small and not systematic. Significant changes for the path of the COP were registered only for the full lateral insert condition with an average shift toward the lateral side. The mediolateral shift of the COP was not consistent for the full medial and the two half-shoe inserts. The subject-specific reactions to the inserts' intervention in the corresponding knee joint moments were typically not consistent. Compared with the neutral insert condition, subjects showed increases or decreases of the knee joint moments. The correlation between the individual COP shifts and the resultant knee joint moment was generally small. CONCLUSION: The results of this study showed that subject-specific reactions to the tested inserts were often not as expected. Additionally, reactions were not consistent between the subjects. This result suggests that the prescription of inserts and/or orthotics is a difficult task and that methods must be developed to test and assess these effects. Such methods, however, are not currently available.

Adult↗

An interactive computer graphics system for the design of molded and orthopedic shoe lasts.

The Department of Computer Science at North Carolina State University, with support from the Department of Veterans Affairs and National Aeronautics and Space Administration (NASA) Langley Research Center, has developed an interactive graphics program for the development of shoe lasts from digitized images of feet or digitized images of commercial shoe lasts. The program runs on a Sun 3/260 computer with a TAAC-1 graphics accelerator. The program contains operations for region addition and deletion, techniques for narrowing the ankle area, methods for toe extension, operations to allow for shoe inserts, etc. Once the operations by the user are complete, the program will resample the resulting last in a 512 x 512 array. The user is then allowed to select an error tolerance which will guide a data reduction program to represent the last as Coons patches. These patches are then transmitted to a milling machine which will cut the last.

Computer Graphics↗

Evaluation of an in-shoe pressure measurement system in horses.

OBJECTIVE: To develop an objective, accurate method for quantifying forelimb ground reaction forces in horses by adapting a human in-shoe pressure measurement system and determine the reliability of the system for shod and unshod horses. ANIMALS: 6 adult Thoroughbreds. PROCEDURE: Horses were instrumented with a human in-shoe pressure measurement system and evaluated at a trot (3 m/s) on a motorized treadmill. Maximum force, stance time, and peak contact area were evaluated for shod and unshod horses. Three trials were performed for shod and unshod horses, and differences in the measured values were examined with a mixed model ANOVA for repeated measures. Sensor accuracy was evaluated by correlating measured variables to clinically observed lameness and by a variance component analysis. RESULTS: 4 of 6 horses were determined to be lame in a forelimb on the basis of clinical examination and measured values from the system. No significant differences were observed between shod and unshod horses for maximum force and stance time. A significant decrease in peak contact area was observed for shod and unshod horses at each successive trial. Maximum force measurements provided the highest correlation for detecting lameness (r = 0.91, shod horses; r = 1.0, unshod horses). A variance component analysis revealed that 3 trials provided a variance of 35.35 kg for maximum force (+/- 5.78% accuracy), 0.007 seconds for stance time (+/- 2.5% accuracy), and 8.58 cm2 for peak contact area (+/- 11.95% accuracy). CONCLUSIONS AND CLINICAL RELEVANCE: The in-shoe pressure measurement system provides an accurate, objective, and effective method to evaluate lameness in horses.

Animals↗

Development of a 3D model of the equine distal forelimb and of a GRF shoe for noninvasive determination of in vivo tendon and ligament loads and strains.

REASONS FOR PERFORMING STUDY: As critical locomotion events (e.g. high-speed and impacts during racing, jump landing) may contribute to tendinopathies, in vivo recording of gaits kinematic and dynamic parameters is essential for 3D reconstruction and analysis. OBJECTIVE: To propose a 3D model of the forelimb and a ground reaction force recording shoe (GRF-S) for noninvasively quantifying tendon and ligament loads and strains. METHODS: Bony segments trajectories of forelimbs placed under a power press were recorded using triads of ultrasonic kinematic markers linked to the bones. Compression cycles (from 500-6000 N) were applied for different hoof orientations. Locations of tendon and ligament insertions were recorded with regard to the triads. The GRF-S recorded GRF over the hoof wall and used four 3-axis force sensors sandwiched between a support shoe and the shoe to be tested. RESULTS: Validation of the model by comparing calculated and measured superficial digital flexor tendon strains, and evaluation of the role of proximal interphalangeal joint in straight sesamoidean ligament and oblique sesamoidean ligament strains, were successfully achieved. Objective comparisons of the 3 components of GRF over the hoof for soft and hard grounds could be recorded, where the s.d. of GRF norm was more important on hard ground at walk and trot. CONCLUSIONS: Soft grounds (sand and rubber) dissipate energy by lowering GRF amplitude and diminish bounces and vibrations at impact. At comparable speed, stance phase was longer on soft sand ground. POTENTIAL RELEVANCE: The conjugate use of the GRF-S and the numerical model would help to quantify and analyse ground/shoe combination on comfort, propulsion efficiency or lameness recovery.

Animals↗

Shoe inserts for small deformed feet.

Modern materials and a better understanding of the biomechanical requirements enable adaptations to shoes to be make quickly and easily in cases where the deformed foot is small enough to fit satisfactorily into standard shop-bought or standard deep footwear. A flexible self-generating polyurethane foam is used inside the shoe. It expands to the internal shape of the shoe and the external shape of the foot. It can be used either against the patient's own foot or against a positive cast of the foot. The technique has been used for 75 patients and has proved successful. The insert so made is durable and economical.

Foot Deformities, Congenital↗

Individually fitted sports shoes for overuse injuries among newspaper carriers.

OBJECTIVES: The aim of the study was to determine the effectiveness of new, individually fitted sports shoes against overuse injuries to the lower limb among newspaper carriers. METHODS: Patients (N = 176) with lower-limb overuse injuries were randomly assigned to use new, individually adjusted footwear with good shock absorbing properties (test group = 86) or the subjects' own, used footwear (control group = 90). The main outcome measurements were lower-limb pain intensity during walking, as rated on a visual analogue scale (0-100), number of painful days, subjective assessment of global improvement, foot fatigue, number of hyperkeratotic skin lesions and diagnosed overuse injuries, and costs of foot care as compared between the treatment groups. RESULTS: At the 6-month follow-up there was a difference in favor of the test group with respect to lower-limb pain intensity and number of painful days, when compared with the control group. At 1 year, 53% and 33% of the test and control groups, respectively, thought they were better than at the time of the baseline examination (number needed to treat being 5 between the test and control groups). The test subjects had less foot fatigue and fewer hyperkeratotic skin lesions. There was no difference in the number of diagnosed overuse injuries between the groups. During the year of follow-up, the all-inclusive mean costs of foot care were USD 70 and USD 158 in the test and control groups, respectively. CONCLUSIONS: Individually adjusted shock-absorbing shoes offer slight health benefits for lower-limb overuse injuries. Proper shoes may decrease the need to use health care resources.

Adolescent↗

Bilateral fatigue fractures of the distal fibulae caused by a change of running shoes.

A 26-year-old man sustained bilateral, symmetrical fatigue fractures of his distal fibulae while running in a 14-km road race. He had trained repeatedly over the course without developing any symptoms, but on the day of the race he lost one of his regular running shoes. He competed instead in old, borrowed tennis shoes. After running over a distance of 2 km, he felt pain about 4 cm above the distal end of both fibulae. Two weeks later, radiographs showed bilateral fractures. The change of footwear was the only identifiable factor in the causation of these fractures. Analysis by compression-loading showed that his usual running shoes absorbed twice as much energy and deformed five times as much as those used in the race.

Adult↗

An electrodynographic study of foot function in shoes of varying heel heights.

Forty-three female test subjects had electrodynographic gait analysis performed in barefoot, low-heel shoe, and high-heel shoe conditions. Comparisons of segmental foot function, actual pressures, and pressure durations were determined. The findings suggest that an increased duration of forefoot loading, rather than an increased actual pressure, is responsible for pedal pathology secondary to wearing high-heel shoes. Contrary to previous reports in the literature, evidence of abnormal pronation in high heels was not found in this study.

Biomechanical Phenomena↗

[Use of tempered, particle-reinforced aluminum horse shoes in sport horses under field conditions].

The use of handmade particulate reinforced alloy horseshoes (MMC metal matrix composites) was tested in a field study on 15 riding and draught horses. All horseshoes have been tempered after having been manually forged and tested concerning their surface imperfection. Forging temperature ranged between 350 degrees and 420 degrees C. Horseshoes in series A consisted of particulate reinforced wrought alloy (22% Al2O3 in alloy matrix). 11 shoeing periods with a duration of mean = 49.7 days (sd = 13.6) were evaluated. Horseshoes in series B consisted of particulate reinforced foundry alloy (20% SiC in alloy matrix), 5 shoeing periods were evaluated with a duration of mean = 45.4 days (sd = 7.9). Series C tested horseshoes made of particulated reinforced coextruded wrought alloy evaluating 6 shoeing periods with a duration of mean = 49.2 days (sd = 18.7). Service of the tempered particulate reinforced alloy horseshoes was significantly higher compared to untempered alloy horseshoes. Mechanical and forging properties of tempered particulate reinforced alloy are satisfactory. Service is only suitable for riding horses but not for draught horses.

Alloys↗

Prevention of overuse injuries of the foot by improved shoe shock attenuation. A randomized prospective study.

In a randomized prospective study among 390 recruits, the hypothesis that improved shoe shock attenuation could lessen the incidence of overuse injuries was tested. During the 14 weeks of training, 90% of the recruits sustained overuse injuries. Recruits training in a modified basketball shoe had a statistically significant lower incidence of metatarsal stress fractures and foot overuse injuries, compared with standard infantry boots, but their overall incidence of overuse injuries was not reduced. The effect of improved shoe shock attenuation was limited to those overuse injuries resulting from vertical impact loads.

Elasticity↗