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 127 records · Page 7Linked to original sources
PubMed2005

Moderate-heeled shoes and knee joint torques relevant to the development and progression of knee osteoarthritis.

OBJECTIVE: To determine if women's dress shoes with heels of just 1.5 in (3.8 cm) in height increases knee joint torques, which are thought to be relevant to the development and/or progression of knee osteoarthritis (OA) in both the medial and patellofemoral compartments. DESIGN: Randomized controlled trial. SETTING: A 3-dimensional motion analysis gait laboratory. PARTICIPANTS: Twenty-nine healthy young women (age, 26.7+/-5.0 y) and 20 healthy elderly adult women (age, 75.3+/-6.5 y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Peak external varus knee torque in early and late stance and prolongation of flexor knee torque in early stance. Three-dimensional data on lower-extremity torques and motion were collected during walking while (1) wearing shoes with 1.5-in high heels and (2) wearing control shoes without any additional heel. Data were plotted and qualitatively compared; major peak values and timing were statistically compared between the 2 conditions using paired t tests. RESULTS: Peak knee varus torque during late stance was statistically significantly greater with the heeled shoes than with the controls, with increases of 14% in the young women and 9% in the elderly women. With the heeled shoes, the early stance phase knee flexor torque was significantly prolonged, by 19% in the young women and by 14% in elderly women. Also, the peak flexor torque was 7% higher with the heeled shoe in the elderly women. CONCLUSIONS: Even shoes with moderately high heels (1.5 in) significantly increase knee torques thought to be relevant in the development and/or progression of knee OA. Women, particularly those who already have knee OA, should be advised against wearing these types of shoes.

Adult↗
PubMed1996

Contralateral shoe-lift: effect on oxygen cost of walking with an immobilized knee.

OBJECTIVE: Evaluate the effect of a contralateral shoe-lift on the oxygen cost of walking with an artificially immobilized knee. DESIGN: A prospective quantitative evaluation of oxygen cost of walking under varying conditions. Subjects walked (1) normally (N), (2) with one knee immobilized (1), (3) with one knee immobilized and with a one-half-inch shoe-lift applied to the contralateral shoe (I1/2"L), and (4) with one knee immobilized and with a one-inch shoe-lift (I1"L). SETTING: Exercise physiology laboratory. SUBJECTS: Ten able-bodied subjects without known cardiopolmonary or musculoskeletal problems. MAIN OUTCOME MEASURE: Breath-by-breath oxygen consumption measurements in mL/kg/m. RESULTS: Oxygen cost on average was 20% more with the knee immobilized (I) compared to normal (N) (mean difference = .0298 +/- .0245mL/kg/m, p = .002). Oxygen cost was significantly less (11% versus 20% above that of normal walking) with the half-inch shoe-lift (mean difference between I1/2" and I = .0167 +/- .0138mL/kg/m, p = .002). Similarly, oxygen cost was significantly less (12% versus 20% above that of normal walking) with the one-inch shoe-lift (mean difference between I1"L and I = .0142 +/- .0116, p = .002). CONCLUSION: This study demonstrates that a subject with an immobilized knee requires less energy to walk with a contralateral shoe-lift and provides scientific evidence for prescribing a shoe-lift in patients with an immobilized knee as a result of knee joint fusion, knee immobilization as a result of casting or orthotics, or spastic paretic stiff-legged gait associated with upper motor neuron disease.

Adult↗
PubMed2002

Contact allergens in shoe leather among patients with foot eczema.

Some patients with relapsing foot eczema and a shoe leather allergy, who fail to show positive results with standard series and shoe wear screening tray patch testing, do not respond to the use of hypoallergenic shoe leather. We assume that relevant allergens are present in hypoallergenic shoe leather. We described an experiment to demonstrate the presence of these allergens. Alcoholic extracts were made of green, black and undyed hypoallergenic shoe leather, and the extracts were fractioned by paper chromatography. The resulting chromatograms were cut into 16 equal paper disks and patch tests were performed with extracts and the paper chromatography fractions. Positive reactions were seen to all extracts and to fractions of all types of leather. From analysis of the pattern of positive patch tests we concluded that leather-related allergens (e.g. tanning agent) and dyes were present in hypoallergenic shoe leather. In these cases, alternatives to shoe leather should be sought, for instance wooden or plastic shoes.

Dermatitis, Allergic Contact↗
PubMed2005

[A one year aging process of a soccer shoe does not increase plantar loading of the foot during soccer specific movements].

INTRODUCTION: Excessive loading of the plantar surface of the foot has been considered as a possible cause for overuse injuries in soccer. The question arises whether this excessive loading may be reduced by the use of cushioning insoles in a soccer shoe. AIM: To evaluate the influence of a controlled aging process on the loading pattern of the foot inside a soccer shoe. MATERIALS AND METHODS: 11 experienced soccer players wore a soccer shoe for one year on a regular basis during training sessions and games. After this period, three different aging conditions (old shoe with old insole, old shoe with new insole and new shoe with new insole) were tested during different soccer specific movements regarding plantar loading characteristics using an insole pressure distribution system (Pedar, Novel GmbH, Munich). RESULTS: The comparison between the three different aging conditions showed no consistent results for the parameters peak pressures and relative loads for 10 different foot areas. A trend towards slightly reduced peak pressures was found for characteristic loading zones during side-cutting and kicking. On the other hand, slightly increased peak pressures were found during running and sprinting after using a new insole or a new shoe. No consistent results were found for the relative loads between conditions. DISCUSSION: The hypothesis of a load reduction after introducing a new insole or a new shoe could not be confirmed. The aging process appears to be influenced by different factors like material properties, form changes or individual adaptation processes.

Adult↗
PubMed1993

[Criteria for biomechanical tests for athletic shoes].

In recent years, comparative sport shoe tests have resulted in an improvement of athletic footwear quality. Examples demonstrate the value and the limits of material tests, biomechanical investigations and subjective wear test evaluations. Biomechanical experiments have the primary goal to analyse sports shoe function with regard to shoe properties to prevent injuries. Rear foot pronation and supination measurements, in-shoe pressure distribution analyses, and the registration of ground reaction forces as well as tibial accelerations are valuable in the process of biomechanical evaluation. Material tests can be used to determine production quality between shoes and midsole material deterioration in used shoes. Wear tests with subjective evaluation are necessary for the judgement of shoe properties (e.g., shoe fit) which cannot be measured by biomechanical or material test methods.

Biomechanical Phenomena↗
PubMed1983

Effects of shoe cushioning upon ground reaction forces in running.

To determine the effects of widely varying amounts of cushioning upon vertical force (VF) parameters, ten male subjects, (mean weight = 68.0 kg) ran at a speed of 4.5 m . s-1 (6 min/mile pace) and contacted a Kistler force platform. Two shoes were tested: a hard one and a softer shoe that had 50% more cushioning as measured by an instrumented impact tester. Five right footfalls were collected for each shoe on each subject during which the ground reaction forces were sampled at 500 HZ using a PDP 11/34 minicomputer. Eight parameters from the VF data obtained for each trial were selected for analysis and compared statistically using a paired difference t test. It was found [force magnitudes expressed in multiples of body weight (BW)] that the time to the vertical force impact peak (VFIP) was significantly longer (hard = 22.5 ms, soft = 26.6 ms) in the soft shoe; however, no differences were seen in the magnitudes (hard = 2.30 BW, soft = 2.34 BW). The minimum after the VFIP was also significantly delayed in the soft shoe (hard = 33.8 ms, soft = 37.9 ms) and was significantly greater in the soft shoe (hard = 1.46 BW, soft = 1.90 BW). The peak VF propulsive force occurred statistically at the same time in both shoes (hard = 85.7 ms, soft = 84.0 ms), but was significantly greater in the soft shoe (hard = 2.73 BW, soft = 2.83 BW).(ABSTRACT TRUNCATED AT 250 WORDS)

Biomechanical Phenomena↗
PubMed1986

Kinematically mediated effects of sport shoe design: a review.

One prominent pattern emerging from a review of the literature on sport shoes and biomechanics is the observation that many effects are the indirect result of shoe-induced adjustments in movement, i.e. a particular shoe characteristic elicits a kinematic adaptation which in turn has secondary consequences on kinetics and on injury and performance. For example, in addition to its variable effects on peak forces, cushioning system design has been shown to alter electromyographic patterns and to affect knee flexion during foot strike and affect indirectly the economy of running. Mediolateral stability as measured by rearfoot kinematics is strongly influenced by shoe design features such as heel lift, and sole hardness and geometry. The frictional properties of the shoe and surface interface have also been shown to affect kinematics in a way that in turn affects the recorded frictional forces themselves. Such kinematically mediated responses are the most provocative result of studies of the biomechanical effects of footwear. It is becoming apparent that the shoe can be a powerful tool for manipulating human movement. The abundance of shoe design possibilities coupled with the body's tendency to adjust in predictable ways to shoe mechanical characteristics have given us a new way to manipulate human kinematics and kinetics, as well as a convenient model for studying biomechanical adaptation.

Ankle Joint↗
PubMed2000

Baring the sole. The rise and fall of the shoe-fitting fluoroscope.

One of the most conspicuous nonmedical uses of the x-ray was the shoe-fitting fluoroscope. It allowed visualization of the bones and soft tissues of the foot inside a shoe, purportedly increasing the accuracy of shoe fitting and thereby enhancing sales. From the mid 1920s to the 1950s, shoe-fitting fluoroscopes were a prominent feature of shoe stores in North America and Europe. Despite the widespread distribution and popularity of these machines, few have studied their history. In this essay we trace the origin, technology, applications, and significance of the shoe-fitting fluoroscope in Britain, Canada, and the United States. Our sources include medical and industrial literature, oral and written testimony of shoe retailers, newspapers, magazines, and government reports on the uses and dangers of these machines. The public response to shoe-fitting fluoroscopes changed from initial enthusiasm and trust to suspicion and fear, in conjunction with shifting cultural attitudes to radiation technologies.

Advertising↗
PubMed1992

Shoe sole thickness and hardness influence balance in older men.

OBJECTIVE: To test the hypothesis that shoes with thick, soft midsoles, such as modern running shoes, provide better stability in older individuals than those with thin-hard midsoles. In addition, we examined the relation between footwear comfort and stability and stability when barefoot. DESIGN: Randomized-order, cross-over, controlled comparison. SETTING: Subjects were drawn from an internal medicine practice. PARTICIPANTS: A random sample of 25 healthy men, minimum age 60 years. Additional selection criteria were absence of disabilities influencing ability to walk and lack of history of frequent falls. MEASUREMENTS: Balance failure frequency, which was defined as falls from the beam per 100 meters of beam walking when 10 passes were made down a 9 M long balance beam. Comfort rating was based on an ordinal scale. RESULTS: Contrary to the hypothesis: (1) midsole softness was associated with poor stability (F(2,48) = 17.9, P < 0.0001); (2) thick midsoles also provided poor stability (F(1,24) = 7.36, P < 0.01). When barefoot, subjects showed 19% higher balance failure frequency than with the poorest shoe and 171% greater than the best shoe (t = 5.33, P < 0.0001). Higher comfort was generally found in shoe types associated with higher balance failure frequency. CONCLUSIONS: For optimal stability, shoes with thin, hard soles are preferable for older individuals. Health professionals should exercise caution when recommending shoes with thick, yielding midsoles, such as running shoes, to unstable elderly individuals. Older men and women with a history of falls or who are obviously unstable, should avoid barefoot locomotion.

Accidental Falls↗
PubMed1994

Kinematic and kinetic parameters associated with running in different shoes.

The characteristics of the midsole were examined in four pairs of running shoes by a materials test. The variables of interest were the peak acceleration, time to peak acceleration and the kinetic energy absorbed. Ten subjects then ran at a recreational jogging pace (3.5 ms-1) barefoot and in the shoes. An accelerometer secured to the lower tibia was used to measure the peak acceleration and time to peak acceleration associated with footstrike. Subjects were also videoed and a kinematic analysis was undertaken at the knee and ankle joints. The results from the materials test showed that the shoes differed in their midsole characteristics, however, no significant differences (P > 0.05) were observed in the peak acceleration and time to peak acceleration during running in shoes. These variables were significantly greater in the barefoot running condition (P < 0.05), as compared with running in shoes. Small and subtle kinematic differences were observed between the barefoot and shoe conditions. It appears that the differences observed between the shoes in the materials test were not sufficient to elicit the kinematic changes observed between the barefoot and shoe conditions. It is suggested that runners operate within a 'kinetic bandwidth' when responding to impact stresses.

Absorption↗
PubMed2003

Physiologic axial load, frictional resistance, and the football shoe-surface interface.

The purpose of this investigation was to report on the interaction between different types of athletic shoes and playing surfaces using physiologic loads of 40 and 220 lbs. This is a continuation of our previous report using a load of 25 lbs. Nine shoes by three manufacturers were characterized as turf, court, molded cleat, or traditional cleat and tested on both natural grass and synthetic turf. A specially designed pneumatic testing device was used in order to measure translational resistance and rotational torque of the shoe-surface interface. Measurements were acquired for 1) force-X describing translational loading, 2) moment-Y describing the torque generated by linear translation, and 3) moment-Z describing the moment generated by axial rotation, and data were analyzed using repeated measures analysis of variance and Tukey's post-hoc comparison. It was found that increased the axial loads from 40 to 220 lbs significantly increased the frictional resistance (p < .05) between the shoe and the artificial turf surface in a nonlinear fashion. Turf shoes demonstrated the most frictional resistance of any group for this condition. Increases in the forces generated in linear translation from the axial load of 40 to 220 lbs produced the most significant increases of any resistance test on the turf surface. The cleated shoes (both traditional and molded) generated the highest frictional and torsional resistance on the grass surface when compared to the other categories of shoes. Grass generated higher peak moments than turf for the cleated shoes. These results demonstrate the considerable differences between laboratory and physiologic conditions and that the increase in frictional resistance is nonlinear with increasing loads.

Ankle↗
PubMed2006

Effectiveness of custom-made orthopaedic shoes in the reduction of foot pain and pressure in patients with degenerative disorders of the foot.

BACKGROUND: Degenerative disorders of the foot often are painful during standing and walking. It is assumed that, because of bone deformity, callus, and deformity of the plantar pads, the plantar pressure distribution changes. Prescription of orthopaedic shoes for patients with degenerative disorders of the foot is based on the hypothesis that excessive pressure under the foot causes pain. The goal of this study was to evaluate the effectiveness of custom-made orthopaedic shoes, in terms of pressure and pain, in patients with degenerative disorders of the foot. Additionally, the relationship between plantar pressure parameters and foot pain was studied, with special emphasis on second and third metatarsal heads. METHODS: Seventy-seven consecutive patients with degenerative disorders of the foot were recruited from the outpatient clinics of seven rehabilitation centers and rehabilitation departments of university hospitals in the Netherlands. The study was prospective. The Questionnaire for Usability Evaluation for Orthopaedic Shoes was used to measure perceived foot pain. To measure plantar pressures, the Pedar in-shoe pressure measurement system (Novel GmbH, Munich) was used. The effectiveness of custom-made orthopaedic shoes, in terms of pressure and pain in patients with degenerative disorders of the foot, was analyzed by means of a paired sample t-test. To select the pressure parameter (Pmax, P(TI,) and P(av)) most closely associated with walking pain, within-subject correlation coefficients were calculated. RESULTS: Custom-made orthopaedic shoes significantly decreased perceived foot pain by at least 23%, and significantly reduced plantar pressure under all foot regions by at least 9%. A significant correlation (r = 0.521) was found between walking pain and the average pressure beneath the second and third metatarsal heads. CONCLUSIONS: Based on these results, it can be concluded that custom-made orthopaedic shoes are effective in reducing foot pain and foot pressure. The moderate (significant) relationship between average pressure and walking pain can be used as a tool for evaluating custom-made orthopaedic shoes prescribed for patients with degenerative disorders of the foot.

Activities of Daily Living↗
PubMedDate not supplied

In-shoe plantar pressure measurement of the first metatarsophalangeal joint in asymptomatic patients.

Using an in-shoe plantar pressure sensor, the pressure under the first metatarsophalangeal (MTP) joint was measured in 20 asymptomatic control subjects during their normal gait. A 7-micron in-shoe pressure sensor recorded the pressure under the first MTP joint in the 20 volunteers while they were wearing their normal footwear (athletic footwear), a wooden postoperative shoe, a fiberglass short leg walking cast, and a postoperative shoe with a first MTP joint cutout orthotic device. The results showed both casting, and the postoperative shoe with the first MTP joint cutout orthotic device significantly reduced pressure under the first MTP joint compared with normal footwear, with an average decrease of 31% and 43%, respectively. However, the standard postoperative shoe did not significantly reduce first MTP pressure compared with normal footwear. Certain surgeries performed on the distal first metatarsal may benefit from a diminution of loading forces encountered during normal gait. The results of this study indicate that a reduction of first MTP pressures can best be accomplished with either a postoperative shoe with a cutout orthotic device or a short leg walking cast. A standard postoperative shoe showed inconsistent results and had no statistically significant effect on decreasing the pressure under the first MTP joint.

Adult↗
PubMed2006

The horse-racetrack interface: a preliminary study on the effect of shoeing on impact trauma using a novel wireless data acquisition system.

REASONS FOR PERFORMING STUDY: There is a need to determine accelerations acting on the equine hoof under field conditions in order to better assess the risks for orthopaedic health associated with shoeing practices and/or surface conditions. OBJECTIVES: To measure the acceleration profiles generated in Thoroughbred racehorses exercising at high speeds over dirt racetracks and specifically to evaluate the effect of a toe grab shoe compared to a flat racing plate, using a newly developed wireless data acquisition system (WDAS). METHODS: Four Thoroughbred racehorses in training and racing were used. Based on previous trials, each horse served as its own control for speed trials, with shoe type as variable. Horses were evaluated at speeds ranging from 12.0-17.3 m/sec. Impact accelerations, acceleration on break over and take-off, and temporal stride parameters were calculated. Impact injury scores were also determined, using peak accelerations and the time over which they occurred. RESULTS: Recorded accelerations for the resultant vector (all horses all speeds) calculated from triaxial accelerometers ranged 96.3-251.1 g, depending on the phase of the impact event. An association was observed between shoe type and change in acceleration in individual horses, with 2 horses having increased g on initial impact with toe grab shoes in place. In the final impact phase, one horse had an increase of 110 g while wearing toe grab shoes. Increased accelerations were also observed on break over in 2 horses while wearing toe grab shoes. CONCLUSIONS: Shoe type may change impact accelerations significantly in an individual horse and could represent increased risk for injury. Further work is needed to determine if trends exist across a population. POTENTIAL RELEVANCE: The WDAS could be used for performance evaluation in individual horses to evaluate any component of the horse-performance surface interface, with the goal of minimising risk and optimising performance.

Animals↗
PubMed2003

Exposure to dust and its particle size distribution in shoe manufacture and repair workplaces measured with GRIMM laser dust monitor.

OBJECTIVES: Owing to a diversified technological process and a great variety of products and materials used in shoe manufacture, workers may be exposed to dusts that contain different chemicals and particles of various shapes and sizes. The aim of this study was to assess the dust exposure, taking account of concentration of particular size fractions according to the European Standard Norm, and to analyze particle size distribution in inhalable dust at selected workplaces in a modern shoe manufacture plant and in a small shoe repair workshop in comparison with other industrial branches. MATERIALS AND METHODS: In these two workplaces, the concentrations of dust, representing the inhalable, thoracic, and respirable fractions, were measured with the GRIMM 1.105 laser dust monitor. RESULTS: The particle size distribution in inhaled dust in the most characteristic workposts was analyzed. In the shoe manufacture plant, the concentrations ranged from 124 microg/m3 (leather cutting out) to 724 microg/m3 (scouring and milling of soles); concentrations of the thoracic and respirable fractions in the same workposts ranged from 74 microg/m3 to 412 microg/m3 and from 24 microg/m3 to 120 microg/m3, respectively. In the shoe repair workshop, the recorded concentrations were higher: the values ranged from 521 microg/m3 (gluing of shoes and soles, zipper exchange and heel abrasion) to 916 microg/m3 (uppers sewing and heel scouring) for the inhaled fraction; from 335 microg/m3 to 499 microg/m3 for the thoracic fraction; and from 88 microg/m3 to 120 microg/m3 for the respirable fraction. The mass median aerodynamic diameters of inhalable dust particles fell within the limits of 6.2-25.0 mm. Dust with the smallest particles (MMAD = 6.2 mm) was observed in shoe brushing and polishing, and with the largest particles (MMAD = 25.0 mm) in uppers sewing. CONCLUSIONS: The modern process of shoe manufacture is characterized by very low concentrations of inhalable dust and its fractions, they are considerably lower than occupational exposure limits in Poland for inhaled (4000 microg/m3) and respirable (2000 microg/m3) dust. In the workplaces under study, a relatively high proportion of extrathoracic fraction of leather dust was found, which supports a hypothesis on a potential etiologic role of this factor in the development of pathologies in the upper airways region.

Air Pollutants, Occupational↗
PubMed1986

[The sports shoe].

Today children wear sport shoes more and more on a daily basis, although the sport shoe was originally designed to serve just for sports purposes. Good sport shoes for children must therefore fulfill the criteria for everyday shoes as well as the requirements for good running shoes, namely, adequate cushioning in the heel area, support during pronation and directing the rolling movement for push-off using the forefoot. For these purposes, the shoe should not represent a miniaturized version of an adult sport shoe, but must be designed for the form of the child's foot and also take the fragility of the connective tissue into consideration, in addition to user comfort, fit, and foot ventilation. In comparison with today's models, therefore, good sports shoes could be improved in many areas.

Athletic Injuries↗
PubMed1985

Effects of shoes and foot orthotics on VO2 and selected frontal plane knee kinematics.

The objective of this study was to investigate the effects of shoes and foot orthotics on running economy and selected frontal plane knee kinematics during the support phase of running. Twenty-one male runners who had been fitted with orthotics served as subjects. Subjects participated in three submaximal runs on a treadmill under the following conditions: barefoot, shoes, and shoes plus orthotics. A run consisted of 1 min at 161 m . min-1, 2 min at 180 m . min-1, and 4 min at 201 m . min-1. VO2 was calculated for the last 3 min of each test. Frontal plane motion was filmed during the sixth min of each submaximal run, and linear and angular displacement of the knee were then calculated from film data. Results from the mechanical aspect of this study indicate that there were no significant differences among the means for linear displacement of the knee. Angular displacement of the knee during barefoot running was significantly (P less than 0.05) less than shoe and shoe-plus-orthotic conditions. There was no difference, however, between shoes and shoes plus orthotics. The economy results revealed that the aerobic cost of running increased as the amount of mass added to the foot increased. In absolute terms (1 . min-1), running in shoes plus orthotics was significantly (P less than 0.05) more costly than running barefoot. It appears that if orthotics do, in fact, improve running economy by improving running mechanics, the amount of improvement is negated by the additional cost of running associated with the mass of the orthotics.

Energy Metabolism↗
PubMed1981

Rocker shoe as walking aid in multiple sclerosis.

Evaluation of rocker shoes as a walking aid for multiple sclerosis patients included a mechanical analysis of the shoes, establishment of clinical criteria for appropriate patient selection, and laboratory gait measurements of patients with and without rocker shoes. Patient fitting demonstrated that the most significant measurement, the roll point, must be about 2cm proximal to the 1st metatarsal head. A snug fit as well as the addition of a heel strap was required to hold the shoe on the foot so its mechanical assistance was consistent. Rocker shoes were effective only in patients who still retained the ability to walk independently; retention of adequate hip and calf strength proved critical. Basic gait deficit was plantar flexion less than 15 degree while standing, leading to knee hypertension and forward trunk leaning, inadequate knee flexion and toe drag in swing, general awkwardness and fatigue. Gait improvement with the rocker shoes varied with clinical classification. Normal velocity and stride characteristic in rocker shoes were accompanied by a marked decrease in net energy cost. A mean saving of 150% of normal energy was gained with rocker shoes.

Adult↗