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At least 19 recordsLinked to original sources
PubMed2006

In-shoe pressure distribution in "unstable" (MBT) shoes and flat-bottomed training shoes: a comparative study.

BACKGROUND: Footwear comfort in many clinical situations is dependent on the ability of the 'shoe' to redistribute plantar pressure. Offloading the metatarsal heads may be achieved by fitting an insole, but recently a new design of shoe with a curved under sole (Masai Barefoot Technology or "MBT shoe") has been advocated. The aim of this study was to directly assess the effect of such shoes on gait pattern. METHODS: Normal subjects were recruited and asked to walk sequentially in (a) flat-soled training shoes and (b) midfoot bearing shoes (MBT shoe). Mean and peak pressures in four anatomically defined areas of the foot, and the total area of sole contact were measured electronically by an in-shoe system (Pedar Ltd., UK). PRINCIPAL RESULTS: Standing in the Masai shoes resulted in a 21% lesser peak pressure under the midfoot and an 11% lesser peak pressure under the heel in comparison to the figures found when patients wore their training shoes. There was a 76% compensatory increase in pressure under the toes. In essence there was a significant shift in pressure towards the front of the foot.

Adult↗
PubMed2006

Peak torque and rotational stiffness developed at the shoe-surface interface: the effect of shoe type and playing surface.

BACKGROUND: Shoe-surface interactions have been implicated in the high number of noncontact knee injuries suffered by athletes at all levels. PURPOSE: To examine shoe-surface interactions on newer field designs and compare these with more traditional shoe-surface combinations. The peak torque and rotational stiffness (the rate at which torque is developed under rotation) were determined. STUDY DESIGN: Controlled laboratory study. METHODS: A device was constructed to measure the torque versus applied rotation developed between different shoe-surface combinations. Data were collected on 5 different playing surfaces (natural grass, Astroturf, 2 types of Astroplay, and FieldTurf), using 2 types of shoes (grass and turf), under a compressive load of 333 N. RESULTS: The highest peak torques were developed by the grass shoe-FieldTurf tray and the turf shoe-Astroturf field combinations. The lowest peak torques were developed on the grass field. The turf shoe-Astroturf combination exhibited a rotational stiffness nearly double that of any other shoe-surface combinations. CONCLUSION: The differences in the rotational stiffness across all 10 shoe-surface combinations were greater than those of the peak torques. It is possible that rotational stiffness may provide a new criterion for the evaluation of shoe-surface interface. CLINICAL RELEVANCE: An improved understanding of shoe-surface interactions remains a critical need to improve the design of shoe-surface combinations with the goal of meeting player needs while minimizing injury potential.

Equipment Design↗
PubMed2000

[Effect of shoe shaft and shoe sole height on the upper ankle joint in lateral movements in floorball (uni-hockey)].

Improvements of the shoe design to increase ankle stability have been discussed for a number of years. This accounts also for floorball where the incidence of ankle injuries is very high. The purpose of the present study was to describe the influence of the shoe upper on a typical floorball sideward cutting movement. A film analysis was conducted (200 Hz) where the achilles tendon angle beta was measured on the shoe as well as within the shoe. Subjects were twelve active floorball players who performed a defined sideward cutting movement with a low-cut and high-cut shoe as well as in the barefoot condition. The results of part 1 of the study showed the stabilizing effect of the shoe upper with respect to supination. The range of supination of the barefoot inside the shoe (between touchdown and maximum) of the low-cut shoe (23.7 degrees +/- 5.7 degrees) was decreased when using the high-cut shoe (12.3 degrees +/- 4.6 degrees). In addition, a reduced shoe sole thickness and an anisotropic shoe sole design showed reducing effects on supination. Part 2 of the study showed significant differences in supination between two different touchdown techniques. With a forefoot touchdown supination was much less (12.0 degrees +/- 4.8 degrees) than with a touchdown in the neutral position (31.7 degrees +/- 4.2 degrees; p < 0.001). Furthermore, possibilities to improve the design of future floorball shoes are discussed.

Adult↗
PubMed1998

Effect of shoe color on shoe temperature and potential solar injury to the insensate foot.

The authors compared shoes of different colors in terms of the amount by which their temperature increased when subjected to radiant heat. Three trials of temperature measurements were performed for white and black leather walking shoes. A balloon filled with water was placed in the shoe and the surface temperature of the balloon was measured at baseline and after the shoe had been exposed to an infrared heat lamp for 15- and 30-minute periods. The results were significant: The mean increase in temperature after 15 minutes of exposure was between 4.0 degrees F and 8.8 degrees F greater in the black shoe than in the white shoe. After 30 minutes of exposure, the mean increase in temperature was between 7.8 degrees F and 13.6 degrees F greater in the black shoe than in the white shoe. This information can help prevent thermal injury to the insensate foot when shoes are worn in the sun for a prolonged period. Brief case reports of three patients who experienced such thermal injury are presented.

Aged↗
PubMed2005

[Evidence of control and prevention of surgical site infection by shoe covers and private shoes: a systematic literature review].

The study is about shoe cover and private shoe usage and aimed to find scientific evidence on their direct relation in the control of surgical site contamination and/or infection transmitted by floor microorganisms. A systematic review of basic research on shoe covers and private shoes usage was carried out, covering the period from 1950 to 2003, by means of a search in electronic sources, bibliographies of relevant studies and proceedings of scientific events. The analysis was supported by two researchers, both of whom were experienced in this theme and one of them in research methodology. The research methods revealed a diverse range and various problems. Only 4 studies obtained a dispersion of floor microorganisms to the air environment, although not significant, and none of them was directly related to surgical site contamination and/or infection. Results do not suggest direct evidence on their efficacy but there is evidence, nonetheless, that barrier and microorganisms transfer from one specific area to another depend on the type of shoe cover, with lower transfer rates when private shoes and shoe covers are employed. Occupational contamination risk during shoe cover attire and removal is also evident and the decision about continuity of their usage needs to be technically and administratively controlled.

Humans↗
PubMed2004

Shoe rim and shoe buckle pseudotumor of the ankle in elite and professional figure skaters and snowboarders: MR imaging findings.

OBJECTIVE: To review MR imaging of figure skaters and snowboarders presenting with painful soft-tissue swelling of the lateral supramalleolar region with a clinical provisional diagnosis of soft-tissue tumor. DESIGN AND PATIENTS: MR imaging was prospectively reviewed by two sub-specialized musculoskeletal radiologists. The findings were correlated with a second clinical review and examination of the shoe wear. The patients were four female athletes undergoing heavy training regimes, ranging in age between 16 and 25 years. Two patients were elite figure skaters, and two were professional snowboarders. Three patients had unilateral masses with pain, and one patient presented with bilateral clinical findings. RESULTS: MR imaging showed subcutaneous, focal soft-tissue masses of the supramalleolar region in five ankles at the same level above the ankle joint. MR imaging prompted a second clinical review and correlation with the shoe wear. The MR imaging findings correlated to the level of the shoe rim or shoe buckle in all patients, confirming the suspected MR imaging diagnosis of an impingement syndrome. All four sportswomen were training excessively, ignoring safety advice regarding training duration, timing of breaks, and shoe wear rotation. CONCLUSION: Ice skaters and snowboarders may present with persistent and disabling pain. On MR imaging, this corresponds to a focal soft-tissue abnormality, which may be due to subcutaneous fat impingement between the fibula and the shoe rim or shoe buckle.

Adolescent↗
PubMedDate not supplied

Effect of shoe modifications on center of pressure and in-shoe plantar pressures.

This study was conducted to determine the effect of footwear modification on patients with neuromusculoskeletal disorders. Two analyses, the center of pressure and the in-shoe plantar pressures, were studied with the help of healthy volunteers so that the effect of shoe modifications could be assessed. The ground force under the sole of the shoe was measured while the subjects were walking, and the plantar pressure at the foot-insole interface and its distribution were measured while the subjects were in both the standing and walking positions, wearing the trial shoes. The trial shoes had three different types of heels-standard heel, Thomas heel, and reverse Thomas heel-and had three different locations for the rocker bar--just under the metatarsophalangeal joint, 1 cm behind the metatarsophalangeal joint, and 1 cm before the metatarsophalangeal joint. The shift change at the center of pressure showed that the Thomas heel generally pushed the center of pressure more laterally and the reverse Thomas heel shifted it medially more than the standard heel did. While the subjects were in a stable standing position wearing the Thomas heel shoes, the medial forefoot and the lateral heel region's pressure showed significant reduction in the plantar pressure and the lateral forefoot and the medial heel showed a tendency to rise, compared with the standard heel condition. When the trial shoes' heels were changed to the reverse Thomas heel, the above changes tended to reverse. Tests at the foot-insole interface showed that the different types of heels and the location of the bar could change not only the pressure distribution but also the duration of the plantar pressure under the lateral area that shifted to the medial area when the subjects walked. This pressure measurement method was very useful for the design and evaluation of such footwear.

Adult↗
PubMed1995

A comparison of trial shoe and shell shoe fitting techniques.

In Europe, bespoke orthopaedic shoes are usually sent for a trial fitting in order to check the fit and indicate any modifications required before final finishing. The use of shell shoes at the fit assessment stage, rather than the traditional alternative of partially or fully finished shoes, can offer service advantages, and is widely used for example in the Netherlands. However the comparability of shell fit assessment with the traditional method of trial shoe fit assessment has not been evaluated, either to assess its sensitivity or to elucidate any difference in assessment technique required of the orthotist. In this work, the results of fit assessments by both methods are compared. The trial involved a group of normal subjects wearing high street shoes of styles similar to those used for orthopaedic footwear. The results indicate that the shell fit assessments were in the main comparable to those for trial shoe fit. The only consistent area of deviation noted, in the heel at the topline, is attributable to a construction factor in shoe making. Apart from this area, the orthotist need not adjust his technique to make use of the shell method.

Anthropometry↗
PubMed1992

A prospective study of the effect of the appropriateness of foot-shoe fit and training shoe type on the incidence of overuse injuries among infantry recruits.

In a prospective study of the effect of the appropriateness of foot-shoe fit and training shoe type on the incidence of overuse injuries among infantry recruits, it was found that three shoe widths for each shoe length size were necessary to adequately accommodate the recruit population's foot anatomy. Recruits compensated for the lack of available shoe widths by choosing larger shoe sizes. However, this compensation did not result in an increase in the incidence of overuse injuries. Recruits who trained in basketball shoes had a lower incidence of overuse injuries of the feet than recruits who trained in infantry boots (p = 0.0001), but the overall incidence of overuse injuries was the same in both groups.

Cumulative Trauma Disorders↗
PubMed1983

An assessment of subject variability, subject-shoe interaction, and the evaluation of running shoes using ground reaction force data.

Several aspects of dynamic foot function were investigated using ground reaction forces obtained from five runners performing in five different shoes. A minimum of eight trials were necessary in order to obtain stable subject-condition values. Statistically significant subject-shoe interactions occurred for all parameters. It was therefore concluded that a knowledge of shoe characteristics independent of subject characteristics provided little useful information regarding the effects of the shoes tested on selected foot mechanics of the runners. The various subject-conditions were evaluated in an attempt to determine which was the best shoe. Selected descriptive data are presented and the 'best' shoe concept discussed.

Biomechanical Phenomena↗
PubMed2006

[Grading of the functional sport shoe parameter "cushioning" and "forefoot flexibility" on running shoes].

On nearly every running event a heterogeneous structure of participants regarding body height and body weight can be observed. This study should figure out whether the running shoe manufacturers will consider this anthropometric variability. Moreover it should be investigated the runners needs based on different anthropometrics regarding preferred cushioning and forefoot flexibility properties. In order to check whether the running shoe manufacturers will apply a grading pattern, a dynamic material study with conventional running shoes in different sizes was conducted. In a second step a field study in Middle Europe and North America with 244 female and 227 male runners was organized. Every subject had to run and evaluate 7 different shoe modifications. Based on the material study it is to state, that the running shoe manufacturers currently do not consider a systematic grading of cushioning and forefoot flexibility properties. In contrast to this, the field study reveals the necessity to grade these properties. A shoe size dependent and a geographic grading concept are suggested. It is supposed, that the application of these grading concepts do not only provide a comfort improvement, but they also contribute to a reduction of joint loads of the lower extremities and consequently to a prevention of overuse injuries.

Adult↗
PubMed1988

[Quo vadis, children's shoe industry and children's shoe specialty retailers? In memory of Karl Benscheidt].

The German children's shoe industry is shrinking. Some manufacturers are trying to hold their own, concentrating on medically recommended children's shoes in standard sizes and in the three widths W, M, and S. The shoe retailers who stock these shoes and offer satisfactory services for children's shoes are listed in a register kept by the German Shoe Institute in Frankfurt.

Child↗
PubMedDate not supplied

Do US veterans wear appropriately sized shoes?: the Veterans Affairs shoe size selection study.

Poorly fitting footwear has frequently been cited as an etiologic factor in the pathway to diabetic foot ulceration. However, we are unaware of any reports in the medical literature specifically measuring shoe size versus foot size in this high-risk population. We assessed the prevalence of poorly fitting footwear in individuals with and without diabetic foot ulceration. We evaluated the shoe size of 440 consecutive patients (94.1% male; mean +/- SD age, 67.2 +/- 12.5 years) presenting to an interdisciplinary teaching clinic. Of this population, 58.4% were diagnosed as having diabetes, and 6.8% had active diabetic foot ulceration. Only 25.5% of the patients were wearing appropriately sized shoes. Individuals with diabetic foot ulceration were 5.1 times more likely to have poorly fitting shoes than those without a wound (93.3% versus 73.2%; odds ratio [OR], 5.1; 95% confidence interval [CI], 1.2-21.9; P = .02). This association was also evident when assessing only the 32.3% of the total population with diabetes and loss of protective sensation (93.3% versus 75.0%; OR, 4.8; 95% CI, 1.1-20.9; P = .04). Poorly fitting shoes seem to be more prevalent in people with diabetic foot wounds than in those without wounds with or without peripheral neuropathy. This implies that appropriate meticulous screening for shoe-foot mismatches may be useful in reducing the risk of lower-extremity ulceration.

Aged↗
PubMed1989

[Torsion --a new concept in construction of sports shoes. Motion excursion of the foot in athletic stress--anatomical and biomechanical observations and their effects on construction of sports shoes].

In recent years several construction elements resulted in an increasing stiffening of the sport shoe so that the foot was partly forced to make its own movements inside the shoe. A new sport shoe concept is presented basing on the results of anatomic and biomechanical studies, its innovative feature being decoupling of the foot movement between the calcaneal part of the foot and the metatarsus (= torsion). The foot is given an opportunity to transmit its freedom of movement in the longitudinal axis of the foot to the shoe without the shoe acting as a lever, this goal being achieved by a limited liberation of the metatarsal pronation/supination and a controlled uncoupling of the metatarsus from the calcaneal part of the foot.

Ankle Joint↗
PubMed2005

Development of a novel type of shoe to improve the efficiency of knee-ankle-foot orthoses with a medial single hip joint (Primewalk orthoses): a novel type of shoe for Primewalk orthosis.

The purpose of the study was to develop and evaluate a new heel cushion in shoes for use with knee-ankle-foot orthoses having a medial single hip joint (Primewalk orthoses) in order to improve walking velocity and efficiency. Primewalk orthoses and shoes were made for a 24-year-old man having paraplegia with flaccid paresis (level T-7; grade A, ASIA impairment scale) of 2 years' duration. Walking exercises were assigned. Shoes were modified with the sole made of hard rubber and the addition of soft rubber heel cushions. The walking speed, centre of foot pressure during walking, and ground reaction force were evaluated. The patient also subjectively assessed the devices. The modifications to the shoes resulted in a 1.94-fold increase in walking speed (8.6 to 16.7 m/min), a 1.87-fold increase in step length (16.7 to 31.3 cm) and a 54.8% decrease in the physiological cost index (7.7 to 3.48 beats/min). The centre of foot pressure during walking was found to deviate towards the lateral margin of the foot. The horizontal rotation of the pelvis increased simultaneously. The patient reported increased amplitude of flail motion of the trunk and decreased burden to the upper limbs. It was concluded that the modified new heel cushion of the shoe provided freedom to the lower legs and thereby increased walking efficiency.

Adult↗
PubMed1990

Shoes for the insensitive foot: the effect of a "rocker bottom" shoe modification on plantar pressure distribution.

The purpose of this study was to examine the effects on plantar pressure of the rocker bottom shoe, which is a frequently used intervention for the ulcerated diabetic foot. In-shoe pressure distribution was recorded during walking in a conventional extra-depth shoe which was then modified into a rocker bottom configuration with a 24 degrees rocker, and the experiment was repeated. Peak pressures in the rocker shoe were reduce by approximately 30% compared to the conventional shoe in the medial and central forefoot and in the toe regions, but pressures were elevated in the heel, the midfoot, and in the lateral forefoot regions. These experiments suggest that a correctly designed rocker bottom show may reduce the risk of ulceration in certain areas of the foot. However, since pressures in some regions can also be elevated by this type of footwear, attention to individual design is critical.

Adult↗
PubMed1990

The ballet technique shoe: a preliminary study of eleven differently modified ballet technique shoes using force and pressure plates.

Ballet dancers are vulnerable to various stress-related injuries; foot and ankle injuries are the most common. This study determined if the pressure across the foot could be more evenly distributed by wearing various modified technique shoes padded with PPT, Spenco, or Sorbathane, alone or in combinations. A professional ballet dancer performed a jump by taking a single step on his left foot, jumping and landing with his right foot on the force and pressure plates with each modified shoe plus one unmodified shoe. The results of this study revealed: (1) total force cannot be reduced, (2) center of gravity and the majority of the pressure is maintained over the first and second metatarsal heads, and (3) the modified technique shoe can more evenly distribute pressure to the medial arch and away from the toes, metatarsal heads, and heel.

Athletic Injuries↗