Flat-flexible shoes with unique characteristics, such as low pitch and flexibility, can increase the efficiency of ankle energy and running performance. If flat-flexible shoes have the same effect during walking, they could be used for gait training. This study aimed to investigate the effects of flat-flexible shoes on the kinematics and kinetics of the lower limb. Twenty-one healthy young adults (21.8 ± 4.6 years) participated in this study. The participants wore flat-flexible and standard athletic shoes with reflective markers attached according to the Plug-in-Gait model. Walking motion was recorded using infrared cameras and a treadmill embedded with force plates. The angle(s), moment(s), and power(s) of the ankle, knee, and hip joints were calculated. Paired t-test and Wilcoxon's signed-rank test were used to compare the parameters between the two footwear types. The use of flat-flexible shoes increased maximum ankle dorsiflexion and knee flexion angles. The maximum ankle plantar flexion angle was significantly reduced. There was no significant difference in the joint moment between the two footwear types. The peaks of ankle power absorption in late stance, ankle power generation, and hip power generation significantly increased with the use of flat-flexible shoes. These results suggest that flat-flexible shoes have potential as a tool to promote ankle energy storage and release during gait.
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http://dx.doi.org/10.1016/j.jbiomech.2022.111216 | DOI Listing |
Rheumatol Adv Pract
October 2024
Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium.
Objective: This randomized controlled trial (RCT) investigated whether adding daily use of flat flexible footwear (FFF) to a strengthening and aerobic exercise program improved short- and longer-term outcomes compared with adding stable supportive shoes (SSS) in people with medial tibiofemoral OA.
Methods: Participants ( = 97) with medial tibiofemoral OA were randomly assigned (1:1) to the FFF ( = 50) or SSS ( = 47) group. Participants in both groups received a 9-month intervention (3 months supervised followed by 6 months unsupervised exercise).
BMJ Open Sport Exerc Med
November 2023
Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Waurn Ponds, Victoria, Australia.
Objectives: To determine the feasibility of conducting a large-scale randomised controlled trial on the efficacy of flat, flexible school footwear versus traditional school footwear in adolescents (aged 12-18 years) with patellofemoral pain (PFP).
Methods: Adolescents with PFP were recruited for this study. Participants were randomised to wear either a (1) flat, flexible school shoe or (2) a traditional school shoe.
Med Sci Sports Exerc
April 2024
Centre for Sport Research, Deakin University, Waurn Ponds Victoria, AUSTRALIA.
Introduction: Treatment options for adolescent patellofemoral pain (PFP) are limited. School footwear might be a suitable intervention to modulate patellofemoral joint (PFJ) loads in adolescents with PFP. This study examined the immediate effects of a flat, flexible school shoe compared with a traditional school shoe on knee joint kinematics and kinetics, and PFJ reaction force during walking and running in adolescents with PFP.
View Article and Find Full Text PDFBMC Musculoskelet Disord
February 2023
Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, Faculty of Medicine Dentistry & Health Sciences, The University of Melbourne, Melbourne, Australia.
Background: Chronic hip pain is common and disabling and is largely due to osteoarthritis (OA). Self-management is recommended by international OA clinical guidelines yet there are few effective treatment options. Footwear has been suggested as a self-management approach, given that foot motion influences hip forces.
View Article and Find Full Text PDFJ Biomech
August 2022
Department of Health and Social Services, Graduate School of Saitama Prefectural University, 820 Sannomiya, Koshigaya, Saitama, Japan; Department of Rehabilitation, Soka Orthopedics Internal Medicine, 1-1-18 Chuo, Soka, Saitama, Japan. Electronic address:
Flat-flexible shoes with unique characteristics, such as low pitch and flexibility, can increase the efficiency of ankle energy and running performance. If flat-flexible shoes have the same effect during walking, they could be used for gait training. This study aimed to investigate the effects of flat-flexible shoes on the kinematics and kinetics of the lower limb.
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