Too much pressure for the holidays? Take a look at that midsole of yours…
In the vein of last weeks post on plantar pressures, we find that midsoles DO DECREASE plantar pressures, especially across the midfoot (30% less pressure in this study), again dependent on foot type (In this study, low vs high arched individuals). They also INCREASE plantar contact area. Contact area can be useful for helping to influence biomechanics of different foot types (often more contact area = more force attenuation)
We also saw that they increase pressures LATERALLY (see our post here).
Bottom line? You need to look at foot type and remember that “shoes are medicine”. Watch what you are prescribing and think about what you are trying to accomplish. There is no substitute for good biomechanics.
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US Army-Baylor University Doctoral Program in Physical Therapy, Ft Sam Houston, TX 78234-6138, USA. Joseph.Molloy@amedd.army.milAbstract BACKGROUND:
Research addressing the effect of running shoe type on the low- or high-arched foot during gait is limited. We sought 1) to analyze mean plantar pressure and mean contact area differences between low- and high-arched feet across three test conditions, 2) to determine which regions of the foot (rearfoot, midfoot, and forefoot) contributed to potential differences in mean plantar pressure and mean contact area, and 3) to determine the association between the static arch height index and the dynamic modified arch index.METHODS:
Plantar pressure distributions for 75 participants (40 low arched and 35 high arched) were analyzed across three conditions (nonshod, motion control running shoes, and cushioning running shoes) during treadmill walking.RESULTS:
In the motion control and cushioning shoe conditions, mean plantar contact area increased in the midfoot (28% for low arched and 68% for high arched), whereas mean plantar pressure decreased by approximately 30% relative to the nonshod condition. There was moderate to good negative correlation between the arch height index and the modified arch index.CONCLUSIONS:
Cushioning and motion control running shoes tend to increase midfoot mean plantar contact area while decreasing mean plantar pressure across the low- or high-arched foot.
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