Regional foot pressure during running, cutting, jumping, and landing

Orendurff, Michael S.; Rohr, Eric S.; Segal, Ava D.; Medley, Jonathan W.; Green, III, John R.; Kadel, Nancy J.

Abstract and keywords

Background: Evaluating shoes during sport-related movements may provide a better assessment of plantar loads associated with repetitive injury and provide more specific data for comparing shoe cushioning characteristics.

Hypothesis: Accelerating, cutting, and jumping pressures will be higher than in straight running, differentiating regional shoe cushioning performance in sport-specific movements.

Study Design: Controlled laboratory study.

Materials and Methods: Peak pressures on seven anatomic regions of the foot were assessed in 10 male college athletes during running straight ahead, accelerating, cutting left, cutting right, jump take-off, and jump landing wearing Speed TD and Air Pro Turf Low shoes (Nike, Beaverton, Ore). Pedar insoles (Novel, Munich, Germany) were sampled at 99 Hz during the 6 movements.

Results: Cutting and jumping movements demonstrated more than double the pressure at the heel compared with running straight, regardless of shoe type. The Air Pro Turf showed overall lower pressure for all movement types (P<.0377). Cutting to the left, the Air Pro Turf shoe had lower heel pressures (36.6 ± 12.5 N/cm²) than the Speed TD (50.3 ± 11.2 N/cm²) (P<.0001), and the Air Pro Turf had lower great toe pressures than the Speed TD (44.8 ± 8.1 N/cm² vs 54.4 ± 8.4 N/cm²; P= .0002). The Air Pro Turf also had significantly lower pressures than the Speed TD at the central forefoot during acceleration (38.2 ± 8.3 N/cm² vs 50.8 ± 7.4 N/cm²; P<.0001).

Conclusion: Sport-related movements load the plantar surface of the foot more than running straight. Shoe cushioning characteristics were more robustly assessed during sport-related movements (4 significant results detected) compared with running straight (1 significant result detected).

Clinical Relevance: There is an interaction between shoe cushioning characteristics and sport-related movements that may influence plantar pressure and repetitive stress injuries.

Keywords: sports; shoes; performance; injury prevention; design

Links

DOI: 10.1177/0363546507309315

PubMed: 17989168

WoS: 000253374000018

Cited Works (4)

Year	Entry
1996	Stacoff A, Steger J, Stüssi E, Reinschmidt C. Lateral stability in sideward cutting movements. Med Sci Sports Exer. 1996;28(3):350-358.
1999	Hockenbury RT. Forefoot problems in athletes. Med Sci Sports Exer. July 1999;31(suppl 7):S448-S458.
2007	Dierks TA, Davis I. Discrete and continuous joint coupling relationships in uninjured recreational runners. Clin Biomech (Bristol, Avon). June 2007;22(5):275-280.
2006	Ford KR, Manson NA, Evans BJ, Myer GD, Gwin RC, Heidt RS Jr., Hewett TE. Comparison of in-shoe foot loading patterns on natural grass and synthetic turf. J Sci Med Sport. December 2006;9(6):433-440.

Cited By (13)

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2010	Fischer WR. Using the Continuous Wavelet Transform to Characterize Differences Between Impact Signals from Non-Cleated and Cleated Turf Shoes [Master's thesis]. Boise, ID: Boise State University; 2010.
2014	Garras DN, Anderson RB. Turf toe. In: Philbin TM, ed. Sports Injuries of the Foot: Evolving Diagnosis and Treatment. New York, NY: Springer; 2014:23-33.
2015	Salzar RS, Lievers WB, Bailey AM, Crandall JR. Leg, foot, and ankle injury biomechanics. In: Yoganandan N, Nahum AM, Melvin JW, eds. Accidental Injury: Biomechanics and Prevention. 3rd ed. New York: Springer; 2015:499-547.
2016	Walcher MG, du Sart R. Biomechanical principles of foot and ankle. In: Valderrabano V, Easley M, eds. Foot and Ankle Sports Orthopaedics. Cham, Switzerland: Springer International Publishing; 2016:25-34.
2012	Frimenko RE, Lievers WB, Coughlin MJ, Anderson RB, Crandall JR, Kent RW. Etiology and biomechanics of first metatarsophalangeal joint sprains (turf toe) in athletes. Crit Rev Biomed Eng. 2012;40(1):43-61.
2012	Carson DW, Myer GD, Hewett TE, Heidt RS Jr, Ford KR. Increased plantar force and impulse in American football players with high arch compared to normal arch. Foot. December 2012;22(4):310-314.
2014	George E, Harris AHS, Dragoo JL, Hunt KJ. Incidence and risk factors for turf toe injuries in intercollegiate football: data from the National Collegiate Athletic Association injury surveillance system. Foot Ankle Int. February 2014;35(2):108-115.
2011	Pearce CJ, Brooks JHM, Kemp SPT, Calder JDF. The epidemiology of foot injuries in professional rugby union players. Foot Ankle Surg. September 2011;17(3):113-118.
2018	Taylor JB, Nguyen A-D, Griffin JR, Ford KR. Effects of turf and cleat footwear on plantar load distributions in adolescent American football players during resisted pushing. Sports Biomech. 2018;17(2):227-237.
2012	Burge AJ, Gold SL, Potter HG. Imaging of sports-related midfoot and forefoot injuries. Sports Health. November–December 2012;4(6):518-534.
2013	Frimenko RE. Injury Mechanism and Threshold of Acute First Metatarsophalangeal Joint Sprains [Master's thesis]. Charlottesville, VA: University of Virginia; May 2013.
2019	Renner KE. Assessing Limb Symmetry Using the Clinically Accessible Loadsol® [PhD thesis]. Virginia Polytechnic Institute and State University; March 13, 2019.
2020	Peebles AT. Development and Validation of Clinically Feasible Methods to Assess Landing Mechanics in Patients Following Anterior Cruciate Ligament Reconstruction [PhD thesis]. Virginia Polytechnic Institute and State University; May 1, 2020.