• John D Willson, Jordan S Bjorhus, D S Blaise Williams, Robert J Butler, John P Porcari, and Thomas W Kernozek.
• Department of Physical Therapy, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834(∗). Electronic address: willsonj@ecu.edu.
• PM R. 2014 Jan 1; 6 (1): 34-43; quiz 43.

BackgroundMinimalistic footwear has garnered widespread interest in the running community, based largely on the premise that the footwear may reduce certain running-related injury risk factors through adaptations in running mechanics and foot strike pattern.ObjectiveTo examine short-term adaptations in running mechanics among runners who typically run in conventional cushioned heel running shoes as they transition to minimalistic footwear.DesignA 2-week, prospective, observational study.SettingA movement science laboratory.ParticipantsNineteen female runners with a rear foot strike (RFS) pattern who usually train in conventional running shoes.MethodsThe participants trained for 20 minutes, 3 times per week for 2 weeks by using minimalistic footwear. Three-dimensional lower extremity running mechanics were analyzed before and after this 2-week period.Main Outcome MeasurementsHip, knee, and ankle joint kinematics at initial contact; step length; stance time; peak ankle joint moment and joint work; impact peak; vertical ground reaction force loading rate; and foot strike pattern preference were evaluated before and after the intervention.ResultsThe knee flexion angle at initial contact increased 3.8° (P < .01), but the ankle and hip flexion angles at initial contact did not change after training. No changes in ankle joint kinetics or running temporospatial parameters were observed. The majority of participants (71%), before the intervention, demonstrated an RFS pattern while running in minimalistic footwear. The proportion of runners with an RFS pattern did not decrease after 2 weeks (P = .25). Those runners who chose an RFS pattern in minimalistic shoes experienced a vertical loading rate that was 3 times greater than those who chose to run with a non-RFS pattern.ConclusionFew systematic changes in running mechanics were observed among participants after 2 weeks of training in minimalistic footwear. The majority of the participants continued to use an RFS pattern after training in minimalistic footwear, and these participants experienced higher vertical loading rates. Continued exposure to these greater loading rates may have detrimental effects over time.Copyright © 2014 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

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