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Erschienen in: Sports Medicine 12/2013

01.12.2013 | Systematic Review

The Biomechanical Differences Between Barefoot and Shod Distance Running: A Systematic Review and Preliminary Meta-Analysis

verfasst von: Jonathan P. L. Hall, Christian Barton, Paul Remy Jones, Dylan Morrissey

Erschienen in: Sports Medicine | Ausgabe 12/2013

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Abstract

Background

Distance running continues to experience increased participation in the Western world, although it is associated with high injury rates. Barefoot running has been increasingly proposed as a means to prevent overuse injury due to various biomechanical differences, including reduced joint loading rates and altered kinematics and muscle activity patterns compared to shod running.

Objective

The aim of this review was to systematically evaluate biomechanical differences between running barefoot and shod, including the quality of available evidence, in order to provide guidance on the phenomenon of barefoot running to the running and sports medicine communities.

Data sources

A comprehensive search of MEDLINE, Web of Knowledge and EMBASE from inception to January 2013 was performed.

Study selection

Trials evaluating injury-free recreational or competitive adults who participate in long-distance running (≥5 km), where a comparison of barefoot and shod running lower-limb kinetics, kinematics and/or electromyography were included. Studies examining sprinting and studies of single-subject design were excluded.

Study appraisal and synthesis methods

Following initial searching, two reviewers identified a shortlist of relevant studies based on title and abstract, with the full text of these studies being tested against the inclusion criteria. References of included studies were examined and citation tracking was performed in Web of Knowledge. Two independent reviewers evaluated the methodological quality of each included study using a modified version of the Downs and Black quality index. Results of the quality assessment were used to identify high- and low-quality studies, data pooling was completed where possible and levels of evidence were determined based on the van Tulder criteria.

Results

Eighteen studies were identified, all of low methodological quality. Effect size (ES) calculation was possible for 12 studies. Pooled results indicate moderate evidence that barefoot running is associated with reduced peak ground reaction force (GRF), increased foot and ankle plantarflexion and increased knee flexion at ground contact compared with running in a neutral shoe. Limited evidence indicates barefoot running is associated with reduced impact GRF, reduced peak knee flexion and varus joint moments, and a higher stride frequency compared to a neutral shoe. Very limited to limited evidence also indicates power absorption at the knee is decreased while being increased at the ankle whilst barefoot running. Additionally, the effects of barefoot running on loading rate appear dependent on strike pattern adopted, with a forefoot strike pattern found to reduce loading rate, whilst a rearfoot strike pattern increases loading rate when running barefoot compared to shod.

Limitations

Key methodological weaknesses that must be addressed in future research were identified. Of particular note were absence of investigator blinding, infrequent intervention randomisation, small sample sizes and lack of evaluation following habituation. Two studies could not be retrieved because of publication in a non-English-language journal. Of particular note is that the validity of the body of work is compromised by the lack of evaluation after habituation, or re-training, of previously shod rearfoot-striking runners to barefoot forefoot-striking running styles.

Conclusions

There has been a great deal of publicity for barefoot running, and many claims made about its effects and risks. Despite a large amount of biomechanical data available for meta-analysis, clear guidance for clinical practice is limited because of the low methodological quality of the associated studies. Preliminary biomechanical differences identified suggest barefoot running may be associated with positive biomechanical changes in regards to injury prevention, although this may be dependent on strike pattern adopted. Further research employing more robust methodology, which addresses weaknesses highlighted in this review, is needed to confirm current preliminary evidence. Additionally, prospective research would have higher validity were the biomechanical effects of habituating to barefoot running fully examined alongside an evaluation of prevention of repetitive use injury.
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Literatur
1.
Zurück zum Zitat Sporting Goods Manufacturers Association. Sports, Fitness and Recreational Activities Topline Participation Report; 2011. Sporting Goods Manufacturers Association. Sports, Fitness and Recreational Activities Topline Participation Report; 2011.
4.
Zurück zum Zitat van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SMA, Koes BW, et al. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007;41(8):469–80.CrossRefPubMed van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SMA, Koes BW, et al. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007;41(8):469–80.CrossRefPubMed
5.
6.
Zurück zum Zitat Hreljac A, Marshall RN, Hume PA. Evaluation of lower extremity overuse injury potential in runners. Med Sci Sports Exerc. 2000;32(9):1635–41.CrossRefPubMed Hreljac A, Marshall RN, Hume PA. Evaluation of lower extremity overuse injury potential in runners. Med Sci Sports Exerc. 2000;32(9):1635–41.CrossRefPubMed
7.
Zurück zum Zitat Zadpoor AA, Nikooyan AA. The relationship between lower-extremity stress fractures and the ground reaction force: a systematic review. Clin Biomech (Bristol, Avon). 2011;26(1):23–8. Zadpoor AA, Nikooyan AA. The relationship between lower-extremity stress fractures and the ground reaction force: a systematic review. Clin Biomech (Bristol, Avon). 2011;26(1):23–8.
8.
Zurück zum Zitat Pohl MB, Hamill J, Davis IS. Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners. Clin J Sport Med. 2009;19(5):372–6.CrossRefPubMed Pohl MB, Hamill J, Davis IS. Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners. Clin J Sport Med. 2009;19(5):372–6.CrossRefPubMed
9.
Zurück zum Zitat Nigg BM, Wakeling JM. Impact forces and muscle tuning: a new paradigm. Exerc Sport Sci Rev. 2001;29(1):37–41.CrossRefPubMed Nigg BM, Wakeling JM. Impact forces and muscle tuning: a new paradigm. Exerc Sport Sci Rev. 2001;29(1):37–41.CrossRefPubMed
10.
Zurück zum Zitat Chuter VH, Janse de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait Posture. 2012;36(1):7–15.CrossRefPubMed Chuter VH, Janse de Jonge XA. Proximal and distal contributions to lower extremity injury: a review of the literature. Gait Posture. 2012;36(1):7–15.CrossRefPubMed
11.
Zurück zum Zitat Williams DS, McClay IS, Manal KT. Lower extremity mechanics in runners with a converted forefoot strike pattern. J Appl Biomech. 2000;16(2):210–8. Williams DS, McClay IS, Manal KT. Lower extremity mechanics in runners with a converted forefoot strike pattern. J Appl Biomech. 2000;16(2):210–8.
12.
Zurück zum Zitat Laughton CA, Davis IM, Hamill J. Effect of strike pattern and orthotic intervention on tibial shock during running. J Appl Biomech. 2003;19(2):153–68. Laughton CA, Davis IM, Hamill J. Effect of strike pattern and orthotic intervention on tibial shock during running. J Appl Biomech. 2003;19(2):153–68.
13.
Zurück zum Zitat Lieberman DE, Venkadesan M, Werbel WA, Daoud AI, D’Andrea S, Davis IS, et al. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature. 2010;463(7280):531–5.CrossRefPubMed Lieberman DE, Venkadesan M, Werbel WA, Daoud AI, D’Andrea S, Davis IS, et al. Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature. 2010;463(7280):531–5.CrossRefPubMed
14.
Zurück zum Zitat Daoud AI, Geissler GJ, Wang F, Saretsky J, Daoud YA, Lieberman DE. Foot strike and injury rates in endurance runners: a retrospective study. Med Sci Sports Exerc. 2012;44(7):1325–34.CrossRefPubMed Daoud AI, Geissler GJ, Wang F, Saretsky J, Daoud YA, Lieberman DE. Foot strike and injury rates in endurance runners: a retrospective study. Med Sci Sports Exerc. 2012;44(7):1325–34.CrossRefPubMed
15.
Zurück zum Zitat Diebal AR, Gregory R, Alitz C, Gerber JP. Forefoot running improves pain and disability associated with chronic exertional compartment syndrome. Am J Sports Med. 2012;40:1060–7.CrossRefPubMed Diebal AR, Gregory R, Alitz C, Gerber JP. Forefoot running improves pain and disability associated with chronic exertional compartment syndrome. Am J Sports Med. 2012;40:1060–7.CrossRefPubMed
16.
Zurück zum Zitat von Tscharner V, Goepfert B, Nigg BM. Changes in EMG signals for the muscle tibialis anterior while running barefoot or with shoes resolved by non-linearly scaled wavelets. J Biomech. 2003;36(8):1169–76.CrossRef von Tscharner V, Goepfert B, Nigg BM. Changes in EMG signals for the muscle tibialis anterior while running barefoot or with shoes resolved by non-linearly scaled wavelets. J Biomech. 2003;36(8):1169–76.CrossRef
18.
Zurück zum Zitat Lieberman DE. What we can learn about running from barefoot running: an evolutionary medical perspective. Exerc Sport Sci Rev. 2012;40(2):63–72.CrossRefPubMed Lieberman DE. What we can learn about running from barefoot running: an evolutionary medical perspective. Exerc Sport Sci Rev. 2012;40(2):63–72.CrossRefPubMed
19.
Zurück zum Zitat Richards CE, Magin PJ, Callister R. Is your prescription of distance running shoes evidence-based? Br J Sports Med. 2009;43(3):159–62.CrossRefPubMed Richards CE, Magin PJ, Callister R. Is your prescription of distance running shoes evidence-based? Br J Sports Med. 2009;43(3):159–62.CrossRefPubMed
20.
Zurück zum Zitat Squadrone R, Gallozzi C. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J Sports Med Phys Fitness. 2009;49(1):6–13.PubMed Squadrone R, Gallozzi C. Biomechanical and physiological comparison of barefoot and two shod conditions in experienced barefoot runners. J Sports Med Phys Fitness. 2009;49(1):6–13.PubMed
21.
Zurück zum Zitat Bishop M, Fiolkowski P, Conrad B, Brunt D, Horodyski M. Athletic footwear, leg stiffness, and running kinematics. J Athl Train. 2006;41(4):387–92.PubMed Bishop M, Fiolkowski P, Conrad B, Brunt D, Horodyski M. Athletic footwear, leg stiffness, and running kinematics. J Athl Train. 2006;41(4):387–92.PubMed
22.
Zurück zum Zitat Hatala KG, Dingwall HL, Wunderlich RE, Richmond BG. Variation in foot strike patterns during running among habitually barefoot populations. PLos ONE. 2013;8:1.CrossRef Hatala KG, Dingwall HL, Wunderlich RE, Richmond BG. Variation in foot strike patterns during running among habitually barefoot populations. PLos ONE. 2013;8:1.CrossRef
23.
Zurück zum Zitat Jenkins DW, Cauthon DJ. Barefoot running claims and controversies a review of the literature. J Am Podiatr Med Assoc. 2011;101(3):231–46.PubMed Jenkins DW, Cauthon DJ. Barefoot running claims and controversies a review of the literature. J Am Podiatr Med Assoc. 2011;101(3):231–46.PubMed
24.
Zurück zum Zitat Rothschild C. Running barefoot or in minimalist shoes: evidence or conjecture? J Strength Cond Res. 2012;34(2). Rothschild C. Running barefoot or in minimalist shoes: evidence or conjecture? J Strength Cond Res. 2012;34(2).
25.
Zurück zum Zitat Rixe JA, Gallo RA, Silvis ML. The barefoot debate: can minimalist shoes reduce running-related injuries? Curr Sports Med Rep. 2012;11(3). Rixe JA, Gallo RA, Silvis ML. The barefoot debate: can minimalist shoes reduce running-related injuries? Curr Sports Med Rep. 2012;11(3).
26.
Zurück zum Zitat Fong Yan A, Sinclair PJ, Hiller C, Wegener C, Smith RM. Impact attenuation during weight bearing activities in barefoot vs. shod conditions: a systematic review. Gait Posture. 2013;38:175–86.CrossRefPubMed Fong Yan A, Sinclair PJ, Hiller C, Wegener C, Smith RM. Impact attenuation during weight bearing activities in barefoot vs. shod conditions: a systematic review. Gait Posture. 2013;38:175–86.CrossRefPubMed
27.
Zurück zum Zitat Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.CrossRefPubMed Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health. 1998;52(6):377–84.CrossRefPubMed
28.
Zurück zum Zitat van Tulder M, Furlan A, Bombardier C, Bouter L; Editorial Board Cochrane C. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 2003;28(12):1290–9. van Tulder M, Furlan A, Bombardier C, Bouter L; Editorial Board Cochrane C. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 2003;28(12):1290–9.
29.
Zurück zum Zitat Barton CJ, Lack S, Malliaras P, Morrissey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013;47:207–14.CrossRefPubMed Barton CJ, Lack S, Malliaras P, Morrissey D. Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013;47:207–14.CrossRefPubMed
30.
Zurück zum Zitat Morley JB, Decker LM, Dierks T, Blanke D, French JA, Stergiou N. Effects of varying amounts of pronation on the mediolateral ground reaction forces during barefoot versus shod running. J Appl Biomech. 2010;26(2):205–14.PubMed Morley JB, Decker LM, Dierks T, Blanke D, French JA, Stergiou N. Effects of varying amounts of pronation on the mediolateral ground reaction forces during barefoot versus shod running. J Appl Biomech. 2010;26(2):205–14.PubMed
31.
Zurück zum Zitat Divert C, Mornieux G, Baur H, Mayer F, Belli A. Mechanical comparison of barefoot and shod running. Int J Sports Med. 2005;26(7):593–8.CrossRefPubMed Divert C, Mornieux G, Baur H, Mayer F, Belli A. Mechanical comparison of barefoot and shod running. Int J Sports Med. 2005;26(7):593–8.CrossRefPubMed
32.
Zurück zum Zitat Stacoff A, Kalin X, Stussi E. The effects of shoes on the torsion and rearfoot motion in running. Med Sci Sports Exerc. 1991;23(4):482–90.CrossRefPubMed Stacoff A, Kalin X, Stussi E. The effects of shoes on the torsion and rearfoot motion in running. Med Sci Sports Exerc. 1991;23(4):482–90.CrossRefPubMed
33.
Zurück zum Zitat Komi PV, Gollhofer A, Schmidtbleicher D, Frick U. Interaction between man and shoe in running—considerations for a more comprehensive measurement approach. Int J Sports Med. 1987;8(3):196–202.CrossRefPubMed Komi PV, Gollhofer A, Schmidtbleicher D, Frick U. Interaction between man and shoe in running—considerations for a more comprehensive measurement approach. Int J Sports Med. 1987;8(3):196–202.CrossRefPubMed
34.
Zurück zum Zitat Kerrigan DC, Franz JR, Keenan GS, Dicharry J, Della Croce U, Wilder RP. The effect of running shoes on lower extremity joint torques. PM R. 2009;1(12):1058–63. Kerrigan DC, Franz JR, Keenan GS, Dicharry J, Della Croce U, Wilder RP. The effect of running shoes on lower extremity joint torques. PM R. 2009;1(12):1058–63.
35.
Zurück zum Zitat Braunstein B, Arampatzis A, Eysel P, Brueggemann G-P. Footwear affects the gearing at the ankle and knee joints during running. J Biomech. 2010;43(11):2120–5.CrossRefPubMed Braunstein B, Arampatzis A, Eysel P, Brueggemann G-P. Footwear affects the gearing at the ankle and knee joints during running. J Biomech. 2010;43(11):2120–5.CrossRefPubMed
36.
Zurück zum Zitat McNair PJ, Marshall RN. Kinematic and kinetic-parameters associated with running in different shoes. Br J Sports Med. 1994;28(4):256–60.CrossRefPubMed McNair PJ, Marshall RN. Kinematic and kinetic-parameters associated with running in different shoes. Br J Sports Med. 1994;28(4):256–60.CrossRefPubMed
37.
Zurück zum Zitat Kurz MJ, Stergiou N. The spanning set indicates that variability during the stance period of running is affected by footwear. Gait Posture. 2003;17(2):132–5.CrossRefPubMed Kurz MJ, Stergiou N. The spanning set indicates that variability during the stance period of running is affected by footwear. Gait Posture. 2003;17(2):132–5.CrossRefPubMed
38.
Zurück zum Zitat Kurz MJ, Stergiou N. Does footwear affect ankle coordination strategies? J Am Podiatr Med Assoc. 2004;94(1):53–8.PubMed Kurz MJ, Stergiou N. Does footwear affect ankle coordination strategies? J Am Podiatr Med Assoc. 2004;94(1):53–8.PubMed
39.
Zurück zum Zitat Bonacci J, Saunders PU, Hicks A, Rantalainen T, Vicenzino BG, Spratford W. Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study. Br J Sports Med. 2013;47:387–92.CrossRefPubMed Bonacci J, Saunders PU, Hicks A, Rantalainen T, Vicenzino BG, Spratford W. Running in a minimalist and lightweight shoe is not the same as running barefoot: a biomechanical study. Br J Sports Med. 2013;47:387–92.CrossRefPubMed
40.
Zurück zum Zitat De Wit B, De Clercq D, Aerts P. Biomechanical analysis of the stance phase during barefoot and shod running. J Biomech. 2000;33(3):269–78.CrossRefPubMed De Wit B, De Clercq D, Aerts P. Biomechanical analysis of the stance phase during barefoot and shod running. J Biomech. 2000;33(3):269–78.CrossRefPubMed
41.
Zurück zum Zitat Divert C, Baur H, Mornieux G, Mayer F, Belli A. Stiffness adaptations in shod running. J Appl Biomech. 2005;21(4):311–21.PubMed Divert C, Baur H, Mornieux G, Mayer F, Belli A. Stiffness adaptations in shod running. J Appl Biomech. 2005;21(4):311–21.PubMed
42.
Zurück zum Zitat Williams DS 3rd, Green DH, Wurzinger B. Changes in lower extremity movement and power absorption during forefoot striking and barefoot running. Int J Sports Phys Ther. 2012;7(5):525–32.PubMed Williams DS 3rd, Green DH, Wurzinger B. Changes in lower extremity movement and power absorption during forefoot striking and barefoot running. Int J Sports Phys Ther. 2012;7(5):525–32.PubMed
43.
Zurück zum Zitat Burkett LN, Kohrt WM, Buchbinder R. Effects of shoes and foot orthotics on VO2 and selected frontal plane knee kinematics. Med Sci Sports Exerc. 1985;17(1):158–63.CrossRefPubMed Burkett LN, Kohrt WM, Buchbinder R. Effects of shoes and foot orthotics on VO2 and selected frontal plane knee kinematics. Med Sci Sports Exerc. 1985;17(1):158–63.CrossRefPubMed
44.
Zurück zum Zitat Baur H, Hirschmuller A, Muller S, Mayer F. Effects of functional elements of orthotic insoles in sports. Deutsche Zeitschrift Fur Sportmedizin. 2003;54(11):323–8. Baur H, Hirschmuller A, Muller S, Mayer F. Effects of functional elements of orthotic insoles in sports. Deutsche Zeitschrift Fur Sportmedizin. 2003;54(11):323–8.
45.
Zurück zum Zitat Serrão JC, Amadio AC. Kinetic and electromyographic adaptations in barefoot locomotion. Braz J Biomech. 2001;2(2):43–51. Serrão JC, Amadio AC. Kinetic and electromyographic adaptations in barefoot locomotion. Braz J Biomech. 2001;2(2):43–51.
46.
Zurück zum Zitat Bates BT, Osternig LR, Mason B, James LS. Foot orthotic devices to modify selected aspects of lower extremity mechanics. Am J Sports Med. 1979;7(6):338–42.CrossRefPubMed Bates BT, Osternig LR, Mason B, James LS. Foot orthotic devices to modify selected aspects of lower extremity mechanics. Am J Sports Med. 1979;7(6):338–42.CrossRefPubMed
47.
Zurück zum Zitat Heiderscheit BC, Chumanov ES, Michalski MP, Wille CM, Ryan MB. Effects of step rate manipulation on joint mechanics during running. Med Sci Sports Exerc. 2011;43(2):296–302.CrossRefPubMed Heiderscheit BC, Chumanov ES, Michalski MP, Wille CM, Ryan MB. Effects of step rate manipulation on joint mechanics during running. Med Sci Sports Exerc. 2011;43(2):296–302.CrossRefPubMed
48.
Zurück zum Zitat Hobara H, Sato T, Sakaguchi M, Nakazawa K. Step frequency and lower extremity loading during running. Int J Sports Med. 2012;33(4):10–3. Hobara H, Sato T, Sakaguchi M, Nakazawa K. Step frequency and lower extremity loading during running. Int J Sports Med. 2012;33(4):10–3.
49.
Zurück zum Zitat Cheung RTH, Davis IS. Landing pattern modification to improve patellofemoral pain in runners: a case series. J Orthop Sports Phys Ther. 2011;41(12):914–9.CrossRefPubMed Cheung RTH, Davis IS. Landing pattern modification to improve patellofemoral pain in runners: a case series. J Orthop Sports Phys Ther. 2011;41(12):914–9.CrossRefPubMed
50.
Zurück zum Zitat Stergiou N, Bates BT, James SL. Asynchrony between subtalar and knee joint function during running. Med Sci Sports Exerc. 1999;31(11):1645–55.CrossRefPubMed Stergiou N, Bates BT, James SL. Asynchrony between subtalar and knee joint function during running. Med Sci Sports Exerc. 1999;31(11):1645–55.CrossRefPubMed
51.
Zurück zum Zitat Chumanov ES, Wille CM, Michalski MP, Heiderscheit BC. Changes in muscle activation patterns when running step rate is increased. Gait Posture. 2012;36(2):231–5.CrossRefPubMed Chumanov ES, Wille CM, Michalski MP, Heiderscheit BC. Changes in muscle activation patterns when running step rate is increased. Gait Posture. 2012;36(2):231–5.CrossRefPubMed
52.
Zurück zum Zitat Tessutti V, Trombini-Souza F, Ribeiro AP, Nunes AL, Neves Sacco IdC. In-shoe plantar pressure distribution during running on natural grass and asphalt in recreational runners. J Sci Med Sport. 2010;13(1):151–5.CrossRefPubMed Tessutti V, Trombini-Souza F, Ribeiro AP, Nunes AL, Neves Sacco IdC. In-shoe plantar pressure distribution during running on natural grass and asphalt in recreational runners. J Sci Med Sport. 2010;13(1):151–5.CrossRefPubMed
53.
Zurück zum Zitat Derrick TR. The effects of knee contact angle on impact forces and accelerations. Med Sci Sports Exerc. 2004;36(5):832–7.CrossRefPubMed Derrick TR. The effects of knee contact angle on impact forces and accelerations. Med Sci Sports Exerc. 2004;36(5):832–7.CrossRefPubMed
54.
Zurück zum Zitat Ness ME, Long J, Marks R, Harris G. Foot and ankle kinematics in patients with posterior tibial tendon dysfunction. Gait Posture. 2008;27(2). Ness ME, Long J, Marks R, Harris G. Foot and ankle kinematics in patients with posterior tibial tendon dysfunction. Gait Posture. 2008;27(2).
55.
Zurück zum Zitat Tome J, Nawoczenski DA, Flemister A, Houck J. Comparison of foot kinematics between subjects with posterior tibialis tendon dysfunction and healthy controls. J Orthop Sports Phys Ther. 2006;36(9):635–44.CrossRefPubMed Tome J, Nawoczenski DA, Flemister A, Houck J. Comparison of foot kinematics between subjects with posterior tibialis tendon dysfunction and healthy controls. J Orthop Sports Phys Ther. 2006;36(9):635–44.CrossRefPubMed
56.
Zurück zum Zitat Giuliani J, Masini B, Alitz C, Owens BD. Barefoot-simulating footwear associated with metatarsal stress injury in 2 runners. Orthopedics. 2011;34(7):e320–3.PubMed Giuliani J, Masini B, Alitz C, Owens BD. Barefoot-simulating footwear associated with metatarsal stress injury in 2 runners. Orthopedics. 2011;34(7):e320–3.PubMed
Metadaten
Titel
The Biomechanical Differences Between Barefoot and Shod Distance Running: A Systematic Review and Preliminary Meta-Analysis
verfasst von
Jonathan P. L. Hall
Christian Barton
Paul Remy Jones
Dylan Morrissey
Publikationsdatum
01.12.2013
Verlag
Springer International Publishing
Erschienen in
Sports Medicine / Ausgabe 12/2013
Print ISSN: 0112-1642
Elektronische ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-013-0084-3

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