More Evidence Supports Barefoot Running

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If you’re a runner, start striking with your forefoot. And wear those goofy minimalist shoes while you’re at it. Your body will thank you.

Those are the findings of a pair of studies by Daniel Lieberman, a professor of human evolutionary biology at Harvard University. He found runners who use a forefoot strike face a significantly lower risk of repetitive stress injuries, and barely there running shoes produce more efficient movement than conventional kicks.

The two studies, published this month in the journal Medicine & Science in Sports & Exercise, come less than two years after Lieberman’s earlier work found runners wearing minimalist shoes put less force into the ground, therefore less force on their bodies, when striking the ground with their forefoot versus their rearfoot.

 

The findings add to a small but growing body of research that suggests the best way to run is the way our forebears did: sans shoes. It’s a controversial notion, one that has prompted no end of debate as many runners complain minimalist shoes led to injuries and problems.

First, to the rearfoot/forefoot breakdown. In “Foot Strike and Injury Rates in Endurance Runners: A Retrospective Study,” Lieberman analyzed 52 collegiate cross-country runners to compare rearfoot (heel-first) versus forefoot (ball-first) strikes.

Of those, 36 runners (59 percent) used a rearfoot strike. Lieberman considered the injury history of each runner — examining the severity of past injuries and rate of mild, moderate and severe injuries per mile — and found rearfoot strikers twice as likely to experience a repetitive stress injury.

“Competitive cross country runners on a college team incur high injury rates,” the report concludes, “but runners who habitually rearfoot strike have significantly higher rates of repetitive stress injury than those who mostly forefoot strike.”

Neither type of foot strike was more likely to produce a traumatic injury, the study concluded, and Lieberman did not examine causal reasons why rearfoot striking proved more harmful. But he did develop an hypothesis for the results.

“The absence of a marked impact peak in the ground reaction force during a forefoot strike compared to a rearfoot strike may contribute to lower rates of injuries in habitual forefoot strikers,” the report states.

The study, “Effects of Footwear and Strike Type on Running Economy,” lends further credence to the benefits of minimalist shoes.

Runners wearing minimalist shoes were 2.41 percent more economical in their movements when forefoot striking than those wearing conventional shoes and 3.32 percent more economical when rearfoot striking. All data was controlled for stride frequency and shoe mass.

It was not clear if the two studies used the same runners as test subjects.

In determining these stats, researchers measured the cost of transport (milliliters of oxygen over kilograms over meters, or mlO2/kg/m) in people who typically wear minimalist shoes or run barefoot as they ran 3.0 meters per second on a treadmill. Force and kinematic data were collected in minimal and traditional running shoes to quantify differences in knee flexion, arch strain, plantarflexor force production and Achilles tendon-triceps surae strain.

The cost of forefoot and rearfoot striking was not significantly different for either minimal or standard shoe running. However, arch strain was much greater during forefoot striking than rearfoot among those wearing minimalist shoes. The same held true for plantarflexor force; Achilles tendon-triceps surae strain and knee flexion were lower in minimalist shoes.

Despite evidence supporting minimalist footwear, there are vocal critics of the trend. Lieberman’s latest studies are sure to renew the debate.

Foot Strike and Injury Rates in Endurance Runners

Read that very interesting study, published at PubMed, which concluded that runners who habitually rearfoot strike have significantly higher rates of repetitive stress injury than those who mostly forefoot strike.

Foot Strike and Injury Rates in Endurance Runners: a retrospective study.

Source

1Department of Human Evolutionary Biology, Harvard University, 11 Divinity Avenue, Cambridge MA 02138, USA 2Department of Athletics, Harvard University, 65 North Harvard Street, Boston MA 02163, USA 3University Health Services, Harvard University, 75 Mt Auburn Street, Cambridge MA 02138, USA 4Baylor Health Care System, Institute of Health Care Research and Improvement, 8080 North Central Expressway, Suite 500, LB 81, Dallas, TX 75206, USA.

Abstract

PURPOSE:

This retrospective study tests if runners who habitually forefoot strike have different rates of injury than runners who habitually rearfoot strike.

METHODS:

We measured the strike characteristics of middle and long distance runners from a collegiate cross country team and quantified their history of injury, including the incidence and rate of specific injuries, the severity of each injury, and the rate of mild, moderate and severe injuries per mile run.

RESULTS:

Of the 52 runners studied, 36 (59%) primarily used a rearfoot strike and 16 (31%) primarily used a forefoot strike. Approximately 74% of runners experienced a moderate or severe injury each year, but those who habitually rearfoot strike had approximately twice the rate of repetitive stress injuries than individuals who habitually forefoot strike. Traumatic injury rates were not significantly different between the two groups. A generalized linear model showed that strike type, sex, race distance, and average miles per week each correlate significantly (p<0.01) with repetitive injury rates.

CONCLUSIONS:

Competitive cross country runners on a college team incur high injury rates, but runners who habitually rearfoot strike have significantly higher rates of repetitive stress injury than those who mostly forefoot strike. This study does not test the causal bases for this general difference. One hypothesis, which requires further research, is that the absence of a marked impact peak in the ground reaction force during a forefoot strike compared to a rearfoot strike may contribute to lower rates of injuries in habitual forefoot strikers.