Barefoot Running Less Impact Risk; So Easy A Caveman Could Do It

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Main Category: Bones / Orthopedics
Also Included In: Public Health
Article Date: 08 Jun 2011 - 12:00 PDT



Current ratings for:
'Barefoot Running Less Impact Risk; So Easy A Caveman Could Do It'

Patient / Public:4 stars

4 (12 votes)

Healthcare Prof:4 and a half stars

4.07 (14 votes)

Article opinions: 5 posts

Almost barefoot running gear is all the rage these days, but is it truly better for you than all the fancy footwear offered on the market? The average barefoot runner's stride is about 7 centimeters shorter than normal. Over the course of a marathon, this translates to about 7,000 additional footfalls above the 40,000 steps a typical racer will take to cover the 26.2 mile distance. So, though there's less force per step, those extra steps present 7,000 additional chances for a misstep. Interesting.

However, kinematic and kinetic analyses show that even on hard surfaces, barefoot runners who fore-foot strike generate smaller collision forces than shod rear-foot strikers. This difference results primarily from a more plantarflexed foot at landing and more ankle compliance during impact, decreasing the effective mass of the body that collides with the ground.

To date, no major studies have been completed to show whether barefoot runners are sidelined more or less often than those wearing standard shoes. However it is a fact that 80% of runners are still sidelined with an injury each year.

For most of human evolutionary history, runners were either barefoot or wore minimal footwear such as sandals or moccasins with smaller heels and little cushioning relative to modern running shoes. We wondered how runners coped with the impact caused by the foot colliding with the ground before the invention of the modern shoe.

The human mechanics of running are changed quite significantly when shoes are used opposed to natural, shoeless human running where the lateral edge of the forefoot is the part which strikes the ground with the most force. Running in padded shoes typically alters this as more emphasis is placed on the heel and the area towards the back of the foot.

Proponents, such as those identifying with the barefoot movement, argue that barefoot running is healthier for feet and reduces risk of chronic injuries, notably repetitive stress injuries due to the impact of heel striking in padded running shoes, in addition to other purported benefits. These health claims of barefoot running are supported by some research and advocated by some authorities, but very little research has yet been carried out, although initial results from limited studies seem to support the health claims of running barefoot.

Many runners have switched to barefoot running for relief from chronic injuries. The structure of the foot and lower leg is very efficient at absorbing the shock of landing and turning the energy of the fall into forward motion, through the springing action of the foot's natural arch. It is only by placing large amounts of padding under the heel that humans are able to land on the heel rather than the ball of the foot. In doing so, the foot's natural motion is impeded and the arch and lower leg are not able to absorb the shock of the landing. Instead, the shock is sent up through the heel, to the knees and hips.

The official position on barefoot running by the American Podiatric Medical Association states that there is not enough research on the immediate and long term benefits of the practice, and that individuals should consult a podiatrist with a strong background in sports medicine to make an informed decision on all aspects of their running and training programs.

Sources: The Nature Journal, Harvard University and The American Podiatric Medical Association

Written by Sy Kraft
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

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Visitor Opinions (latest shown first)

Barefoot Experience

posted by Robert on 3 Jul 2011 at 2:02 pm

Up until I was 12 years old I never wore shoes during the summer. Not that I could not afford shoes, but rather that shoes and socks cause my feet to be soaked with sweat and my feet to itch. I ran on cattle trails and over rough ground in my bare feet. I have even ran the mile barefoot with about the same time as I made it with shoes.

When I got older I found that I could not take the hot pavement in town and when I got much older I found that It is a lot harder to run barefoot when you are over 200lbs. But from years of experience I can tell you that shoes make for clumsy running and that in tern means turned ankles, and sometimes rough falls. ....Gopher

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Surface

posted by roger on 8 Jun 2011 at 5:22 pm

Why does the lack of footwear in human development always get dragged into these "scientific" articles, yet it is never mentioned that humans didn't spend millenia running on concrete and asphault?
Hit the trails and watch all your repetive motion injuries go away!

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Minimalism running

posted by Jacob on 8 Jun 2011 at 3:10 pm

Several years ago I attempted to switch to barefoot, but the transition was impractical. So I reverted to Vibrum Five Fingers and have never gone back to shoes. I trained and ran a marathon in them and noticed a dramatic improvement in form and more forward foot striking. I'm a bit skeptical on the injury part, as I and a friend of mine did receive a few injuries in them, but that can only be expected running 50+ mile weeks. As the article mentions, there is little scientific evidence to back up the benefits of barefoot running. From years of experience I can say the benefits are mostly in running form and not directly in injury prevention.

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I like running with minimal foot protection

posted by R. Don on 8 Jun 2011 at 1:35 pm

I just turned 51 years old. I'm 5'11.5" tall and weigh 175 lbs. I started running about two years ago. At first I just wore my old cross-trainers (gym shoes). As I continued to run I bought a pair of running shoes from a special running shoe store for about $110. A few months later I heard a story about bare-foot running and about Vibram "Five-Fingers" running shoes. These "shoes" are more like gloves, with individual pockets for each toe. (Why they're called "Five Fingers" instead of "Five Toes" I'll never know.)

After running in the "foot gloves" for a few months I tried my special running shoes again. Right away I noticed that my posture had changed. In the "foot gloves" I was much more erect, less leaning forward. I don't wear the special running shoes any more but love my Vibrams. I run about 8-9 miles once or twice a week in them. No pain. No injuries.

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Are Shoes Safe?

posted by Elaine on 8 Jun 2011 at 1:28 pm

Did anyone scientifically establish the safety of walking and running in shoes? 30 years of podiatry and 50 years of shoes have not been kind to my feet. At age 53 I started minimizing shoe wear (against doctors orders) and have seen dramatic improvements in my bursitis and plantar fascitis. Even my crooked toes are a little straighter. Especially for plantar fascitis, docs push constant shoe wearing. But the foot has many small movable parts that move together. It doesn't make sense to restrict natural motion then try to invent shoes or medical procedures to fix the resulting damaged foot.

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