by PortDistance93 on Mon Jul 11, 2011 11:49 am
This paper is from sophomore year so give some lenience when reading. Also, i might be able to dig up some of the references I used if anyone wants them. Feel free to ask any questions. Hope you enjoy:
From the beginning of time humans have moved without shoes causing the foot to adapt to the various surroundings it encounters. Throughout these years the foot has evolved to better protect itself from its environment by alerting the brain, through sensory nerves in the foot, when the foot senses pressure. This process allows the foot and lower extremities to become stronger by colliding with the ground and adjusting to absorb the ground impact forces due to the foot’s increased sensitivity. This is the way humans were designed to move. Despite this the first modern-day shoe was invented in 1899 in order to prevent the wearer from incurring lacerations (Bellis). Since then shoes have become commonplace in almost all countries and are part of everyday society. However, shoes reduce the foot’s proprioception and other basic functions by placing a thick midsole between the foot and the ground. Could it be that one of the most seemingly essential amenities to modern man is causing more harm than good?
Early man was forced to run down and hunt his prey in order to survive. Sometimes this running amounted to hundreds of miles in the span of a modern week with little or no protective footwear. However, there are few accounts of running related injuries until the last half century. As shoes have evolved with complex Internal Guidance Systems, Motion Control Technologies, Stability Guides, and other injury prevention technologies, injury rates have sky-rocketed. Many Americans cannot go for a short run without complaining of discomfort after completion. In fact, scientific studies show that 60-65% of all runners are injured each year (Anderson). An injury is defined as a physical problem severe enough to force a reduction in normal activities. These injuries could not have occurred in ancient man because it would have been impossible for man to survive with frequent injuries leaving him incapable of hunting food. This leaves the puzzling question of how ancient man ran seemingly unharmed.
Many foot and knee injuries that plague runners today are caused by running shoes that make our feet weak, cause runners to over-pronate, and cause knee problems. Prior to 1972, when Nike created the modern athletic shoe, people had very strong feet, and knee injuries were much less frequent (McDougall 169). The injuries caused by modern running shoes have had drastic consequences on society. In order to stay healthy one must do aerobic exercise regularly. Dr. Lieberman of Harvard University backs this statement and went as far as saying “If there’s any magic bullet to make human beings healthy, it’s to run.” What this means is that if running shoes never caught on, more people would be able to run injury-free and enjoy exercise more. If more people ran and exercised, fewer would be dying of diabetes, blocked arteries, complications from obesity, and degenerative heart diseases. But why exactly do running shoes cause injuries?
In 2001, two Nike reps went to Stanford University, a Nike sponsored school, to attend a track practice in order to get feedback on the new shoes they had supplied them. They were shocked at what they found. Most of the distance runners on the team preferred to run barefoot. They asked coach Vin Lananna, one of the most revered running minds of the modern era, why the athletes weren’t wearing shoes. His response startled them; “I can’t prove this but I believe when my runners train barefoot, they run faster and suffer fewer injuries.” Lananna’s statement is amazingly accurate (McDougall 169). When runners wear running shoes they stray their feet from the natural position by providing support. This support weakens the foot in the same way a cast does a broken arm. For months a cast supports the arm and upon removal of the cast a broken arm is much weaker than a healthy arm. This same process is taking place between running shoes and feet except instead of the weakening taking place for a month or so it is happening over and over again throughout the runner’s life! By adding devices such as “multi-angled forefoot gel pods”, “midfoot thrust enhancers”, and “infinitely adaptable heel pads” runners overcompensate for small problems or problems that don‘t exist. The fact of the matter is only 2-3% of the general population has a biomechanical deficiency that needs to be corrected, but major running companies market these new technologies to lure uninformed buyers into the trap of purchasing the newest “injury prevention” running technologies. However, this “injury prevention” claim is completely fallacious. A research paper published in 2008 by Dr. Craig Richards, a researcher at the University of Newcastle in Australia, revealed that there are no evidence-based studies that demonstrate running shoes make a runner less prone to injury (McDougall 171). This brings up the question that if running shoes don’t make runners less prone to injuries what exactly people paying for?
Many runners buy shoes that cost well over $100 fearing that without the latest technology they may get injured in an outdated or cheap shoe. However, according to a study led by Bernard Marti, M.D., runners wearing top-of-the-line shoes are 123% more likely to get injured than runners in cheap shoes. Marti and his team studied 4,358 runners and found that the most common variable among the injured wasn’t the training surface, running speed, weekly mileage, body weight, or previous history of injury: it was the price of their running shoes (McDougall 171-172). A runner who runs in shoes that cost more than $95 is twice as likely to become injured than a runner running in shoes that cost less than $40. Marti was not the only researcher who has come to this conclusion. A 1991 report in Medicine & Science in Sports & Exercise drew eerily similar results. The study concluded that wearers of shoes that are advertised to have more cushioning, stability, and protection are injured significantly more frequently than runners wearing inexpensive shoes lacking these features (McDougall 171-172). In the early 1980s Vin Lananna was quoted as saying “I once ordered high-end shoes for the team, and within two weeks, we had more plantar fasciitis and Achilles injuries than I’d ever seen…Ever since then, I’ve always ordered the low-end shoes. It’s not because I’m cheap. It’s because I’m in the business of making athletes run fast and stay healthy.”
The amazing truth about feet is that they like to absorb impacts to a certain extent rather than being “protected” from them by large amounts of cushioning. In fact, natural impacts strengthen the feet which result in fewer injuries, better foot control, and stability. This statement is backed by Dr. Barry Bates, the head of the University of Oregon’s Biomechanics/Sports Medicine Laboratory. Dr. Barry gathered data and observed that old, beat-up running shoes are more innocuous than newer shoes. He determined that because of the worn down cushioning system, runners gained more foot control. The average runner may ask “how does foot control lead to fewer injuries?” Contrary to public opinion, cushioning and stability systems do absolutely nothing to reduce ground impact. This is because the impact on a runner’s lower extremities from running can be up to twelve times their body weight. What is a midsole of 20mm and a half inch piece of rubber going to do to a force of nearly a ton? As Christopher McDougall, author of Born to Run, put it “you can cover an egg with an oven mitt before rapping it with a hammer, but that egg ain’t coming out alive.” Studies have proven that when subjects were tested with soft shoes versus firm shoes there is no difference in impact forces. However, the peak in vertical ground reaction force is actually much larger in softer shoes. This means that the softer the cushioning of a shoe, the less actual protection from impact forces it provides. Researchers at the University of Oregon’s Biomechanics/Sports Medicine Laboratory concluded that as cushioning hardened, runner’s feet became more stabilized and less wobbly. This means less knee torque, knee flexion, and ankle flexion, movements that can cause stresses and strains that lead to injury.
The main reason modern running shoes cause stress injuries is due to the larger peak vertical impact force that is created in cushioned running shoes. This larger force is caused because a person’s legs and feet instinctively come down harder when they sense something squishy underfoot. When people run in cushioned running shoes their feet instinctively try to push through the cushion, midsole, and sole to find a hard, stable platform to push off of to begin the next stride. Therefore, the feet and legs strike the ground harder in search of that platform than they would when making direct contact with it while running barefoot. However, some surfaces such as gravel, hot asphalt, and surfaces littered with glass may not be suitable for barefoot running (Burfoot 62). Therefore, a new idea must be interpolated (Wahlgren).
Modern-day running shoes have an average heel height of over 20mm off the ground. This causes an unnatural and less efficient strike as the foot impacts the ground (Elsevier Health Sciences). In running shoes the runner is forced to heel-strike due to the raised platform upon which the runner is landing. Heel-striking happens in front of a runner’s center of gravity, causing a deceleration at impact whereas forefoot striking, the foot’s natural way of striking without shoes, happens just below a runner’s center of gravity maintaining the momentum gained from the runner’s previous stride (New Balance). Therefore, when a runner heel-strikes the force the runner’s lower extremities feel when impacting the ground is much greater due to the deceleration. Also, when heel-striking a runner’s leg is almost completely straight at impact as opposed to a bend at the knee when barefooting or forefoot striking. When the leg is straight a path is created for the shock vibrations to travel up the leg to the hip region because there is nothing to absorb the shock. This is a major reason many American runners have frequent hip problems. When the knee is bent it allows the leg to disperse the shock between the calf, knee, and quadriceps so the stress is no longer concentrated to one part of the leg. This results in less frequent stress and repetitive injuries, the most common injuries plaguing runners (Hendrick). Because barefoot running is not always suitable and the raised heel on a modern running shoe prohibits forefoot striking, minimalism is the best way to run.
Minimalism is the idea of running in the most minimal footwear possible that still protects the feet from lacerations. These shoes are made with little to no cushioning or stability features and a tough rubber sole with a thickness of 3-4mm. These shoes do not have a heel counter or elevated heel height allowing the runner to forefoot strike and reap the benefits of barefoot running. Minimalism allows the feet to pronate naturally instead of being hindered and controlled by stability guides. Minimalism also allows the foot to strike naturally to find the hard, stable surface it searches for unlike running in modern shoes. With all the evidence presented minimalism is the best possible way to run on all surfaces.
Modern day running shoes may be one of the most misunderstood ideas in modern day society. Modern running shoes have been marketed to prevent and treat injuries when in reality not only do they fail to fulfill this promise but they may even exacerbate the situation. The technologies put into these shoes take the foot out of its natural environment and force the foot to move in a way it is unaccustomed to moving. Contrary to popular belief, this is one of the major causes of runners getting injured, not high mileage, training surface, or intensity. With new evidence and research being released daily, barefoot running and minimalism are on the rise in the United States. Hopefully this movement will continue to catch on and more runners can look forward to exercising happily and injury free in the future because as best said by physical therapist Ken Learman, “when it comes to running shoes, all that glitters isn’t gold.”