running shoes worse than high heels?


Whoa! As if running weren't bad enough on your joints, the shoes are evil! Solution? Go barefoot, or get some footwear that emulates it. This is timely for me, as I anticipate the arrival of my first pair of Vibram Five Fingers.

From Article on new report at Elsevier

Running shoes may cause damage to knees, hips and ankles

... findings confirm that while the typical construction of modern-day running shoes provides good support and protection of the foot itself, one negative effect is the increased stress on each of the 3 lower extremity joints. These increases are likely caused in large part by an elevated heel and increased material under the medial arch, both characteristic of today’s running shoes.

Writing in the article, lead author D. Casey Kerrigan, MD, JKM Technologies LLC, Charlottesville, VA, and co-investigators state, “Remarkably, the effect of running shoes on knee joint torques during running (36%-38% increase) that the authors observed here is even greater than the effect that was reported earlier of high-heeled shoes during walking (20%-26% increase). Considering that lower extremity joint loading is of a significantly greater magnitude during running than is experienced during walking, the current findings indeed represent substantial biomechanical changes.” Dr. Kerrigan concludes, “Reducing joint torques with footwear completely to that of barefoot running, while providing meaningful footwear functions, especially compliance, should be the goal of new footwear designs.”

The article is “The Effect of Running Shoes on Lower Extremity Joint Torques” by D. Casey Kerrigan, MD, Jason R. Franz, MS, Geoffrey S. Keenan, MD, Jay Dicharry, MPT, Ugo Della Croce, PhD, and Robert P. Wilder, MD. It appears in PM&R: The journal of injury, function and rehabilitation, Volume 1, Issue 12 (December 2009), published by Elsevier. The article has been made freely available and may be accessed at: External link http://www.pmrjournal.org/article/S1934-1482(09)01367-7/fulltext

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