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The most comfortable running shoes may actually increase injury risk

Shoes with extra padding are meant to prevent impact-related injuries, but they may do the opposite by making our legs stiffer when we run
people running
The running shoe you wear really matters
Cavan Images/plainpicture

Highly-cushioned running shoes are meant to protect against injuries, but they may actually do the opposite by changing the way we run, research suggests.

Every year, it’s estimated that at least one-third of runners get stress fractures, shin splints or muscle or joint injuries caused by repeated pounding of the pavement. Many shoe manufacturers have added extra padding to try to soften the impact on the legs, but injury rates have not decreased as a result.

A new study suggests this is because the extra cushioning changes the spring-like mechanics of the legs as they run, which actually means we experience more tissue damage with every stride.

Juha-Pekka Kulmala at the University of Helsinki in Finland and his colleagues studied the biomechanics of 12 healthy men aged 22 to 32 as they ran in two shoe types – a regular sneaker with 33 millimetres of cushioning under the heel and 22 millimetres under the forefoot, and a highly-cushioned “maximalist” sneaker with a 43-millimetre heel and 37-millimetre forefoot height.

The participants ran at two different speeds – 10 and 15 kilometres per hour – along a 30-metre platform that measured how hard their feet hit the ground. They also wore reflective stickers that allowed video cameras to capture their motion.

At both speeds, the runners landed on their feet harder when they wore the maximalist sneakers than the regular kind. The peak impact force was 6 per cent higher on average at the slower running speed and 11 per cent higher at the faster speed.

Leg stiffness

The video analysis suggested this was because the runners bent their knees and ankles less when they wore the maximalist shoes, which caused their bodies to decelerate faster as they landed and placed extra stress on their legs.

Normally when we run, our legs act like springs that compress as the feet land and then release as they take off, says Kulmala. But because highly-cushioned shoes already compress under the feet, the legs don’t need to compress as much themselves, meaning they bend less at the knees and ankles, he says.

This extra leg stiffness and higher ground impact means that running in maximalist sneakers is likely to increase the risk of injuries, particularly stress fractures, says Kulmala. It also means that the common advice given to injury-prone runners to buy shoes with more padding may actually backfire, he says.

If the shoe fits

Kade Paterson at the University of Melbourne in Australia says the findings make sense from a biomechanical point of view, but adds that long-term research is needed to confirm that people who wear maximalist sneakers do in fact sustain more injuries. “As a sports podiatrist, I’ve seen patients who’ve reported improvements with maximalist running shoes and others who’ve got injured in them so there probably isn’t a one-size-fits-all approach,” he says.

The results do not suggest that runners should opt for shoes with no padding at all, says Kulmala. For most people, a moderate amount of cushioning is likely to be best, he says. “Like many health-related things, we should be somewhere in the middle.”

Running barefoot or in minimalist shoes, which became popular about 5 years ago, is only advised if you land on your forefeet, says Kulmala. Most people land on their heels, which tend to collide more forcefully with the ground and therefore need more cushioning, he says.

The findings are also only relevant to runners, not walkers, since walking does not cause the same impact with the ground, meaning the level of cushioning is unlikely to matter as much, says Kulmala.

Scientific Reports

Topics: Fitness / Health