competing risk; footwear; prevention; running injury; Adult; Aged; Athletic Injuries/prevention & control; Biomechanical Phenomena; Female; Humans; Male; Middle Aged; Running/injuries; Young Adult; Equipment Design; Pronation; Shoes; Athletic Injuries; Running; Physical Therapy, Sports Therapy and Rehabilitation; General Medicine
Abstract :
[en] [en] OBJECTIVE: To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners.
DESIGN: Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries.
METHODS: Three hundred seventy-two recreational runners were randomized to receive either standard neutral or motion-control shoes and were followed up for 6 months regarding running activity and injury. Running injuries that occurred during this period were registered and classified as pronation-related injuries (Achilles tendinopathy, plantar fasciopathy, exercise-related lower-leg pain, and anterior knee pain) or other running-related injuries. With the use of competing risk analysis, the relationship between pronation-related and other running-related injuries and shoe type was evaluated by estimating the cause-specific hazard, controlling for other possible confounders like age, sex, body mass index, previous injury, and sport participation pattern.
RESULTS: Twenty-five runners sustained pronation-related running injuries and 68 runners sustained other running-related injuries. Runners wearing the motion-control shoes had a lower risk of pronation-related running injuries compared with runners who wore standard neutral shoes (hazard ratio = 0.41; 95% confidence interval: 0.17, 0.98). There was no effect of shoe type (hazard ratio = 0.68; 95% confidence interval: 0.41, 1.10) on the risk of other running-related injuries.
CONCLUSION: Motion-control shoes may reduce the risk of pronation-related running injuries, but did not influence the risk of other running-related injuries. J Orthop Sports Phys Ther 2021;51(3):135-143. Epub 11 Dec 2020. doi:10.2519/jospt.2021.9710.
Disciplines :
Mathematics Orthopedics, rehabilitation & sports medicine
Author, co-author :
Willems, Tine Marieke; Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium ; Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium
LEY, Christophe ; University of Luxembourg > Faculty of Science, Technology and Medicine (FSTM) > Department of Mathematics (DMATH) ; Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium
Goetghebeur, Els; Department of Applied Mathematics, Computer Science and Statistics, Ghent University, Ghent, Belgium
THEISEN, Daniel ; University of Luxembourg ; Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg ; ALAN - Maladies Rares Luxembourg, Kockelscheuer, Luxembourg, Luxembourg
MALISOUX, Laurent ; University of Luxembourg ; Sports Medicine Research Laboratory, Luxembourg Institute of Health, Luxembourg, Luxembourg
External co-authors :
yes
Language :
English
Title :
Motion-Control Shoes Reduce the Risk of Pronation-Related Pathologies in Recreational Runners: A Secondary Analysis of a Randomized Controlled Trial.
Publication date :
March 2021
Journal title :
Journal of Orthopaedic and Sports Physical Therapy
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