The Effect of Different Midsole Cushioning Types on Impact Forces and Joint Stiffness in Heel-Toe Runners

(1) Background: The midsole hardness (i.e., cushioning) of running shoes has received significant attention as a crucial element influencing both performance and injury prevention. This research aimed to examine how variations in midsole hardness affect the biomechanical responses of the lower extremities during running. (2) Methods: Twenty-five male recreational runners in their 20 s with no history of musculoskeletal injuries (age: 23.3 ± 4.24 years) were recruited. Custom-made shoes with four different midsole hardness levels (Asker-C 70, 60, 50, and 40) were used, and the mechanical properties of the midsoles were analyzed. Participants ran on an instrumented treadmill at speeds of 2.3 m/s and 3.3 m/s. Ground reaction forces and motion data were collected during the trials. A one-way repeated-measures ANOVA was conducted to compare groups. (3) Results: In the running trials, a decrease in midsole hardness increased the impact peak (IP) while loading rate (LR) decreased significantly (p < 0.05). In addition, runners wearing shoes with greater cushioning exhibited higher ankle joint stiffness than those wearing harder shoes (p < 0.05). (4) Conclusion: Adjusting joint stiffness appears to be a key strategy employed by runners in response to softer or cushioned running environments (i.e., shoe and surface), ultimately contributing to greater dynamic stability during movement.