Search Results (45)

Background: Footwear may influence paediatric gait biomechanics, yet evidence across footwear types and barefoot conditions remains heterogeneous. This review aimed to synthesise evidence on how footwear affects gait biomechanics in children and adolescents compared with barefoot walking, and to conduct exploratory meta-analyses when feasible. Methods: We performed a PRISMA-guided systematic review (PubMed and Scopus; inception to November 2025) including participants < 18 years with gait outcomes assessed under barefoot and/or defined footwear conditions. Outcomes included spatiotemporal, kinematic, kinetic, and plantar-pressure variables. Risk of bias was assessed with ROBINS-I. Random-effects meta-analyses (inverse-variance) were conducted only when ≥2 studies reported comparable outcomes. Results: Twenty-two studies were included; most were observational with overall moderate-to-serious risk of bias, mainly due to confounding and participant selection. Quantitative synthesis (exploratory): Meta-analyses were possible only for ankle plantarflexion (k = 2) and stride length (k = 3) and showed non-significant pooled effects with extreme heterogeneity (I² > 90%) and wide prediction intervals. Narrative synthesis: For other outcomes, heterogeneity in designs, footwear definitions, and measurement protocols precluded pooling; conventional footwear may reduce metatarsophalangeal mobility and alter kinematics and plantar pressure in some contexts, while minimalist/biomimetic features may approximate barefoot-like values for selected parameters without implying equivalence. Conclusions: Footwear exposure in childhood may affect several gait-related parameters, but the certainty of evidence is low to moderate due to risk of bias, inconsistency, and imprecision. Standardised footwear classifications, harmonised gait protocols, and longitudinal studies are needed to clarify developmental implications and inform evidence-based guidance. Full article

Since the introduction of advanced footwear technology (AFT) in 2017, numerous world records from 5 km to the marathon have been broken. Among these innovations, carbon-plated shoes have received particular attention. Previous research indicates improvements of 2–4% in running economy (RE), which translates into an approximate 1–2% improvement in running performance when running in these shoes. The rapid progression of performance has generated significant scientific interest; however, a clear understanding of the mechanisms driving the effectiveness of AFT remains limited. Despite widespread adoption and remarkable results, the mechanisms underlying the effectiveness of AFT are still not fully understood, which is why optimising its potential benefits continues to be an ongoing challenge. This review summarises current knowledge on AFT and critically evaluates the biomechanical and physiological mechanisms underlying their effects on RE and performance. It also highlights the interaction between shoe design features and individual biomechanics, supporting evidence-based approaches to footwear selection and training strategies tailored to athletes’ needs. A clearer understanding of these mechanisms may provide valuable insights for researchers, coaches, and athletes and help maximise the potential benefits of AFT. Full article

Background: Video-based biomechanical running gait analysis is widely used to optimise technique, guide footwear selection, and identify orthopaedic risk factors. Despite the increasing availability of such assessments, it is often assumed—without strong empirical support—that key kinematic parameters of running gait remain stable over short periods of time. This study aimed to examine the short-term stability of key joint angles during running using a standard 2D video-based kinematic analysis. Specifically, it was investigated whether these angles change within the first 4 min of treadmill running under three defined conditions: barefoot at 12 km h⁻¹, shoed at 12 km h⁻¹, and shoed at 14 km h⁻¹, in a homogeneous sample of twelve young, trained, male recreational soccer players. Methods: Participants completed three four-minute runs. Joint angles were quantified manually from 2D video recordings. Temporal variation was analysed using repeated-measures statistics, intraclass correlation coefficients (ICCs), and minimal detectable changes (MDCs). Results: Six out of nine joint angles showed statistically significant temporal changes, mainly in hip extension, knee flexion, the Duchenne angle, the Trendelenburg angle, the leg axis angle, and heel-bottom angle. Lower leg angle and Achilles tendon angle remained stable. ICCs showed moderate to excellent agreement, indicating high within-session consistency across all angles. Discussion: Under the applied study protocol, significant short-term variations were observable in several joint angles during the first four minutes of running. These findings highlight the importance of analysing multiple strides and considering measurement uncertainty when interpreting short-duration running kinematics. Full article

Background/Objectives: The prevention of foot ulcers is a priority for the preservation of the integrity of limbs in subjects with Diabetes Mellitus. Footwear is one of the main causes of ulceration regarding this chronic disease. An in-depth study of the influence of footwear is necessary for the establishment of a prevention strategy for foot injuries. This paper aims to identify the type of footwear used by patients with Diabetes Mellitus and to analyse its characteristics and fit to the foot. Methods: The scientific literature was retrieved from the PubMed, Web of Science, and Dialnet databases that covered publications from 2016 to 2025. The inclusion criteria accepted articles that focused on footwear fit and its relationship with ulceration in diabetic patients. Results: A total of 27 articles were selected for study. These articles describe the fitting and features of footwear for a correct adjustment for people with Diabetes. Conclusions: Most of the population with Diabetes Mellitus use poorly adjusted footwear. Incorrect length and width, as well as unsuitable features of the sole and upper, cause patients to become susceptible to the creation of ulcers. Full article

Sports footwear is widely used across a range of physical activities. A key factor distinguishing running shoes from other types of footwear is the “drop,” the millimeter difference between the heel and the forefoot. This study aimed to analyze the influence of different drops (0, 5, and 10 mm) on ground reaction forces during walking and to examine the effects of sex and body mass index (BMI) under these conditions. An observational, descriptive, and cross-sectional study was conducted with 117 participants (56 men and 61 women). The Dinascan/IBV^® dynamometric platform (Instituto de Biomecánica de Valencia, Valencia, Spain) was used to measure ground reaction forces during walking (braking, take-off, propulsion, and swing forces), walking speed, and stance time. The descriptive analysis revealed comparable values for the left and right limbs, with slightly higher values observed in the right limb. Statistically significant differences were found in stance time, braking force, and swing force between the 0 mm and 10 mm drop conditions. Take-off force showed highly significant differences when comparing the 0–5 mm and 0–10 mm drop conditions. Sex-based differences were observed in all variables at the initial proposed drop condition of 0 mm, except for walking speed, possibly due to anatomical and physiological differences. Significant differences were found in stance time at 0 mm drop, braking force, and propulsion force. Highly significant values were obtained for take-off force and during the swing phase. A strong correlation was found between ground reaction forces and BMI with the different proposed drops in all forces studied, except for the support force, where a moderate correlation was obtained. Although shoe drop was found to influence ground reaction forces in this study, it is one of several factors that affect gait biomechanics. Other footwear characteristics, such as sole stiffness, material composition, weight, and elasticity, also play important roles in walking performance. Therefore, shoe drop should be considered an important but not exclusive parameter when selecting footwear. However, these results are limited to healthy young adults and may not be generalizable to other age groups or populations. Full article

Biosecurity measures applied on poultry farms, with a recent history of highly pathogenic avian influenza virus infection, were monitored using 24 h/7 days-per-week video monitoring. Definition of biosecurity breaches were based on internationally acknowledged norms. Farms of four different production types (two broiler, two layer, two breeder broiler, and one duck farm) were selected. Observations of entry to and exit from the anteroom revealed a high degree of biosecurity breaches in six poultry farms and good biosecurity practices in one farm in strictly maintaining the separation between clean and potentially contaminated areas in the anteroom. Hand washing with soap and water and/or using disinfectant lotion was rarely observed at entry to the anteroom and was almost absent at exit. Egg transporters did not disinfect fork-lift wheels when entering the egg-storage room nor change or properly disinfect footwear. The egg-storage room was not cleaned and disinfected after egg transport by the farmer. Similarly, footwear and trolley wheels were not disinfected when introducing young broilers or ducklings to the poultry unit. Biosecurity breaches were observed when introducing bedding material in the duck farm. This study shows a need for an engaging awareness and training campaign for poultry farmers and their co-workers as well as for transporters to promote good biosecurity practices. Full article

Foot plantar pressure refers to the pressure or force that the foot generates in contact with the ground, varying across different regions of the foot. This parameter is essential in static and dynamic analyses to access accurate diagnoses, study the human body biomechanics, create functional footwear designs, aid in rehabilitation and physiotherapy, and prevent injuries in athletes during sports practice. This study presents an experimental comparison between two different plantar pressure measurement devices, Pedar^® (sensorized insoles) and Physiosensing^® (pressure platform). The devices were selected based on their capacity to measure contact area and peak pressure points. Results showed that Physiosensing^® provided a more uniform measurement of the contact area, proving its efficiency for weight distribution and stability analysis applications, particularly in posture assessment and balance studies. The Pedar^® system showed higher capacity in peak pressure point detection. Therefore, the insole system is more suitable for applications requiring precise high-pressure zone localization. Comparative analysis highlights the strengths and limitations of each device and offers insights regarding its optimal usage in clinical, sports, and research settings. Full article

This study systematically evaluated the wear resistance and mechanical performance of 3D-printed thermoplastic rubber (TPR) and flexible stereolithography (SLA) resin materials for footwear outsoles. Abrasion tests were conducted on 26 samples (2 materials × 13 geometries) to analyze the weight loss, variations in the friction coefficient, temperature change, and deformation behavior. Finite element method (FEM) simulations incorporating the Ogden hyperelastic model were employed to investigate the stress distribution and wear patterns. The results revealed that TPR exhibits superior abrasion resistance and stable wear curves, making it suitable for high-load applications. On average, the TPR samples showed 27.3% lower weight loss compared to the SLA resin samples. The SLA resin samples exhibited a 65% higher mean coefficient of friction (COF) compared to the TPR samples. Furthermore, the SLA resin samples demonstrated a 94% higher temperature change during the sliding tests, reflecting greater friction-induced heating. The FEM simulations further validated TPR’s performance in high-stress regions and SLA resin’s deformation characteristics. This study’s findings not only highlight the performance differences between these two 3D-printed materials but also provide theoretical guidance for material selection based on wear behavior, contributing to the optimization of outsole design and its practical applications. Full article

Slips and fall-related accidents cause a significant number of injuries in hospitals. Due to constant movement of doctors and nurses across different departments in hospitals such as OPD, trauma centres, and ICUs, there are possible interactions of their footwear with slippery floorings (e.g., wet or with soap suds), which may cause unexpected slips. To date, there is a lack of understanding on the traction of different footwear worn by hospital staff. This impedes the selection of appropriate floorings and footwear for preventing slips and falls in hospitals. In this work, the traction performances of twelve common footwear designs, worn by hospital staff, were tested on three different floorings at important locations, i.e., an outpatient department, trauma centre, and ICU entrance, at a busy public hospital. Oblique tread patterns are recommended for moderately rough floors under dry and Lizol conditions. Horizontally oriented patterns are better for smoother floors in dry conditions, while vertically oriented patterns are ideal for areas with frequent contaminant exposure. No specific recommendation can be made for soap-contaminated floors due to the contaminant’s high viscosity. The results also indicated the strong influence of flooring roughness on the measured traction, over footwear tread parameters. Also, liquid soaps were observed to significantly reduce footwear–floor traction. The findings are anticipated to be valuable to hospital management for the selection of appropriate high-traction floorings, and provide important guidelines for footwear selection, for the mitigation of slips and falls in hospitals. Full article

Background: Advanced footwear technology (AFT) has gained popularity among non-elite runners due to its potential benefits in training and competition. This study investigated the training practices and reported outcomes in non-elite runners using AFT. Methods: A cross-sectional observational study was conducted with 61 non-elite runners competing in distances ranging from 5 km to marathons. The survey collected data on demographics, training parameters, footwear usage, perceived changes in running mechanics, and self-reported injuries. Results: The results revealed a significant positive correlation (R = 0.6, p < 0.0001) between years of AFT use and weekly training volume, indicating that more experienced runners are likely to incorporate AFT consistently into their routines. Conversely, a significant negative correlation (R = −0.5, p < 0.0001) was found between training volume and the number of weekly sessions using AFT, suggesting a selective approach to footwear use. Participants reported biomechanical changes, such as increased forefoot support (49%) and higher calf muscle activation (44%), alongside a 16% self-reported injury rate, predominantly affecting the calves. Conclusions: These findings highlight the importance of proper guidance and gradual adaptation to maximize the benefits of AFT while minimizing injury risks. Future research should explore the long-term impact of AFT on performance and injury prevention through longitudinal studies. Full article

The erosion of wind turbine blades is one of the most frequently observed mechanisms of wind turbine blade damage. In recent months and years, concerns about high volumes of eroded plastics and associated pollution risks have surfaced on social networks and in newspapers. In this scientific paper, we estimate the mass of plastic removed from blade surface erosion, using both a phenomenological model of blade erosion and the observed frequency of necessary repairs of blades. Our findings indicate that the mass of eroded plastic ranges from 30 to 540 g per year per blade. The mass loss is higher for wind turbines offshore (80–1000 g/year per blade) compared to onshore (8–50 g/year per blade). The estimations are compared with scientific literature data and other gray literature sources. Using the entire Danish wind farms portfolio, we quantify the yearly mass of plastic from blade erosion to be about 1.6 tons per year, which is an order of magnitude less than that from footwear and road marking and three orders of magnitude less than that from tires. While the contribution of wind blade erosion is small compared to other sources, the results of this work underline the importance of the (A) effective leading-edge protection of wind turbines, (B) regular and efficient maintenance, and (C) the optimal selection of materials used. Full article

Background/Objectives: Rheumatoid arthritis is a chronic, systemic, inflammatory disease of an autoimmune nature that causes pain and disability in affected patients. Foot pain has become a challenge due to its negative impact on physical function. The objective of this updated systematic review is to describe the effect of foot orthoses and/or footwear in patients with rheumatoid arthritis and foot problems. Methods: Scopus, PubMed, CINALH, WOS, and Dialnet were searched for all articles published from January 2013 to September 2024. Inclusion criteria included randomised clinical trials and crossover trials (level of evidence I), published within the last 10 years, involving adults with a diagnosis of rheumatoid arthritis, with no restrictions on gender, race, or ethnicity. All studies that addressed the use of foot orthoses and/or shoe therapy in any type of comparison between these interventions were considered relevant. Review Manager was used to carry out the bias analysis of the selected studies. The reporting was based on the new PRISMA guidelines. Results: A total of 9 relevant articles were selected from an initial sample of 438. These articles analyse and compare the effectiveness of various types of foot orthoses in reducing pain, functional limitation, and disability, as well as improving balance and kinetic and kinematic parameters affected by rheumatoid arthritis. Conclusions: Foot orthoses reduce pain and disability in rheumatoid arthritis, improving balance and kinematic parameters. However, no significant improvements in the patients’ functionality and walking ability have been demonstrated. Customised ones with good arch control, heel reinforcement, and metatarsal pad are more effective. No results on the impact of footwear on patients with rheumatoid arthritis have been found in the last 10 years. This systematic review was registered in PROSPERO (CRD42023405645). Full article

Medial gastrocnemius silent contractures (MGSCs) are prevalent, notably impacting functional status and increasing the risk of foot and ankle disorders, especially among aging populations. Although traditionally managed by podiatrists and physiotherapists, the role of rehabilitation nursing in addressing MGSCs is gaining recognition. This paper elucidates the contributions of rehabilitation nursing to the functional rehabilitation of MGSC patients and underscores its vital role within the multidisciplinary team. Initially, the paper defines the clinical and physiological characteristics of MGSCs and their implications in foot and ankle disorders. It then meticulously explores rehabilitation nursing interventions—including personalized stretching regimens, vibration therapy, balance exercises, and judicious footwear selection—emphasizing their efficacy in enhancing muscle flexibility, joint mobility, and postural stability. The emphasis is on patient-centered approaches and education to foster treatment adherence and positive rehabilitation outcomes. The significance of interdisciplinary collaboration is highlighted, focusing on how rehabilitation nursing optimizes patient care and mitigates complications. The paper advocates for recognizing and integrating rehabilitation nursing in managing MGSC-related disorders, emphasizing its importance in achieving successful functional outcomes. Full article

Background: This study aims to assess the impact of safety footwear (SF) on workers concerning foot-related problems, especially regarding discomfort, foot pain, and skin lesions. Methods: A literature search of PubMed, Embase, Scopus, and Cochrane databases was performed according to PRISMA guidelines. Studies reporting foot-related problems in workers wearing SF were included. Exclusion criteria included non-English papers, reviews, laboratory and animal studies, expert opinions, letters to the editor, and grey literature. The quality assessment was performed using the Newcastle–Ottawa Scale. Descriptive statistic was used to present data. Result: The initial search results yielded 483 articles; 7 articles were included in the review process. Despite the extensive variety of SF, all studies consistently reported symptomatic discomfort and pain. The discomfort factors included heat, sweating, heaviness, and footwear flexibility, with primary issues in the toes, toecaps, or metatarsal–toe crease region. The pain prevalence ranged from 42.3% to 60.8% in various anatomical regions. Irritant Contact Dermatitis was the most common (97.9%) foot dermatosis, but other foot lesions were reported: dry skin (30.2%), calluses (30%), hard nails (28%), corns (27%), and blisters. Conclusions: Current SFs are designed to comply with safety regulations but are influenced by the frequent occurrence of discomfort and foot problems. The literature review identified weaknesses in certain design features. Recommendations have been proposed to improve SF development. These include addressing issues such as the selection of specific types and designs of SF based on task performance and the working environment, footwear weight, and breathable materials for moisture permeation. Considerations should also encompass distinct sizing for an optimal fit, insole application, especially for prolonged standing users, and education programs to prevent foot-related issues. Full article

This study endeavors to explore the intricate interplay between the fundamental skills of basketball—defensive slide, crossover dribbling, and full approach jump—and the shoe outsole friction coefficient, with the overarching goal of advancing our comprehension regarding the pivotal role of footwear in athlete performance. Employing a comprehensive methodology that integrates 3D motion capture, force platform dynamometry, and biomechanical modeling, the study seeks to quantify the inherent motor control intricacies associated with these fundamental skills. Data collection involved 12 varsity players, and the research systematically assesses the influence of the shoe friction coefficient on both skill quality and injury risk, utilizing a set of 13 parameters for evaluation. The findings unveil that, with an increased friction coefficient, the following changes occur: for the defensive slide, we observed decreased contact time (p < 0.05), boosted medio–lateral impulse (p < 0.05), and lowered ankle torque (p < 0.01); for crossover dribbling, we observed increased anterior–posterior impulse (p < 0.05) and ankle torque (p < 0.05); for the full approach jump, we observed decreased contact time (p < 0.05) and increased jump height (p < 0.05). Generally, the equal increment in the shoe outsole friction coefficient did not result in equal changes in the selected parameters of motor skill control, indicating a non-linear relationship between the performance quality of essential basketball skills and the shoe friction coefficient. The results suggest the potential existence of an optimal value for skill execution. Notably, the study identifies that, while an augmentation in the friction coefficient enhances specific skill aspects, there is a discernible saturation point, signifying diminishing returns. This investigation makes a substantial contribution to our understanding of the precise impacts of shoe friction coefficients on basketball skills, thereby prompting considerations for the judicious selection of optimal friction coefficients and advocating for possible personalized footwear recommendations based on individual biomechanical profiles. Full article