SERVING MINNEAPOLIS / ST. PAUL / MINNESOTA
Donate Now Sustaining Member

MinnPost thanks these major sponsors:




Sponsor of
Second Opinion



Our major advertisers


Our in-kind partners


MinnPost thanks these generous donors:

INDIVIDUALS AND FOUNDATI0NS
Blandin Foundation
Otto Bremer Foundation
Bush Foundation
Sage & John Cowles
David & Vicki Cox
Toby & Mae Dayton
Jack & Claire Dempsey
Ethics and Excellence in Journalism Foundation
Sam & Stacey Heins
John S. and James L. Knight Foundation
Joel & Laurie Kramer
Lee Lynch & Terry Saario
Martin & Brown Foundation
The McKnight Foundation
The Minneapolis Foundation
The Saint Paul Foundation
Rebecca & Mark Shavlik

(See all donors here.)

This content is made possible by the generous sponsorship support of UCare.
  • Switch to Small Text Size
  • Switch to Medium Text Size
  • Switch to Large Text Size
Email Print Submit a Comment

    Could barefoot running save the knee?

    By Paul Scott | Published Thu, Sep 17 2009 10:14 am

    Several years ago, during a grateful stretch of employment after the birth of my first child, I got an assignment from a glossy and hip national magazine to review trail running shoes. I had reviewed cologne and grooming supplies, but had never before reviewed high-end sports footwear.

    I was promptly shipped more a dozen pairs of high-performance shoes, really gorgeous stuff, the very best brands, retailing $60 to $120 a pair. My closet was suddenly ridiculous, and I took the job very seriously, lacing up every pair and heading out to test the shoes through snow and rain and mud.

    Eventually I picked out a best of the batch, and did my best to justify the call in print, but when it was all said and done I had a hard time knowing why. I think I chose one shoe over another because of the way the shoe performed, but I may have also really liked the way it looked. Part of me wondered if the whole thing wasn’t a bunch of b.s.

    Maybe I wasn't cut out for shoe reviewing (they never called again). Then again, maybe I was right. A revolt over whether we should wear running shoes has taken on momentum lately. It first began in the late 1980s, when a study found that the more your shoes cost, the higher the injury rate. That could mean a lot of things, of course -- maybe people who pay more for their running shoes run more aggressively, and thus get injured more, for example. But another study published during that time suggested barefoot runners get injured less because their arches adapted to better deflect impact forces.

    A lack of evidence
    Lately, nothing less than the great running-shoe value system has come under question. You know that advice you get in the shoe store -- that to prevent injury, people whose feet turn from side to side, or pronate, should wear "stabilizing" shoes, while everyone else should wear "cushioning" shoes? It turns out no one has ever proven that notion, according to a survey of the literature recently published in the British Journal of Sports Medicine.

    That study was highlighted in a recent article in the New York Times on the phenomenon of shoeless running, a trend that has given rise to shoes (such as Vibram FiveFingers) specifically designed for shoeless runners. (What’s next, guitars for playing air-guitar? Umm, skip that ... .) "Born to Run," a new book by magazine writer and runner Christopher McDougall, examines the question in even greater depth.

    The proponents of shoeless running argue that it helps protect injuries to the foot, lower leg and ankle, but given that the entire leg from the foot through the hip is a linked system, I’m hoping it won’t be long until they discover that shoeless running has benefits for the region home to the most vexing of running injuries, the knee.

    Irene Davis, PhD, a researcher at the University of Delaware, past president of the American Society of Biomechanics, and newly converted barefoot runner, has measured impact forces with and without running shoes.  Though anecdotal observations are many, she says, "unfortunately there’s not a lot of concrete evidence that suggests that when you run barefoot you get injured less."

    A question of landings
    Davis says it's possible that barefoot running is smarter, however, and the issue comes down to the biomechanics of how runners land. Most runners (80 percent) run with a rear-foot strike pattern, landing on their heels and rolling through to push off from the balls of their feet. She says running shoes cushion the heels during this pattern, "but you have a quick rise to impact peak" running heel-first. In runners with a forefoot or mid-foot strike pattern, on the other hand, "[their] peak becomes attenuated," Davis says. We all have a pattern we are born with, but necessity requires barefoot runners to change to a mid-foot pattern. "When you barefoot run you can’t land on your heel," she says. "It hurts. Go out and try it."

    Davis doesn’t know whether barefoot running will protect the knees, but says it would appear to reduce the forces on the tibia, and "that’s probably going to be good for the knee." Diabetics and people with arthritic conditions need to keep their running shoes on, she says. Others can take off their shoes, but need to start small. "I did it slowly," she says. "I started at a quarter of a mile, then moved it up to a third of a mile, and then a half a mile."

    'A natural pumice stone'
    She says her feet have actually become softer in the process. "I’m a girl," she says, "so my worry was I didn’t want calluses. The pavement serves as a natural pumice stone."

    Ironically, grass is more dangerous for shoeless runners than paved paths. "The problem with grass is you don’t know what’s underneath it." Pavement resembles hard-packed natural running surfaces in places like Copper Canyon, Mexico. More important, pavement is hard, and in terms of biomechanical re-education a hard surface is the whole point of taking the pillows off your feet in the first place. Hard surfaces force you to land even smarter than you would on grass. "When you run on pavement you’ve got to cushion more." With your body.

    Freelancer Paul Scott, of Rochester, writes frequently about health and fitness for various media. Susan Perry is on vacation.

    Like what you just read? Support high-quality journalism in Minnesota by becoming a member of MinnPost.

    Advertisement:

    0 Comments:

    E-mail address

    Password

     

    Forgot Password? | Register to Comment

    MinnPost does not permit the use of foul language, personal attacks or the use of language that may be libelous or interpreted as inciting hate or sexual harassment. User comments are reviewed by moderators to ensure that comments meet these standards and adhere to MinnPost's terms of use and privacy policy.

    We intend for this area to be used by our readers as a place for civil, thought-provoking and high-quality public discussion. In order to achieve this, MinnPost requires that all commenters register and post comments with their actual names and place of residence. Register here to comment.


    medium_UCareLogo125.jpg

    Health care that starts with you. That's what you'll find at UCare, the fourth-largest health plan in Minnesota, serving more than 225,000 members across Minnesota and 26 counties in western Wisconsin.

    minnpost.com/healthblog


    Susan Perry

    In "Second Opinion" Susan Perry will coordinate coverage to help MinnPost readers make their way through the thicket of health happenings, trends, studies and research. Perry has written several health-related books, and her articles have appeared in a wide variety of publications, including Minnesota Monthly, The History Channel Magazine and Woman's Day. She is a former writer/editor for Time-Life Books and a former editor of Nutrition Action Healthletter, published by the Center for Science in the Public Interest. Perry can be reached at sperry [at] minnpost [dot] com.

    Recent Second Opinion posts