Motion-Control Shoes Reduce the Risk of Pronation-Related Pathologies in Recreational Runners: A Secondary Analysis of a Randomized Controlled Trial

To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners. Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries. Three hundred seventy-two recreational runners were randomized to receive either standard...

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Bibliographic Details
Published in:The journal of orthopaedic and sports physical therapy 2021-03, Vol.51 (3), p.135-143
Main Authors: Willems, Tine Marieke, Ley, Christophe, Goetghebeur, Els, Theisen, Daniel, Malisoux, Laurent
Format: Article
Language:English
Subjects:
Adult
Aged
Athletic Injuries - prevention & control
Biomechanical Phenomena
Equipment Design
Female
Humans
Male
Middle Aged
Pronation
Running - injuries
Shoes
Young Adult
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Summary:To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners. Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries. 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. 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. Motion-control shoes may reduce the risk of pronation-related running injuries, but did not influence the risk of other running-related injuries. .
ISSN:0190-6011
1938-1344
DOI:10.2519/JOSPT.2021.9710