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      Plantar support adaptations in healthy subjects after eight weeks of barefoot running training

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          Abstract

          Background

          Although the studies of barefoot running have intensified, it is still missing longitudinal work analyzing the effects of barefoot running on the phases of plantar support. The objective of this research was to analyze the modifications undergone by the Total Foot Contact (TFC) phase and its Flat Foot Phase (FFP) in subjects beginning the practice of barefoot running, in its acute and chronic effects.

          Methods

          A total of 28 subjects were divided into the Barefoot Group (BFGr) ( n = 16) and the Shod Group (SHGr) ( n = 12), evaluated before (Baseline) and after running for 20 min at 3.05 m·s −1 (Post 20 min Running), and at the end of a running training protocol with an 8-week long progressive volume (Post-8-week Training). The dynamic plantar support was measured with a baropodoscope. The duration of TFC (ms), the moment at which the FFP occurred, the maximum surface of TFC (MSTFC) (cm 2), the FFP surface (SFFP) (cm 2), the peak pressure of TFC (PP°TFC) (kg·cm −2), and the peak pressure of FFP (PP°FFP) (kg·cm −2) were recorded. The 3 × 2 ANOVA analysis was made to determine the effects and interactions that the condition produced (Shod/Barefoot), and the time factor (Baseline/Post 20 min Running/Post-8-week Training).

          Results

          The condition factor caused more significant effects than the time factor in all the variables. Duration of TFC in BFGr showed significant differences between the Baseline and Post-8-week Training ( p = 0.000) and between Post-20-min Running and Post-8-week Training ( p = 0.000), with an increasing trend. In the moment at which the FFP occurred a significant increase ( p = 0.029) increase was found in Post-20 min Running (48.5%) compared to the Baseline (42.9%). In MSTFC, BFGr showed in Post-8-week Training values significantly higher than the Baseline ( p = 0.000) and than Post-20-min Running ( p = 0.000). SHGr presented a significant difference between the Baseline and Post-8-week Training ( p = 0.040). SFFP in BFGr modified its values with an increasing trend ( p = 0.000). PP°TFC in BFGr showed a significant decrease ( p = 0.003) in Post-8-week Training (1.9 kg·cm −2) compared to the Baseline (2.4 kg·cm −2). In PP°FFP significant decreases were recorded in BFGr and between Post-8-week Training and Baseline ( p = 0.000), and Post-8-week Training and Post 20 min Running ( p = 0.035).

          Conclusions

          The adaptation took place after the 8-week training. The adaptations to running barefoot were characterized by causing an increase of the foot’s plantar support in TFC and in FFP, as well as a decrease of the plantar pressure peak in both phases. Also, there is an increased duration of the TFC and FFP, which may be related to an acquired strategy to attenuate the impacts of the ground’s reaction forces.

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          Most cited references35

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          Endurance running and the evolution of Homo.

          Striding bipedalism is a key derived behaviour of hominids that possibly originated soon after the divergence of the chimpanzee and human lineages. Although bipedal gaits include walking and running, running is generally considered to have played no major role in human evolution because humans, like apes, are poor sprinters compared to most quadrupeds. Here we assess how well humans perform at sustained long-distance running, and review the physiological and anatomical bases of endurance running capabilities in humans and other mammals. Judged by several criteria, humans perform remarkably well at endurance running, thanks to a diverse array of features, many of which leave traces in the skeleton. The fossil evidence of these features suggests that endurance running is a derived capability of the genus Homo, originating about 2 million years ago, and may have been instrumental in the evolution of the human body form.
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            A retrospective case-control analysis of 2002 running injuries.

            To provide an extensive and up to date database for specific running related injuries, across the sexes, as seen at a primary care sports medicine facility, and to assess the relative risk for individual injuries based on investigation of selected risk factors. Patient data were recorded by doctors at the Allan McGavin Sports Medicine Centre over a two year period. They included assessment of anthropometric, training, and biomechanical information. A model was constructed (with odds ratios and their 95% confidence intervals) of possible contributing factors using a dependent variable of runners with a specific injury and comparing them with a control group of runners who experienced a different injury. Variables included in the model were: height, weight, body mass index, age, activity history, weekly activity, history of injury, and calibre of runner. Most of the study group were women (54%). Some injuries occurred with a significantly higher frequency in one sex. Being less than 34 years old was reported as a risk factor across the sexes for patellofemoral pain syndrome, and in men for iliotibial band friction syndrome, patellar tendinopathy, and tibial stress syndrome. Being active for less than 8.5 years was positively associated with injury in both sexes for tibial stress syndrome; and women with a body mass index less than 21 kg/m(2) were at a significantly higher risk for tibial stress fractures and spinal injuries. Patellofemoral pain syndrome was the most common injury, followed by iliotibial band friction syndrome, plantar fasciitis, meniscal injuries of the knee, and tibial stress syndrome. Although various risk factors were shown to be positively associated with a risk for, or protection from, specific injuries, future research should include a non-injured control group and a more precise measure of weekly running distance and running experience to validate these results.
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              Foot strike and injury rates in endurance runners: a retrospective study.

              This retrospective study tests if runners who habitually forefoot strike have different rates of injury than runners who habitually rearfoot strike.
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                Author and article information

                Contributors
                Journal
                PeerJ
                PeerJ
                PeerJ
                PeerJ
                PeerJ
                PeerJ Inc. (San Diego, USA )
                2167-8359
                31 March 2020
                2020
                : 8
                : e8862
                Affiliations
                [1 ]Escuela de Ciencias de la Actividad Física/Facultad de Ciencias Médicas, Universidad de Santiago de Chile , Santiago, Región Metropolitana, Chile
                [2 ]Grupo de Investigación GENUD, CIBER de Fragilidad y Envejecimiento Saludable, Universidad de Castilla La Mancha , Toledo, Toledo, Spain
                Author information
                http://orcid.org/0000-0001-6696-5751
                http://orcid.org/0000-0002-4502-9275
                Article
                8862
                10.7717/peerj.8862
                7120041
                eabfd283-4504-47d3-b4b4-2009979da1f6
                © 2020 Sánchez-Ramírez and Alegre

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.

                History
                : 11 December 2019
                : 5 March 2020
                Funding
                Funded by: Universidad de Santiago de Chile
                Award ID: 021887SR
                This work was supported by the Dirección de Investigaciones Científicas y Tecnológicas (DICYT) of the Universidad de Santiago de Chile (Project No. 021887SR). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Anatomy and Physiology
                Kinesiology

                barefoot running,plantar pressure,biomechanics,plantar support,total foot contact,flat foot phase,running kinematic

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