背景:简约鞋提供足够的脚趾空间,三脚架功能,改善足部功能,步行过程中的肌肉激活和稳定性类似于赤脚步行。由于这种特定鞋类的日益普及,缺乏针对简约鞋类一般使用者的研究。
目的:每年穿着简约鞋走路会影响步态生物力学吗?
方法:一项横断面研究,涉及20名同时有经验(MFE)和无经验(NMFE)的简约鞋小组参与者。参与者在三种不同的条件下行走(赤脚,简约,和中性鞋)在实验室中以正常的人类行走速度。
结果:无论鞋类状况如何,组的显着主要影响显示,在步幅长度上,在极简的鞋类和赤脚行走期间(分别为p=0.035,p=0.003),与MFE组相比,NMFE组的步幅(分别为p=0.047,p=0.028)。在站立时间(p<0.001)中发现,无论经验如何,鞋类的主要影响均存在显着差异。每分钟步数(p<0.001),步幅长度(<0.001),TO中的足内收(p<0.001),IC和TO中的足外翻角(分别为p<0.001,p<0.001),足部发展角(p<0.001),IC和TO中的踝关节背屈角(分别为p<0.001,p<0.001),在IC和TO的踝关节外翻角度(分别为p<0.001,p<0.001),IC和TO中的膝关节屈曲角度(分别为p<0.001;p<0.001),和膝关节屈曲运动范围(p<0.001)。
结论:根据我们的发现,如果环境有利,则应主要在日常活动中使用赤脚行走。只有一年的简约鞋类经验似乎是不够的,当过渡到完全简约的鞋类行走时,应该结合干预措施来改变步态模式。
BACKGROUND: Minimalistic
footwear provides adequate toe space, tripod function, improving foot function, muscle activation and stability during walking similarly to barefoot walking. Due to the increasing popularity of this specific
footwear, there is a lack of research focusing on general users of minimalistic
footwear.
OBJECTIVE: Does annual walking in minimalistic
footwear affect gait biomechanics?
METHODS: Cross-sectional study involving twenty participants in a minimalistic footwear group with both experience (MFE) and no experience (NMFE). Participants walked in three different conditions (barefoot, minimalistic, and neutral footwear) in the laboratory at normal human walking speed.
RESULTS: A significant main effect of groups regardless of footwear conditions show significantly greater values during walking in minimalistic
footwear and barefoot in the stride length (p=0.035, p=0.003, respectively), and stride width (p=0.047, p=0.028, respectively) in the NMFE group compared to MFE group. The significant differences in the main effects of footwear regardless of experience were found in stance time (p<0.001), steps per minute (p<0.001), stride length (<0.001), foot adduction in TO (p<0.001), foot eversion angle in IC and TO (p<0.001, p<0.001, respectively), foot progression angle (p<0.001), ankle dorsiflexion angle in IC and TO (p<0.001, p<0.001, respectively), in ankle eversion angle in IC and TO (p<0.001, p<0.001, respectively), knee flexion angle in IC and TO (p<0.001; p<0.001, respectively), and in knee flexion range of motion (p<0.001).
CONCLUSIONS: Based on our findings, barefoot walking should be used primarily during daily activities if the environment is conducive. Only one year of experience with minimalistic footwear seems insufficient and an intervention should be incorporated to change the gait pattern when transitioning to full minimalistic footwear walking.