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Injuries occuring in the transition from shod to barefoot running

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  #1  
Old 2nd June 2012, 06:25 PM
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Default Injuries occuring in the transition from shod to barefoot running

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From the ACSM Mtg:
Running-related Injuries During The Transition From Shod To Barefoot Running
Allison R. Altman, Irene S. Davis
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There are more than 16 million runners in the United States. Of these runners, up to 79% are injured each year. It has been suggested that an increasing number of runners are converting to barefoot running to avoid injuries by running with a softer landing pattern. However, the alteration in mechanics associated with this conversion may increase the risk of injury during the transition.

PURPOSE: To determine the injury patterns associated with the transition from shod to barefoot running.

METHODS: 109 barefoot runners were recruited from online advertisements. These runners were between 18-50 yrs and were running at least 10 miles/week. Injuries associated with barefoot transition were reported to a web-based survey. Injuries were divided into musculoskeletal injuries (MS_INJ) and injuries to the plantar surface of the foot (PL_INJ). MS_INJ were further divided into those that were professionally assessed where a clear diagnosis was noted, and those that were self-reported.

RESULTS: 17% (18/109) of the runners sustained a MS_INJ during their transition with half of those (9/109) seeking medical attention. 15% (16/109) of barefoot runners sustained PL_INJ. 37 total injuries were reported, with 21 being MS_INJ, and 16 were PL_INJ. The most common MS_INJ were foot, arch, calf and lower leg pain. Of the PL_INJ, blisters were the most common. Cuts, thought to be a significant risk with barefoot running, only occurred in 2/109 runners.

CONCLUSION: Overall, the occurrence of transition injuries was relatively low. Conditioning of the arch and lower leg muscles, coupled with a gradual toughening of the plantar surface of the foot should help to reduce these injuries during transition.
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Old 3rd June 2012, 12:36 AM
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Default Re: Injuries occuring in the transition from shod to barefoot running

So how many people that try to transition to barefoot but get a significant injury will continue to go barefoot???
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Old 3rd June 2012, 12:43 AM
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Default Re: Injuries occuring in the transition from shod to barefoot running

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So how many people that try to transition to barefoot but get a significant injury will continue to go barefoot???
Indeed! The study was a self selected group who had made the transition successfully retrospectively reporting on the injuries they got.....

Having said that, if you look at the table, the specific injuries are consistent with what I am seeing and what you would expect to see as a result of the specific joints moments that are increased in barefoot running/forefoot striking.
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Old 15th May 2013, 12:52 PM
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Default Re: Injuries occuring in the transition from shod to barefoot running

Minimalist shoe injuries: Three case reports.
Cauthon DJ, Langer P, Coniglione TC.
Foot (Edinb). 2013 May 10.
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Running in minimalist shoes continues to increase in popularity and multiple mainstream shoe companies now offer minimalist shoes. While there is no evidence that traditional running shoes prevent injuries, there are concerns that the designs of minimalist shoes may increase injury risk. However, reports of injuries in runners wearing minimalist shoes are rare. We present three injuries occurring in runners that were wearing minimalist shoes at the time of injury. All three of the runners switched immediately to the minimalist shoes with no transition period. We recommend that any transition to minimalist shoe gear be performed gradually. It is our contention that these injuries are quite common and will continue to become more prevalent as more runners change to these shoes.
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Old 15th May 2013, 12:54 PM
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Default Re: Injuries occuring in the transition from shod to barefoot running

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All three of the runners switched immediately to the minimalist shoes with no transition period
I still find it hard to believe that there are some runners that are stool that dumb. maybe there needs to be an IQ test before being allowed to run in minimalist shoes
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