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Biomechanical and neural changes evaluation induced by prolonged use of non-stable footwear: a systematic review

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Abstract

The aim of this review is to collect and discuss the current best evidence published in literature about the effect of the Masai Barefoot Technology(MBT) shoes on gait and muscle activation and try to draw conclusions on the possible benefits. We searched Medline, CINAHL, Embase and the Cochrane Central Registry of Controlled Trials. The reference lists of the previously selected articles were then examined by hand. Only studies comparing biomechanical and clinical outcomes were selected. Review, anatomical studies, letter to editor and instructional course were excluded. Finally, all the resulting articles were reviewed and discussed by all the authors to further confirm their suitability for this review: in the end, 22 articles were included. A total of 532 patients presenting a mean age of 34.3 years were studied. All patients evaluated were healthy or amateur sports except in two studies where only obese subjects and knee osteoarthritis patients were involved. Seven studies evaluated only male subjects, whereas four studies evaluated only female. Twelve of twenty-two studies performed electromyographic analyses. Weight was reported in 19 studies, whereas body mass index were reported only in a five studies. All studies reported kinematic analysis of shoe effects and compared the relationship between muscle recruitment and electromyographic activity. Unstable footwears were shown to immediately alter the stability in gait during daily-life activities. The center of body pressure is moved posteriorly with a consequent posterior displacement of the upper part of body in order to regain an appropriate body balance, and these postural changes are associated with an overall increase in the activity of lumbar erector spine muscles, as well as certain lower limb muscles. Current literature provides enough cues to conclude for a beneficial role of MBT shoes in the postural and proprioceptive recovery, but from the same literature cannot be drown clear and appropriate guidance to determine more in detail their indication for specific pathological conditions or for particular phases of the musculoskeletal recovery process.

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References

  1. Buchecker M, Stoggl T, Muller E (2013) Spine kinematics and trunk muscle activity during bipedal standing using unstable footwear. Scand J Med Sci Sports 23(3):e194–e201. doi:10.1111/sms.12053

    Article  CAS  PubMed  Google Scholar 

  2. Buchecker M, Lindinger S, Pfusterschmied J, Muller E (2013) Effects of age on lower extremity joint kinematics and kinetics during level walking with Masai barefoot technology shoes. Eur J Phys Rehabil Med 49(5):675–686

    CAS  PubMed  Google Scholar 

  3. Gross MT, Mercer VS, Lin FC (2012) Effects of foot orthoses on balance in older adults. J Orthop Sports Phys Ther 42(7):649–657. doi:10.2519/jospt.2012.3944

    Article  PubMed  Google Scholar 

  4. Caraffa A, Cerulli G, Projetti M, Aisa G, Rizzo A (1996) Prevention of anterior cruciate ligament injuries in soccer. A prospective controlled study of proprioceptive training. Knee Surg Sports Traumatol Arthrosc 4(1):19–21

    Article  CAS  PubMed  Google Scholar 

  5. Waddington G, Seward H, Wrigley T, Lacey N, Adams R (2000) Comparing wobble board and jump-landing training effects on knee and ankle movement discrimination. J Sci Med Sport Sports Med Aust 3(4):449–459

    Article  CAS  Google Scholar 

  6. Lamo-Espinosa J, Troncoso S, Valenti-Azcarate A, Diaz de Rada P, Valenti-Nin JR (2014) Clinical and radiological short-term complications after single-stage bilateral uncemented total hip arthroplasty. Musculoskelet Surg. doi:10.1007/s12306-014-0342-z

    PubMed  Google Scholar 

  7. Branthwaite H, Chockalingam N, Pandyan A, Khatri G (2013) Evaluation of lower limb electromyographic activity when using unstable shoes for the first time: a pilot quasi control trial. Prosthet Orthot Int 37(4):275–281. doi:10.1177/0309364612464812

    Article  PubMed  Google Scholar 

  8. Romkes J, Rudmann C, Brunner R (2006) Changes in gait and EMG when walking with the Masai Barefoot Technique. Clin Biomech 21(1):75–81. doi:10.1016/j.clinbiomech.2005.08.003

    Article  Google Scholar 

  9. Taniguchi M, Tateuchi H, Takeoka T, Ichihashi N (2012) Kinematic and kinetic characteristics of Masai Barefoot Technology footwear. Gait Posture 35(4):567–572. doi:10.1016/j.gaitpost.2011.11.025

    Article  PubMed  Google Scholar 

  10. Li JX, Hong Y (2007) Kinematic and electromyographic analysis of the trunk and lower limbs during walking in negative-heeled shoes. J Am Podiatr Med Assoc 97(6):447–456

    Article  PubMed  Google Scholar 

  11. Roberts S, Birch I, Otter S (2011) Comparison of ankle and subtalar joint complex range of motion during barefoot walking and walking in Masai Barefoot Technology sandals. J Foot Ankle Res 4:1. doi:10.1186/1757-1146-4-1

    Article  PubMed Central  PubMed  Google Scholar 

  12. Jackman RW, Kandarian SC (2004) The molecular basis of skeletal muscle atrophy. Am J Physiol Cell Physiol 287(4):C834–C843. doi:10.1152/ajpcell.00579.2003

    Article  CAS  PubMed  Google Scholar 

  13. Spector SA (1985) Trophic effects on the contractile and histochemical properties of rat soleus muscle. J Neurosci 5(8):2189–2196

    CAS  PubMed  Google Scholar 

  14. Landry SC, Nigg BM, Tecante KE (2010) Standing in an unstable shoe increases postural sway and muscle activity of selected smaller extrinsic foot muscles. Gait Posture 32(2):215–219. doi:10.1016/j.gaitpost.2010.04.018

    Article  PubMed  Google Scholar 

  15. Yamamoto T, Ohkuwa T, Itoh H, Yamazaki Y, Sato Y (2000) Walking at moderate speed with heel-less shoes increases calf blood flow. Arch Physiol Biochem 108(5):398–404. doi:10.1076/apab.108.5.398.4296

    Article  CAS  PubMed  Google Scholar 

  16. Nigg BM, Emery C, Hiemstra LA (2006) Unstable shoe construction and reduction of pain in osteoarthritis patients. Med Sci Sports Exerc 38(10):1701–1708. doi:10.1249/01.mss.0000228364.93703.53

    Article  PubMed  Google Scholar 

  17. Buchecker M, Wagner H, Pfusterschmied J, Stoggl TL, Muller E (2012) Lower extremity joint loading during level walking with Masai barefoot technology shoes in overweight males. Scand J Med Sci Sports 22(3):372–380. doi:10.1111/j.1600-0838.2010.01179.x

    Article  CAS  PubMed  Google Scholar 

  18. Demura T, Demura S (2012) The effects of shoes with a rounded soft sole in the anterior–posterior direction on leg joint angle and muscle activity. Foot 22(3):150–155. doi:10.1016/j.foot.2012.02.004

    Article  Google Scholar 

  19. Demura T, Demura S, Yamaji S, Yamada T, Kitabayashi T (2012) Gait characteristics when walking with rounded soft sole shoes. Foot 22(1):18–23. doi:10.1016/j.foot.2011.09.002

    Article  Google Scholar 

  20. Forghany S, Nester CJ, Richards B (2013) The effect of rollover footwear on the rollover function of walking. J Foot Ankle Res 6(1):24. doi:10.1186/1757-1146-6-24

    Article  PubMed Central  PubMed  Google Scholar 

  21. Forghany S, Nester CJ, Richards B, Hatton AL, Liu A (2014) Rollover footwear affects lower limb biomechanics during walking. Gait Posture 39(1):205–212. doi:10.1016/j.gaitpost.2013.07.009

    Article  PubMed  Google Scholar 

  22. Nigg B, Hintzen S, Ferber R (2006) Effect of an unstable shoe construction on lower extremity gait characteristics. Clin Biomech 21(1):82–88. doi:10.1016/j.clinbiomech.2005.08.013

    Article  Google Scholar 

  23. Nigg BM, Davis E, Lindsay D, Emery C (2009) The effectiveness of an unstable sandal on low back pain and golf performance. Clin J Sport Med 19(6):464–470. doi:10.1097/JSM.0b013e3181c0a96f

    Article  PubMed  Google Scholar 

  24. Nigg BM, Tecante GKE, Federolf P, Landry SC (2010) Gender differences in lower extremity gait biomechanics during walking using an unstable shoe. Clin Biomech 25(10):1047–1052. doi:10.1016/j.clinbiomech.2010.07.010

    Article  Google Scholar 

  25. Price C, Smith L, Graham-Smith P, Jones R (2013) The effect of unstable sandals on instability in gait in healthy female subjects. Gait Posture 38(3):410–415. doi:10.1016/j.gaitpost.2013.01.003

    Article  PubMed  Google Scholar 

  26. Ramstrand N, Thuesen AH, Nielsen DB, Rusaw D (2010) Effects of an unstable shoe construction on balance in women aged over 50 years. Clin Biomech 25(5):455–460. doi:10.1016/j.clinbiomech.2010.01.014

    Article  Google Scholar 

  27. Sacco IC, Sartor CD, Cacciari LP, Onodera AN, Dinato RC, Pantaleao E Jr, Matias AB, Cezario FG, Tonicelli LM, Martins MC, Yokota M, Marques PE, Costa PH (2012) Effect of a rocker non-heeled shoe on EMG and ground reaction forces during gait without previous training. Gait Posture 36(2):312–315. doi:10.1016/j.gaitpost.2012.02.018

    Article  PubMed  Google Scholar 

  28. Stewart L, Gibson JN, Thomson CE (2007) In-shoe pressure distribution in “unstable” (MBT) shoes and flat-bottomed training shoes: a comparative study. Gait Posture 25(4):648–651. doi:10.1016/j.gaitpost.2006.06.012

    Article  CAS  PubMed  Google Scholar 

  29. Stoggl T, Haudum A, Birklbauer J, Murrer M, Muller E (2010) Short and long term adaptation of variability during walking using unstable (Mbt) shoes. Clin Biomech 25(8):816–822. doi:10.1016/j.clinbiomech.2010.05.012

    Article  Google Scholar 

  30. Laughton CA, Slavin M, Katdare K, Nolan L, Bean JF, Kerrigan DC, Phillips E, Lipsitz LA, Collins JJ (2003) Aging, muscle activity, and balance control: physiologic changes associated with balance impairment. Gait Posture 18(2):101–108

    Article  PubMed  Google Scholar 

  31. Gregory DE, Callaghan JP (2008) Prolonged standing as a precursor for the development of low back discomfort: an investigation of possible mechanisms. Gait Posture 28(1):86–92. doi:10.1016/j.gaitpost.2007.10.005

    Article  PubMed  Google Scholar 

  32. O’Sullivan P, Dankaerts W, Burnett A, Straker L, Bargon G, Moloney N, Perry M, Tsang S (2006) Lumbopelvic kinematics and trunk muscle activity during sitting on stable and unstable surfaces. J Orthop Sports Phys Ther 36(1):19–25. doi:10.2519/jospt.2006.36.1.19

    Article  PubMed  Google Scholar 

  33. Papalia R, Zampogna B, Torre G, Lanotte A, Vasta S, Albo E, Tecame A, Denaro V (2014) Sarcopenia and its relationship with osteoarthritis: risk factor or direct consequence? Musculoskelet Surg 98(1):9–14. doi:10.1007/s12306-014-0311-6

    Article  CAS  PubMed  Google Scholar 

  34. Behm DG, Drinkwater EJ, Willardson JM, Cowley PM (2010) The use of instability to train the core musculature. Appl Physiol Nutr Metab 35(1):91–108. doi:10.1139/H09-127

    Article  PubMed  Google Scholar 

  35. Erfani MA, Pourabbas B, Nouraie H, Vadiee I, Vosoughi AR (2014) Results of fusion and instrumentation of thoracic and lumbar vertebral fractures in children: a prospective ten-year study. Musculoskelet Surg 98(2):107–114. doi:10.1007/s12306-014-0313-4

    Article  CAS  PubMed  Google Scholar 

  36. Notarnicola A, Maccagnano G, Di Leo M, Tafuri S, Moretti B (2014) Overload and neovascularization of Achilles tendons in young artistic and rhythmic gymnasts compared with controls: an observational study. Musculoskelet Surg 98(2):115–120. doi:10.1007/s12306-013-0275-y

    CAS  PubMed  Google Scholar 

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Authors and Affiliations

  1. Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy

    R. Papalia, A. Tecame, G. Vadalà, A. Di Martino, E. Albo & V. Denaro

  2. Department of Neurology, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy

    G. Di Pino & V. Di Lazzaro

  3. Laboratory of Biomedical Robotics and Biomicrosystems, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 21, Rome, Italy

    D. Formica

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  1. R. Papalia
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Correspondence to R. Papalia.

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Papalia, R., Di Pino, G., Tecame, A. et al. Biomechanical and neural changes evaluation induced by prolonged use of non-stable footwear: a systematic review. Musculoskelet Surg 99, 179–187 (2015). https://doi.org/10.1007/s12306-015-0350-7

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  • DOI: https://doi.org/10.1007/s12306-015-0350-7

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