Journal of Orthopaedic & Sports Physical Therapy
Published Online: February 28, 2021 Volume 51 Issue 3 Pages135-143
https://www.jospt.org/doi/10.2519/jospt.2021.9710
Abstract
Objective
To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners.
Design
Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries.
Methods
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.
Results
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.
Conclusion
Motion-control shoes may reduce the risk of pronation-related running injuries, but did not influence the risk of other running-related injuries. J Orthop Sports Phys Ther 2021;51(3):135–143. Epub 11 Dec 2020. doi:10.2519/jospt.2021.9710