The Effect of Shoe Forefoot Stiffness On The Windlass Mechanism In Running

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1 Graduate Theses and Dissertations Graduate College 2011 The Effect of Shoe Forefoot Stiffness On The Windlass Mechanism In Running Eric Gerard Sterner Iowa State University Follow this and additional works at: Part of the Kinesiology Commons Recommended Citation Sterner, Eric Gerard, The Effect of Shoe Forefoot Stiffness On The Windlass Mechanism In Running (2011). Graduate Theses and Dissertations This Thesis is brought to you for free and open access by the Graduate College at Iowa State University Digital Repository. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Iowa State University Digital Repository. For more information, please contact

2 The effect of shoe forefoot stiffness on the windlass mechanism in running by Eric Gerard Sterner A thesis submitted to the graduate faculty in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE Major: Kinesiology (Biological Basis of Physical Activity) Program of Study Committee: Timothy R. Derrick, Major Professor Jason Gillette Gary Mirka Iowa State University Ames, Iowa 2011 Copyright Eric Gerard Sterner, All rights reserved.!!

3 !! #$%&!'(!)'*+&*+,! CHAPTER 1. INTRODUCTION... 1 CHAPTER 2. REVIEW OF LITERATURE... 5 RUNNING BIOMECHANICS AND FOOTWEAR... 5 ASSESSMENT OF FOOTWEAR EFFECTS ON GAIT... 7 EFFECT OF FOOTWEAR ON THE WINDLASS MECHANISM IN RUNNING... 9 WINDLASS MECHANISM IN RUNNING FACTORS AFFECTING PLANTAR FASCIA INJURY CHAPTER 3. THE EFFECTS OF SHOE FOREFOOT STIFFNESS ON THE WINDLASS MECHANISM IN RUNNING ABSTRACT INTRODUCTION METHODS RESULTS DISCUSSION CONCLUSIONS REFERENCES TABLES FIGURES... 29!

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13 #A )*54,-(9!&&*&'(8(%9!%7+&!22%(++*2-1%%!%7+'*(+:$%),0)10,&!%7&'(+&!22%(++6&'( 8(%9!%75*5(%&!+9!/!9(98=&'(,%70(*220(;!*%>?&(2,%=+'=%LN!776#SS_B:Y+&'( 5,;!5158(%9!%75*5(%&,%95,;!515,%70(*220(;!*%*))1-,&&'(+,5(4*!%&!% +&,%)(6&'(,1&'*-++177(+&&'(-(!+,+&-*%7,)&!/()*54*%(%&&*DOGe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

14 ## +1)',+&(%9*%60!7,5(%&6,%9&'(40,%&,-2,+)!,6,-(,))*1%&!%72*-&'(,99!&!*%,03*-R *28(%9!%7,+&!22(%(9+'*(: &*9(&(-5!%(&'((22()&*%3,0R!%7,%9-1%%!%7R!%(5,&!)+:O'(=)*%)019(9&',&&'( +'*()*%+&-,!%(9&*-+!*%,%9,991)&!*%-,%7(+*25*&!*%91-!%7-1%%!%73'(% )*54,-(9&*8,-(2**&-1%%!%7:Y0&(-,&!*%!%+*0(',-9%(++8(&3((%+'*9)*%9!&!*%+ 3,+,)'!(/(9&'-*17'1+!%75*-(9(%+(5!9+*0(2*,5!%*%()*%9!&!*%:O'!+,0&(-+8*&' &'(20(;!8!0!&=,%9&'()1+'!*%!%74-*4(-&!(+*2&'(2**&3(,-6)-(,&!%7&3*/,-!,80(+&',& )*109(0!)!&,R!%(5,&!)-(+4*%+(:?'*(+&',&,0&(-&'(-(+&!%79*-+!20(;!*%,%70(*2&'(5(&,&,-+,0+',/(8((% &'(&!8!,0!+,%&(-!*-,%90(7(;&(%+*-+',9!%)-(,+(9,)&!/,&!*%3'(%&'(5(&,&,-+,0+ (;!+&+:Z1-!%7&'(())(%&-!)4',+(6,%=!%)-(,+(!%9*-+!20(;!*%,%70(-(+10&(9!%'!7'(- &-!)(4++1-,(,)&!/,&!*%:O'(,1&'*-++4()10,&(9&',&'!7'(-,)&!/,&!*%)*109,22()&0(7 +&!22%(++91-!%7&'!+4',+(:$%&'()*%)(%&-!)4',+(6&'(-(3,+%*+!7%!2!),%&!%)-(,+(!% 51+)0(,)&!/,&!*%91(&*&'(!%)-(,+(99*-+!20(;!*%,%70(*2&'(5(&,&,-+,0+: C6*3%#,,!D&5-#*6,>!2*!84**6*<! <!-+&9(+)-!8(98=U!)R+>#SVWB6&'(3!%90,++5()',%!+59(+)-!8(+,4,++!/( +&-1)&1-,0)',%7(*2&'(5(9!,00*%7!&19!%,0,-)'*2&'(2**&:?4,%%!%7&'(0(%7&'*2&'( 2**&2-*5&'(),0),%(,0&18(-*+!&=&*&'(8,+(*2&'(4',0,%7(+6&'(40,%&,-,4*%(1-*+!+6

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

16 #\ /,-!,%)(!%40,%&,-2,+)!,+&-(++91-!%7&'(+&,%)(4',+(*2-1%%!%7)*1098(,))*1%&(9 2*-8=,-)''(!7'&,%9!%)-(,+(9-(,-2**&(/(-+!*%:C-&'*&!)9(/!)(+9(+!7%(9&*-(91)( 40,%&,-2,+)!,+&-(++,-(9*)15(%&(9&*8(5*+&(22()&!/(3'(%&'(=+144*-&&'(8*%= +&-1)&1-(+*2&'(5(9!,00*%7!&19!%,0,-)'>a*70(-6?*0*5*%!9!+6LG,106#SSMB:P= 4'=+!),00=0!5!&!%7&'(9!+&,%)(&'(,-)'),%&-,/(06&'(+&-,!%40,)(9*%&'(40,%&,- 2,+)!,!+-(91)(96-(0!(/!%74,!%),1+(98=40,%&,-2,+)!!&!+: O'(-*0(*2&'(40,%&,-2,+)!,8()*5(+5*-()*540(;3'(%)*%+!9(-!%7&',&!&!+ )*%%()&(9,&&'(8,+(*2&'(),0),%(1+:P(),1+(&'(Y)'!00(+&(%9*%,0+*!%+(-&+*%&'( ),0),%(1+6&'(40,%&,-2,+)!,!+)*140(93!&'40,%&,-20(;*-51+)10,&1-(!%&'(),02:H'(% &(%+!0(2*-)(!%)-(,+(+!%&'(Y)'!00(+&(%9*%6+&-,!%!%&'(40,%&,-2,+)!,!%)-(,+(+ 5(&,&,-+*4',0,%7(,0F*!%&>DOGeB!%)-(,+(+6&'(40,%&(-2,+)!,+&!22(%+:O'!+6!%&1-%6!%)-(,+(+&'(&(%+!0(2*-)(,440!(98=&'(Y)'!00(+&(%9*%: 2*F4/G!! K1%%!%7!%F1-!(+,-(5*+&*2&(%)0,++!2!(9!%&(-5+*2,f+&-(++g*-f2,&!71(g&=4(!%F1-=:O'(5()',%!+52*-&'(+(!%F1-!(+!+&'()1510,&!/((22()&*2&'(-(4(&!&!/( 0*,9!%7&'(8*9=(;4(-!(%)(+3'!0(-1%%!%7>H'!&!%7L^(-%!)R(6#SS_B: G0,%&,-2,+)!!&!+6*-&'(!%20,55,&!*%*2&'(40,%&,-2,+)!,6!+,/(-=)*55*%!%F1-=:Y44-*;!5,&(0=#AI*2-1%%(-+,-(,22()&(98=&'!+)*%9!&!*%>X',%90(-La!80(-6 #SS\B:O'(5()',%!+5*2&'(!%F1-=!+%*&(%&!-(0=1%9(-+&**9681&!&!+9!-()&0=-(0,&(9 &*(;)(++!/(+&-(++40,)(9*%&'(40,%&,-2,+)!,:H'!0(,0&(-(9*-!54-*4(-R!%(5,&!)+

17 #W 4*!%&(9*1&&',&&'(F*!%&+,%9&!++1(+*2&'(2**&-(710,-0=21%)&!*%8(=*%9,%*-5,0 -,%7(:O'(-(2*-(6,%(22()&*22,&!71(2-*5-(4(&!&!/(0*,9!%751+&40,=,-*0(!%&'( 9(/(0*45(%&*2&'!+!%F1-=:

18 #V )-#.+&/!H1!-&!&((&5+!'(!,-'&!('/&(''+!,+6((*&,,!'*!+-&!:6*3%#,,! >&5-#*6,>!6*!/4**6*<! A paper to be submitted to Footwear Science Eric G. Sterner and Timothy R. Research evaluating the effects of running footwear on gait has deduced foot motion from upper and sole movement of footwear. The aim of the present study was to evaluate a technique that allows for direct assessment of the medial longitudinal arch (MLA) in running. A secondary purpose was to evaluate the effect of increased bending stiffness of footwear on the MLA during running. Using a unique marker set, a multi-segment foot model was created to analyze dorsiflexion of the first metatarsal, navicular displacement, rearfoot motion, and tibial rotation. Virtual markers were created based on the movement of these foot segments. Two different pairs of running shoes (flexible, stiff) were evaluated. 13 participants ran barefoot, and in both shoe conditions. The mean difference between actual and virtual markers created was 0.69 mm. Independent t-tests determined first metatarsal dorsiflexion was restricted in the stiff condition compared to the flexible (p < 0.05) with an effect size of The study provides a useful method of assessing foot motion while wearing footwear, and indicates that stiffer shoes restrict foot motion.!

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

29 @M 8&(&/&*5&,! Bellchamber, T.L., & van den Bogert, A.J. (2000) Contributions of proximal and distal moments to axial tibial rotation during walking and running. Journal of Biomechanics 33, Bojsen-Moller, F. (1979) Calcanocuboid joint and stability of the longitudinal arch of the foot at high and low gear push off. Journal of Anatomy 129, Bolga, L.A., & Malone, T.R. (2004) Plantar fasciitis and the windlass mechanism: A biomechanical link to clinical practice Journal of Athletic Training 39, Bourgit, D., Millet, G.Y., & Fuchslocher, J. (2008). Influence of shoes increasing dorsiflexion and decreasing metatarsus flexion on lower limb muscular activity during fitness exercises, walking, and running. Journal of Strength and Conditioning Research 22, Butler, R.J., Davis, I.S., & Hamill, J. (2006) Interaction of arch type and footwear on running mechanics. The American Journal of Sports Medicine 34, Carlson, R.E., Fleming, L.L., & Hutton, W.C. (2000).The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle. Foot Ankle International 21(1), Chandler, T.J., & Kibler, W.B., (1993) A biomechanical approach to the prevention, treatment and rehabilitation of plantar fasciitis. Sports Medicine 15, Cohen, J A power primer. Psychological Bulletin, 112, Cornwall M.W. (2000). Common pathomechanics of the foot. Athletic Therapy Today. 5, Hicks, J.H. (1954) The mechanics of the foot II. The plantar aponeurosis and the arch. Journal of Anatomy 88, Kogler, G.F., Solomondids, S.E., & Paul, J.P. (1996) Biomechanics of longitudinal arch support mechanisms in foot orthoses and their effect on plantar aponeurosis strain. Clinical Biomechanics 11, Lee, S.Y., Hertel, J., & Lee, S.C. (2010) Rearfoot eversion has indirect effects on plantar fascia tension by changing the amount of arch collapse. The Foot 20, Morio, C., Lake, M.J., Gueguen, N., Guillaume, R., & Baly, L. (2009) The influence of footwear on foot motion during walking and running. Journal of Biomechanics 42, ! Nielsen R.G., Rathleff, M.S., Moelgaard C.M., Simonsen O., Kaalund S., Olesen C.G., Christensen F.B., Kersting U.G. (2010) Video based analysis of dynamic midfoot function and its relationship with Foot Posture Index scores.!gait & Posture 31, Norkin, C.C., & Levangie, P.K. (2000) Joint structure and function. A comprehensive analysis. 4th ed. Philadelphia, PA Oleson, M., Adler, D., & Goldsmith, P. (2005). A comparison of forefoot stiffness in running and running shoe bending stiffness. Journal of Biomechanics 38, Park, C-C., Choi, W-S., Lee, J-N. (2007) Effects of hardness and thickness of polyurethane foam midsoles on bending properties of the footwear. Fibers and Polymers 8, Shorten, M.R. (2000) Running shoe design: protection and performance. pp in Marathon Medicine (Ed. D. Tunstall Pedoe) London, Royal Society of Medicine.

30 @J Soderkvist I., & Wedin P.A. (1993). Determining the movements of the skeleton using wellconfigured markers. Journal of Biomechanics 26, Stacoff, A. Nigg, B.M., Reinschmidt, C., van den Bogert, A.J., & Lundberg, A. (2000). Tibiocalcaneal kinematics of barefoot versus shod running. Journal of Biomechanics 33, Stacoff, A., Reinschmidt, C., Nigg, BM., Van den Bogert, AJ., Lundberg, A., Denoth, J., Stussi, E. (2001). Effects of shoe sole construction on skeletal motion during running. Medicine and Science in Sports and Exercise 33, Stefanyshyn, D.J., & Nigg, B.M. (1997) Mechanical energy contribution of the metatarsophalangeal joint to running and sprinting. Journal of Biomechanics 30, Stefanyshyn, D.J., & Nigg, B.M. (1998) Contribution of the lower extremity joints to mechanical energy in running vertical jumps and running long jumps. Journal of Sports Sciences 16, Stefanyshyn, D.J., & Nigg, B.M. (2000) Influence of midsole bending stiffness on joint energy and jump height performance. Medicine & Science in Sports & Exercise 32, Stefanyshyn, D.J. & Roy, J.P.R. (2006) Shoe midsole longitudinal bending stiffness and running economy, joint energy, and EMG. Medicine & Science in Sports & Exercise 38, Tinoco,N., Bourgit, D., Morin, J.B. (2010). Influence of midsole metatarsophalangeal stiffness on jumping and cutting movement abilities. Proceedings of The Institution of Mechanical Engineers, Part P: Journal of Sports Engineering and Technology 224, Vito, G., & Kalish, S. (1996) Biomechanical radiographic evaluation. In: Donatelli, R.A. ed. The biomechanics of the foot and ankle. 2nd ed. Philadelphia, PA Whiting, W.C., & Zernicke, R.F. (1998) Lower extremity injuries. In: Biomechanics of musculoskeletal injury. Champaign, IL Human Kinetics. Wolf, P., Stacoff, A., Liu, A., Nester, C., Arndt, A., Lundberg, A., Stuessi, E. (2008) Functional units of the human foot. Gait and Posture 28,

31 @_ #$%&,! Table 1. Means (Standard Deviations) of 13 participant characteristics. D#,,!JK<L! C&&K%G!D6%&#<&!!!#$%&!#$'% (#%&)#)*'% ++%&*#)'% $#*%&+$#$'% Table 2. Characteristics of the footwear utilized in the study.! 8&#/(''+! -&6<-+! J>>L!?'/&(''+! -&6<-+! J>>L! 8&#/(''+! 6>.#5+! J<L!?'/&(''+! 6>.#5+! J<L!?'/&(''+! (%&O6$6%6+G! JP>Q3&</&&L! N-'&! D#*4(#5+4/&/! D'3&%! (%,-.%/01023-% % +$#)% (8#9% ($#*)% +)#:)% )#$% +%,-.%/01023-% ;<6==% +$#:)% (!#(% ((#:)% +8#9)% )#8*% Table 3. Means (Standard Deviations) of lower limb kinematics during running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enotes a significant difference between shod conditions.

32 @S?6<4/&,! 35 Plantar Fascia Angle (degrees) % Stance Figure 1. Ensemble curve of the calcaneal-phalangeal angle during stance for barefoot (blue), flexible (green), and stiff (red) conditions Rearfoot Angle (degrees) % Stance Figure 2. Ensemble curves of the rearfoot angle during stance for barefoot (blue), flexible (green), and stiff (red) conditions.

33 \A Navicular Displacement (mm) % Stance Figure 3. Ensemble curves of the average navicular displacement for the barefoot (blue), flexible (green), and stiff (red) conditions. Navicular Displacement (mm) actual markers virtual markers % Stance Figure 4. Ensemble curve of the navicular displacement during the barefoot condition.

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