The purpose of this study was to evaluate the effects of a 4-week familiarization to simulated barefoot running (SBR) on running economy (RE) when compared with shod running. Fifteen trained male runners (age: 24 ± 4 years; stature: 177.2 ± 6.21 cm; mass: 67.99 ± 7.36 kg and VO2max 70.2 ± 5.2 mL/kg/min) were recruited. Subjects completed two RE tests, 24 h apart, in a random order, in both the SBR and shod condition (pretest) at 11 km/h and 13 km/h. Oxygen uptake, heart rate, stride frequency, and foot strike patterns were measured in both conditions. Subjects then completed a 4-week familiarization period of SBR, before repeating the two RE tests (post-test). At pretest, there was no significant difference in RE between SBR and shod running (P = 0.463), but following the 4-week familiarization period, RE significantly improved by 6.9% in the SBR condition compared with shod running (46.4 ± 0.9 vs 43.2 ± 1.2 mL/kg/min; P = 0.011). A significant improvement in RE was observed in the SBR condition (8.09%) between the pretest and post-test (47.0 ± 1.2 vs 43.2 ± 1.2 mL/kg/min; P = 0.002). RE improved in the SBR condition as a result of familiarization, and became significantly lower in SBR compared with shod running.

The purpose of this study is to compare changes in plantar pressure and force using conventional running shoes (CRS) and minimalist footwear (MFW) pre and post a 4-week MFW familiarization period. Ten female runners (age: 21 ± 2 years; stature: 165.8 ± 4.5 cm; mass: 55.9 ± 3.2 kg) completed two 11 km/h treadmill runs, 24 hours apart, in both CRS and MFW (pretest). Plantar data were measured using sensory insoles for foot strike patterns, stride frequency, mean maximum force ( M ⁢ F ¯ ), mean maximum pressure ( M ⁢ P ¯ ) and eight mean maximum regional pressures. Subjects then completed a 4-week familiarization period consisting of running in MFW and simple gait-retraining, before repeating the tests (posttest). During the pretests, 30% of subjects adopted a forefoot strike in MFW, following familiarization this increased to 80%; no change occurred in CRS. A significant decrease in M ⁢ F ¯ in both MFW and CRS (P = 0.024) was observed from pre-post, and a significant decrease in heel pressures in MFW. M ⁢ P ¯ was higher in MFW throughout testing (P < 0.001).A 4-week familiarization to MFW resulted in a significant reduction in M ⁢ F ¯ in both the CRS and MFW conditions, as well as a reduction in heel pressures. Higher M ⁢ P ¯ was observed throughout testing in the MFW condition.

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BackgroundRecent interest in barefoot running has led to the development of minimalist running shoes that are popular in distance runners. A careful transition to these shoes has been suggested and examined in the literature. However, no guidelines based on systematic evidence have been presented.The purpose of this review is to systematically examine the methods employed in the literature to transition to minimal footwear (MFW), as well as the outcomes to these studies in distance runners. In addition, MFW transition guidelines for future clinical practice will be presented based on observations from this review.MethodsA systematic database search was employed using PubMed online as the primary database. Twenty papers were included in the final review.ResultsAll studies implemented a prospective transition design to MFW with a detail of this transition provided, which increased MFW exposure up to an average of 60% (30–100%) at completion. Only 8/20 studies included injury prevention exercises, and 9/20 included gait retraining. The main outcomes of this transition included limited positive evidence of transitioning into MFW for running economy (n = 4 studies) and muscle development (n = 5). The injury incidence comparing running during the MFW transition (17.9 injuries per 100 participants) to matched participants in conventional running shoes (13.4 injuries per 100) appears equivocal (p = 0.219; effect size phi (φ) = 0.06 [very small]). Finally, several important recommendations for clinical practice and future research have been presented.ConclusionsIt is hoped that this paper will present important first steps in unifying the process of transitioning to MFW, both for academic and clinical use.