A 4-week instructed minimalist running transition and gait-retraining changes plantar pressure and force

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±4.5cm; mass: 55.9±3.2kg) completed two 11km/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 (MF), mean maximum pressure ( MP) 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 MF in both MFW and CRS (P=0.024) was observed from pre-post, and a significant decrease in heel pressures in MFW. MP was higher in MFW throughout testing (P<0.001).A 4-week familiarization to MFW resulted in a significant reduction in MF in both the CRS and MFW conditions, as well as a reduction in heel pressures. Higher MP was observed throughout testing in the MFW condition.