Effect of shoe modifications on biomechanical changes in basketball: A systematic review

Testing the effects of footwear on biomechanics of human body: A review

Studies show the high potential of shoes to impact human movement and reduce the risk of injuries during normal and high-demanding activities. This review will delve into the existing literature on mechanical and biomechanical tests of shoes and their effects on the human body. Mechanical tests mainly include compression, bending, torsional flexibility, and impact tests. Biomechanical tests, on the other hand, study the kinematics and kinetics of the human body while performing different tasks. The primary goal of this review is to highlight the importance of isolating parameters in shoe design and testing to achieve optimal results in providing comfort, support, and injury prevention. Key conclusions include the influence of lattice structures on shoe stiffness and stress distribution, the effectiveness of composite loofah sponge for vibration damping, the benefits of Poron insoles for impact attenuation, the potential injury risk reduction with auxetic shoes, and the need for future research on mechanical tests, parameter investigation, and optimization of shoe sole structures.

Effects of shoe bending stiffness on the coordination variability of lower extremities in alternating jump rope skipping

This study aimed to investigate how different longitudinal bending stiffness (LBS) in jump rope shoes affect the coordination variability of lower extremity segments and athletic performance during alternating jump rope skipping (AJRS). Thirty-two elite male athletes performed 30-s AJRS tasks wearing shoes with LBS measured at 3.1 Nm/rad (no-carbon-fibre-plate jump rope shoes, NS), 5.1 Nm/rad (low-stiffness-carbon-fibre-plate jump rope shoes, LS) and 7.6 Nm/rad (high-stiffness-carbon-fibre-plate jump rope shoes, HS). Motion capture tracked lower extremity kinematics. The HS shoes exhibited a more ground contacts in the first stage (p < 0.05) and a shorter average ground contact time (p < 0.05). The HS exhibited a smaller metatarsophalangeal joint (MTPJ) extension angle during 30-44% of the stance phase (p < 0.05), smaller MARP (mean absolute relative phase) of the MTPJ-ankle segments (p < 0.001) and smaller CRP (continuous relative phase) during 24-45% of the stance phase (p < 0.05). Coordination variability of the MTPJ-ankle segments was negatively correlated with the number of ground contacts during AJRS (p < 0.01, adjust R2 = 0.192). HS could provide enhanced stability by reducing coordination variability and enhance performance during the first stage in ARJS. These findings could provide insights for guiding future research and development in jump rope shoe design.

Biomechanical effects of foot orthoses on jump landing performance: A systematic review

Jumping is involved in a wide range of sports and activities, and foot orthoses (FO) are suggested to enhance performance and prevent injury. The aim of this systematic review was to investigate whether using FO with different modifications affects jump landing biomechanics and improves performance in healthy individuals. The search strategy included 7 databases that identified 19 studies. The study quality was evaluated using a modified Downs and Black index. The primary outcome measures were joint kinematics, kinetics, muscle activity, vertical jump height, and horizontal jump distance. Our findings indicated that incorporating arch support with a rearfoot post and softer forefoot region into FO may improve several biomechanical variables during jump landing activities. Improvements in vertical ground reaction force loading rates, knee and ankle kinematics, and muscle cocontraction during jumping with FO could enhance jumping performance. In addition, improvements in hip, knee, ankle, and tibial kinematics and vertical ground reaction force loading rates during landing could reduce impact forces and related injuries. Although a limited number of studies have addressed the effects of FO on vertical jump height and horizontal jump distance, inserting such FO inside shoes with optimum bending stiffness could facilitate jumping performance. A rigorous exploration of the effect and mechanism of FO designs on jumping performance could benefit jumping-related activities and prevent ankle and knee injuries.

The Effects of Pointe Shoes on Ballet Dancers' Biomechanics, Muscle Activity, Movement and Symptoms: A Scoping Review

Introduction: Dancing en pointe requires ballet dancers to stand on the tips of their toes while wearing a structured pointe shoe. Understanding the effect of pointe shoes on ballet dancers' biomechanics, function, symptoms and skin health is essential to guide shoe development and ultimately improve dancer performance. Therefore, the purpose of this scoping review was to map the evidence and identify knowledge gaps related to the effect of wearing pointe shoes on professional and recreational ballet dancers. Method: A scoping review was conducted by searching 6 electronic databases and the International Association for Dance Medicine and Science Bibliography. Results: Thirty-five studies were grouped into 5 categories: pointe shoe factors (eg, toe box and shank, pointe shoe status; 9 studies), shoe types (eg, flat shoes vs demi pointe vs pointe; 10 studies), ballet movements (11 studies), symptoms (5 studies), and intrinsic dancer factors (eg, foot type/toe length; 7 studies). Studies were published between 1979 and 2023, with 72% (n = 23) published between 2006 and 2020. Most (86%) of the studies were cross-sectional. Most studies explored biomechanical outcomes and the most common data collection device was force plates (19 studies). Overall, there was an insufficient volume of evidence for specific research aims. Significant gaps in knowledge exist regarding functional and performance-based outcomes, injury outcomes including exploration of factors such as shoe age/usage, and pointe shoe treatment factors. Conclusions: Currently the field of research suffers from threats to ecological validity, with many study methods not reflecting ballet-specific demands or environments. The impact of pointe shoes on ballet dancers is a developing research area, and this scoping review can help guide future research decisions. Studies need to target the knowledge gaps and employ rigorous ecologically valid study designs and ensure that findings inform shoe design and dancer education to minimize injury and maximize comfort and performance.

Influence of Torsional Stiffness in Badminton Footwear on Lower Limb Biomechanics

Torsional stiffness of athletic footwear plays a crucial role in preventing injury and improving sports performance. Yet, there is a lack of research focused on the biomechanical effect of torsional stiffness in badminton shoes. This study aimed to comprehensively investigate the influence of three different levels of torsional stiffness in badminton shoes on biomechanical characteristics, sports performance, and injury risk in badminton players. Fifteen male players, aged 22.8 ± 1.96 years, participated in the study, performing badminton-specific tasks, including forehand clear stroke [left foot (FCL) and right foot (FCR)], 45-degree sidestep cutting (45C), and consecutive vertical jumps (CVJ). The tasks were conducted wearing badminton shoes of torsional stiffness measured with Shore D hardness 50, 60, and 70 (referred to as 50D, 60D, and 70D, respectively). The primary biomechanical parameters included ankle, knee, and MTP joint kinematics, ankle and knee joint moments, peak ground reaction forces, joint range of motion (ROM), and stance time. A one-way repeated measures ANOVA was employed for normally distributed data and Friedman tests for non-normally distributed data. The 70D shoe exhibited the highest ankle dorsiflexion and lowest ankle inversion peak angles during 45C task. The 60D shoe showed significantly lower knee abduction angle and coronal motions compared to the 50D and 70D shoes. Increased torsional stiffness reduced stance time in the FCR task. No significant differences were observed in anterior-posterior and medial-lateral ground reaction forces (GRF). However, the 70D shoe demonstrated higher vertical GRF than the 50D shoe while performing the FCR task, particularly during 70% - 75% of stance. Findings from this study revealed the significant role of torsional stiffness in reducing injury risk and optimizing performance during badminton tasks, indicating that shoes with an intermediate level of stiffness (60D) could provide a beneficial balance between flexibility and stability. These findings may provide practical references in guiding future badminton shoe research and development. Further research is necessary to explore the long-term effects of altering stiffness, considering factors such as athletic levels and foot morphology, to understand of the influence of torsional stiffness on motion biomechanics and injury prevalence in badminton-specific tasks.

What do male netball players want in their footwear? Design recommendations for netball-specific shoes for men

With the increasing professionalisation of men's netball and the high prevalence of foot-related problems and pain, manufacturers must develop shoes with the correct ergonomic design to meet the unique needs of male netball players. This study aimed to determine what factors men consider when selecting a netball-specific shoe and what design features they want in an ideal netball-specific shoe. 279 amateur, sub-elite and elite male netball players completed a 38-question online survey about their footwear habits and preferences. Support was the most influential factor when men selected a netball-specific shoe. A wider toe-box, more durable upper and outsole, and added cushioning and support in the midsole and insole were preferred fit, form and function features for an ideal netball-specific shoe. We recommend that manufacturers develop a range of netball-specific shoes based on the foot dimensions, playing demands and preferences of male netball players to meet men's fit and functionality requirements.

Effects of midsole thickness on ground reaction force, ankle stability, and sports performances in four basketball movements

Changes in midsole thickness can influence cushioning and rearfoot stability in running, but no information has been established in basketball. This study aimed to investigate whether midsole thickness would alter ground reaction force, ankle stability and performance-related indicators in four basketball manoeuvres. Fifteen university basketball athletes performed lateral shuffle, forward sprint, counter-movement jump (CMJ) and drop landing in basketball shoes of five midsole thicknesses (Thinnest, Thin, Medium, Thick, Thickest). One-way repeated-measures ANOVA was performed on each of the biomechanics and performances variables and Friedman test was performed on comfort perceptions. Our findings found a significant midsole thickness effect on the lower extremity biomechanics (p < 0.05), with better traction (p = 0.019) and greater plantarflexion (p = 0.019) while sprinting with thinner shoe conditions. Thicker basketball shoes led to greater rearfoot inversion (p = 0.004) and a more significant inversion velocity peak (p = 0.019) during lateral shuffling. No significant difference in peak impact force or peak loading rate was observed between shoes during drop landing. These findings suggest that participants wearing basketball shoes with thicker midsole may lead to ankle instability during lateral shuffling manoeuvres. Wearing basketball shoes with thinner midsoles may be beneficial for sprint and jump performances.

Shoe Bending Stiffness Influence on Lower Extremity Energetics in Consecutive Jump Take-Off

Objective

This study examined the influence of shoe bending stiffness on lower extremity energetics in the take-off phase of consecutive jump.

Methods

Fifteen basketball and volleyball players wearing control shoes and stiff shoes performed consecutive jumps. Joint angle, angular velocity, moments, power, jump height, take-off velocity, take-off time, and peak vertical ground reaction force data were simultaneously captured by motion capture system and force platform. Paired t-tests were performed on data for the two shoe conditions that fit the normal distribution assumptions, otherwise Wilcoxon signed-rank tests.

Results

There are significant differences (P < 0.05) in take-off velocity and take-off time between stiff and control shoe conditions; the stiff shoes had faster take-off velocity and shorter take-off time than control shoes. There was no significant difference between two conditions in jump height (P = 0.512) and peak vertical ground reaction force (P = 0.589). The stiff shoes had significantly lower MTP dorsiflexion angle and greater joint work than the control shoes (P < 0.05). The MTP range of motion and maximum angular velocity in stiff shoe condition were significantly lower than those in control shoe condition (P < 0.01). However, there are no significant differences between two conditions in kinetics and kinematics of the ankle, knee, and hip joint.

Conclusions

The findings suggest that wearing stiff shoes can reduce the effect of participation of the MTP joint at work and optimize the energy structure of lower-limb movement during consecutive jumps.

Does the Location of Shoe Upper Support on Basketball Shoes Influence Ground Reaction Force and Ankle Mechanics during Cutting Maneuvers?

This study examined the location effect of lateral shoe upper supports on the ground reaction forces, as well as ankle kinematics and moments during the change of direction maneuvers using a statistical parametric mapping approach. University basketball athletes performed side-cuts, complete turns and lateral shuffle maneuvers with their maximum-effort in four shoe conditions with varying shoe upper support locations: full-length, forefoot, rearfoot, none (control). The statistical parametric mapping repeated measures ANOVA test was applied to compare differences between the shoe conditions, followed-up with post-hoc statistical parametric mapping paired t-tests between all shoe conditions. The coronal ankle results revealed that the forefoot support shoe had a reduced eversion moment that varied between ~25−95% across all change of directions (p < 0.05). However, the forefoot upper shoe had increased ankle inversion between ~8−14% (complete turns) and ~96−100% (side-cuts and lateral shuffles), and increased inversion velocity in side-cuts than the other shoes (p < 0.05). Compared to the control, the rearfoot support shoes reduced inversion velocity in side-cut between ~78−92% (p < 0.05). These findings suggest that a forefoot upper support induced most changes in ankle mechanics during basketball cutting maneuvers, with only inversion angle in the complete turn being influenced during the initial period where ankle injury may occur. Future research should examine if these coronal ankle mechanics influence change-of-direction performance and injury risk with regular wear.

Gender and leg-dominance differences in shoe properties and foot injuries in badminton: a cross-sectional survey

Background

While the roles of injury prevention and performance enhancement have increasingly been investigated for badminton footwear, there is a lack of research on gender-specific badminton footwear. The purpose of this study was to examine the gender differences in footwear demands and foot injuries in badminton.

Methods

The study was a cross-sectional survey, in which 326 recreational badminton players were recruited. The questionnaire was divided into four sections enquiring about the characteristics of (1) participant profiles, (2) importance of shoe properties (3) shoe complaints (4) and pain or discomfort in different foot regions. The Mann-Whitney U test and Wilcoxon Signed Ranks test were performed to determine the differences between genders and the differences between leg dominance, respectively. The significance level was set at 0.05.

Results

Both males and females rated shoe fit as the most important features, followed by the overall comfort and injury protection. Females considered the shoe forefoot cushioning, comfort, breathability and colour as more important compared with the other properties, which showed distinct pattern differences from males. The shoe problem results indicated that plantar pain of the non-dominant foot was considered the most commonly reported footwear problem by both males and females. The problem of excessive arch-support on the dominant and non-dominant sides of male participants was significantly higher than females (p < 0.05). Occasional pain or frequent pain were mainly distributed in the forefoot, followed by the rearfoot and midfoot regions.

Conclusion

There were small differences in footwear demand between the dominant and non-dominant sides, but several differences existed between females and males. The results from gender differences suggested that female shoes prefer a specific shoe last for better fit, rather than a modified version of male shoes. In the future, the design of badminton shoes should consider footwear demands and foot discomfort profiles in respective male and female badminton players.

Wearing Cushioning Shoes Reduce Load Rates More Effectively in Post-Fatigue than in Pre-Fatigue during Landings

Simple Summary

Athlete experience high impact forces during landing, which is a contributing factor to injury risk potentials. As a potential factor of affecting the impact force, previous study of the effects of footwear cushioning effect on landing biomechanics were inconsistent. Furthermore, limited efforts have been exerted on the relationship between footwear cushioning and fatigue. In this study, the footwear cushioning effects on bipedal landing biomechanics before and after acute exercise-induced fatigue protocol were explored. The results of this study suggest that footwear cushioning can reduce landing-related rearfoot impact forces regardless of fatigue conditions. In a situation where the neuromuscular activity is reduced or absent, e.g., post-fatigue, wearing better cushioning shoes show superior attenuation, as indicated by low forefoot and rearfoot impacts.

Abstract

Purpose: this study aimed to investigate the footwear cushioning effects on impact forces and joint kinematics of the lower extremity during bipedal drop landings before and after acute exercise-induced fatigue protocol. Methods: in this case, 15 male collegiate basketball athletes performed drop landings from a 60 cm platform wearing highly-cushioned shoes (HS) and less cushioned shoes (control shoes, CS) before and after acute fatigue-inducing exercises (i.e., shuttle run combined with multiple vertical jumps). Force plates and motion capturing systems were synchronised to measure ground reaction forces and kinematic data during drop landings. Maximum jump height was analysed with one-way ANOVA. Two-way repeated measure ANOVAs were performed on each of the tested variables to examine if there was significant main effects of shoe and fatigue as well as the interaction. The significance level was set to 0.05. Results: rearfoot peak impact forces and loading rates significantly reduced when the participants wore HS in pre- and post-fatigue conditions. The peak loading rates in forefoot significantly reduced when HS were worn in post-fatigue. Compared with pre-fatigue, wearing HS contributed to with 24% and 13% reduction in forefoot and rearfoot peak loading rates, respectively, and the occurrence times of first and second peak impact forces and loading rates were much later. In the post-fatigue, a significant increase in the initial contact and minimum angles of the ankle were observed in HS compared with CS. Conclusion: these findings suggest that footwear cushioning can reduce landing-related rearfoot impact forces regardless of fatigue conditions. In a situation where the neuromuscular activity is reduced or absent such as post-fatigue wearing better cushioning shoes show superior attenuation, as indicated by lower forefoot and rearfoot impacts.

The Influence of Forefoot Bending Stiffness of Futsal Shoes on Multiple V-Cut Run Performance

A forefoot bending stiffness (FBS) property of footwear is known to benefit athletes in running performance. To date, the efficacy of bending stiffness on performance is rather unknown from the perspective of futsal shoes. This study investigates the influence of bending stiffness property of three commercial futsal shoes on change of direction run resultant performance. Nineteen university level athletes participated in the human performance test (multiple V-cut change of direction run) on a hardwood flooring facility using three pairs of futsal shoes (i.e., S1, S2, and S3) with different models but similar in outsole material (S1—mass: 311 g, heel-to-toe drop: 10 mm, friction coefficient, 1.25; S2—mass: 232 g, heel-to-toe drop: 8 mm, friction coefficient: 1.34; and S3—mass: 276 g, heel-to-toe drop: 7 mm, friction coefficient: 1.30). The FBS properties for each shoe were mechanically measured. Results from the analysis of variance indicated that there was a significant difference of FBS value among the three shoes (S1: 0.32 Nm/deg., S2: 0.26 Nm/deg., and S3: 0.36 Nm/deg.) [F_(2,8) = 28.50 (p < 0.001)]. Shoes with relatively higher shoe-playing surface friction coefficient (S2 and S3) had significant impact on the V-cut performance (p < 0.05) when compared with the shoe with lower friction coefficient (S1). In contrast to the literature, the shoe with the lowest FBS (S2) did not suffer any detriments on the resultant performance in the test conducted. These findings suggested that there could be other performance limiting factors, such as the friction coefficient, rather than FBS that have greater influence on the test outcomes.

Injury epidemiology in men's professional team sports: is media analysis helpful?

INTRODUCTION

Epidemiological injury surveillance in professional sports is often based on online media analysis in order to collect necessary data. However, the validation of this study protocol is lacking. Therefore, this study aimed to identify the validity of injury surveillance in men's professional team sports based on media reports.

METHODS

In a retrospective cohort study, the validity of media-data-relating injuries was investigated in participating teams of the highest two German divisions in men's professional basketball (BB) and handball (HB) in the season 2018/2019. Injury protocols completed by the team physicians were compared to those of sports media injury reports.

RESULTS

The study population was composed of 133 athletes (54 BB and 79 HB). Of 343 injuries reported by the team physicians, 151 (44%) could be identified by means of sports media reports. Severe injuries (n = 75, 72%) were reported more likely in sports media compared to less severe injuries (n = 76, 32%, p < 0.00001). Odds ratio (OR) was 5.33 (95% CI 3.22-8.82). No differences regarding injury reporting could be seen between the two team sports.

CONCLUSION

For severe injuries, media analysis may be a sufficient method for data collection in popular men's professional ball sports. An underestimation of true injury prevalence lies within the range of previous reported investigations concerning the validation of injury surveillance methods. Non-severe injuries could not be verified via media analysis in professional handball and basketball.

Maximalist shoes do not alter performance or joint mechanical output during the countermovement jump

This study examined potential differences between maximally cushioned (MAX) shoes and standard cushioned (STND) shoes during countermovement vertical jump (CMVJ) performance. Twenty-one males (23[2] y; 86.5[15.4] kg; 179.8[6.3] cm) completed eight jumps each in MAX and STND shoes while three-dimensional kinematic and kinetic data were collected. Paired-samples t-tests (α = 0.05) and Cohen's d effect sizes (ES) were used to compare the following variables: vertical jump displacement, jump time, hip, knee and ankle joint angles at the start of the countermovement, the end of the unloading phase, the end of the eccentric phase, and at takeoff, peak joint power, and the joint contributions to total lower extremity work during the eccentric and concentric phases. The ankle was more dorsiflexed at the end of the countermovement in the MAX shoe (p = 0.002; ES = 0.55) but greater plantarflexion occurred in the STND shoes at takeoff (p = 0.028; ES = 0.56). No other differences were observed. The result of this study suggests that unique ankle joint angular positioning may be employed when wearing MAX versus STND shoes. Since the unique ankle joint positioning did not alter jump performance, potential MAX footwear users might not need to consider the potential for altered CMVJ performance when determining whether to adopt MAX footwear.

Effect of Red Arch-Support Insoles on Subjective Comfort and Movement Biomechanics in Various Landing Heights

Red is perceived as a "winning color", which may influence actual and perceived performances in sports, but little effort has been done to assess the added value on colored foot insoles in basketball movements. This study examined if colored foot insole would influence perceived comfort and lower extremity biomechanics during drop landing. Nineteen male basketball players performed drop landing trials with different insoles (red arch-support, white arch-support, and white-flat) and landing heights (0.45 and 0.61 m). Two-way (Insole x Height) ANOVAs with repeated measures were performed on each of the knee and ankle angles and moments variables. Wearing red arch-support insoles induced better perception of forefoot and rearfoot cushioning and overall comfort but smaller plantarflexion moment than the white-flat insoles (p < 0.05). Increased landing height was related to higher ground reaction loading, sagittal flexion angles, range of motion, and joint moments but smaller ankle eversion (p < 0.05). Findings indicate that foot insoles might have influenced comfort perception and joint kinetics, but not joint kinematics. The use of red color in foot insoles could potentially maximize the effectiveness of foot insoles in a way that alters comfort perception and motor control during landing, with implications for risk of injury.

Effect of consecutive jumping trials on metatarsophalangeal, ankle, and knee biomechanics during take-off and landing

This study examined the differences in single and consecutive jumps on ground reaction forces (GRF) as well as metatarsophalangeal (MTP), ankle and knee kinematics and kinetics during jumping take-off and landing. Eighteen basketball players performed countermovement jumps in both single and consecutive movement sessions. Synchronised force platform and motion capture systems were used to measure biomechanical variables during take-off and landing. Paired t-tests (or Wilcoxon signed-rank tests) were performed to examine any significant differences regarding mean and coefficient of variation in each of the variables tested. A Holm-Bonferroni correction was applied to P-values to control the false discovery rate of 5%. The findings indicated that consecutive jumps had lower jump height, take-off velocity and landing impact. During take-off, consecutive jumps demonstrated larger peak MTP and ankle extension velocities, knee extension moments as well as larger values for ankle and knee power generation; During landing, the consecutive jumps had larger peak MTP flexion angle, joint velocities (MTP, ankle and knee), and peak knee flexion moments and power absorption. Additionally, consecutive jumps had higher within-trial reliability (i.e. smaller CV) for peak MTP flexion angle at landing (P < 0.05), but lower reliability (i.e. higher CV) for peak knee flexion velocity and power absorption at landing. These results suggest that the consecutive jump trials led to distinct movement kinematics and higher loading responses in jump take-off and landing.