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In conclusion

You can work hard and aim for

best results .........

Plantar fasciitis

Comparison between rigid, KT & FFT

Radford et al, 2006

Osborne et al, 2006

Lactic acid

Evidence Based Review of

Running Barefoot vs Running with Shoes

1 week

Flush it out?

What works?

TAPING

YOU

Ankle stabilization

Improved proprioception before & after (Robbins et al, 1999, Lohrer et al 1999, Wikerson, 2002)

Traction &/or pressure to skin increased sensory input

What are maximalist shoes?

-Hokas

  • Evidence Based Review of Running Barefoot vs Running with Shoes

Key questions

Maximalist shoes

Subjects had 6/52

How they fared?

Another gp of mixed runners using NB

 

Hannigan and Pollard, 2018, 2019, 2020

50%

Maximalist shoes

Thickly cushioned

Kipchoge’s Alphafly

Heard of Reid Coolsaet?

What are the different foot types?

...... this is unpredictable !!!

Habitually barefoot (never worn shoes)

37-56% will get injured

Normal, high arch, low arch?

Trg advice & prescribe footwear

Richards et al, 2009

± 50%

People who habitually run barefoot are more likely to forefoot (or midfoot) strike

Individualized approach

Libermann's theories

Bulky shoes?

Hard to implement

Part of solution for some

For some, ALL of solution

Completely ineffective

Cause of their problems

Habitually barefoot vs shoes

Just a fad?

Or niche market?

Yr running shoes influenced by

Lieberman et al, 2010

Nature 463: 531-5

gino@sportssolutions.com.sg

www.weloverunning.blogspot.com

www.physiosolutions.blogspot.com

FaceBook -Sports Solutions group &

Physio Solutions group

Managing Running Injuries

Gino Ng

Thank you

Questions?

Sports Physiotherapist

B App Sci (Physiotherapy)

Msc (Musculoskeletal & Sports Physiotherapy)

CKTI

gino@sportssolutions.com.sg

weloverunning.blogspot.com

physiosolutions.blogspot.com

FaceBook --Sports Solutions group

& Physio Solutions Group

Biomechanical changes produced by barefoot running are not necessarily positive!

Recognize that barefoot running is a skill

Truth or myths on running

Gino Ng

Sports Physiotherapist

B App Sci (Physiotherapy)

Msc (Musculoskeletal & Sports Physiotherapy)

CKTI

Shoes & injury

Shoes reduce risk of injury?

NOT a single paper

Current evidence (risk unchanged & higher in expensive shoes)

Richards et al, 2009

Knapik et al, 2010

Truth or myth

Need to cool down after run?

Prevent venous cooling

Sports drinks

References

Replace your Na levels ?

Mm cramps?

Energy drinks – Red Bull

Franettovich M et al (2008). A Physiological & Psychological Basis for Anti-pronation Taping from a Critical Review of the Literature. Sports Medicine 38(8) : 617-631.

Handoll HG et al (2000). Interventations for Preventaing Ankle Ligament Injuries. Cochrane Database of Systematic Reviews. Issue 4

Others?

DOMS

What causes DOMS ?

How to prevent it?

Toe spring?

Wear out my knees?

Overuse or trg loading ?

?

2.

When wearing shoes

± 90%

± 10%

Habitually shod (worn shoes whole life)

?

The majority of shoe-wearers are heel-strikers

Shoes do a good job!

Theoretically, BF running can reduce impact force & loading rate

Risk & reward

But this depends on CORRECTLY running 'barefoot'

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