J Orthop Sports Phys Ther. 2021 Mar;51(3):135-143. doi: 10.2519/jospt.2021.9710. Epub 2020 Dec 11.
To investigate whether motion-control shoes reduce the risk of pronation-related injuries in recreational runners.
Secondary analysis of a randomized controlled trial of the effect of shoes on running injuries.
Three hundred seventy-two recreational runners were randomized to receive either standard neutral or motion-control shoes and were followed up for 6 months regarding running activity and injury. Running injuries that occurred during this period were registered and classified as pronation-related injuries (Achilles tendinopathy, plantar fasciopathy, exercise-related lower-leg pain, and anterior knee pain) or other running-related injuries. With the use of competing risk analysis, the relationship between pronation-related and other running-related injuries and shoe type was evaluated by estimating the cause-specific hazard, controlling for other possible confounders like age, sex, body mass index, previous injury, and sport participation pattern.
Twenty-five runners sustained pronation-related running injuries and 68 runners sustained other running-related injuries. Runners wearing the motion-control shoes had a lower risk of pronation-related running injuries compared with runners who wore standard neutral shoes (hazard ratio = 0.41; 95% confidence interval: 0.17, 0.98). There was no effect of shoe type (hazard ratio = 0.68; 95% confidence interval: 0.41, 1.10) on the risk of other running-related injuries.
Motion-control shoes may reduce the risk of pronation-related running injuries, but did not influence the risk of other running-related injuries. .
研究运动控制鞋是否能降低休闲跑者旋前相关损伤的风险。
对鞋子对跑步损伤影响的随机对照试验的二次分析。
372 名休闲跑者被随机分配到接受标准中性或运动控制鞋，并在 6 个月的时间内跟踪他们的跑步活动和损伤情况。在此期间发生的跑步损伤被记录并分类为旋前相关损伤（跟腱炎、足底筋膜炎、与运动相关的小腿疼痛和前膝疼痛）或其他与跑步相关的损伤。使用竞争风险分析，通过估计特定原因的危害，控制年龄、性别、体重指数、既往损伤和运动参与模式等其他可能的混杂因素，评估旋前相关和其他与跑步相关损伤与鞋型之间的关系。
25 名跑者发生了旋前相关的跑步损伤，68 名跑者发生了其他与跑步相关的损伤。与穿标准中性鞋的跑者相比，穿运动控制鞋的跑者发生旋前相关跑步损伤的风险较低（危险比=0.41；95%置信区间：0.17，0.98）。鞋型对其他与跑步相关损伤的风险没有影响（危险比=0.68；95%置信区间：0.41，1.10）。
运动控制鞋可能降低旋前相关跑步损伤的风险，但对其他与跑步相关损伤的风险没有影响。
