The effects of foot core exercises and minimalist footwear on foot muscle sizes, foot strength, and biomechanics: A systematic review and meta-analysis

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-02-01 DOI:10.1016/j.clinbiomech.2024.106417

Jean-Louis Peters-Dickie , Christine Detrembleur , Marina Guallar-Bouloc , Marion Rastelli , Sébastien Lobet , Benjamin Hidalgo , Kevin Deschamps

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引用次数: 0

Abstract

Background

Specific foot exercises and the use of minimalist shoes during running or daily life were suggested to strengthen the intrinsic foot muscles and to modify locomotion biomechanics. We aimed to review the effectiveness of these interventions to modify foot muscle sizes, foot strength, and biomechanical outcomes.

Method

PubMed, Embase, Cochrane Library and SportDiscus databases were searched (last update: 12 March 2024). Randomized controlled trials with intervention duration of four weeks or more were included. A random-effect meta-analysis was performed when at least two studies were available for an outcome. Standardized mean differences and corresponding 95 % confidence intervals were reported. The certainty of the evidence was assessed by considering risk of bias, imprecision, inconsistency, and indirectness. The evidence not summarized in the meta-analysis was synthetised.

Findings

Twenty-eight trials (1399 participants) were included in the systematic review and seventeen meta-analyses were performed. From meta-analyses, minimalist shoes lead to greater strength of toes 2 to 5 (confidence interval = 0.02 to 0.76), and foot exercises resulted in lower medial longitudinal arch motion during running (confidence interval = 0.08 to 0.82). The certainty of the evidence was low to very low, mainly due to the limited number of available studies and high risk of bias. The systematic synthesis supported exercises and minimalist shoes to increase foot strength, but was conflicting for muscle sizes. The interventions occasionally modified walking and running biomechanical variables.

Interpretation

Foot exercises and minimalist shoes may be appropriate to increase foot strength and to induce biomechanical changes during dynamic tasks.

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足部核心运动和极简鞋对足部肌肉大小、足部力量和生物力学的影响：系统回顾和荟萃分析。

背景：建议在跑步或日常生活中进行特定的足部锻炼和使用极简鞋来增强足部内在肌肉并改变运动生物力学。我们的目的是回顾这些干预措施对改变足部肌肉大小、足部力量和生物力学结果的有效性。方法：检索PubMed、Embase、Cochrane Library和SportDiscus数据库（最后更新：2024年3月12日）。随机对照试验干预时间为四周或更长。当至少有两项研究可用于结果时，进行随机效应荟萃分析。报告了标准化平均差异和相应的95%置信区间。通过考虑偏倚、不精确、不一致和间接性风险来评估证据的确定性。荟萃分析中未总结的证据是综合的。结果：系统评价纳入28项试验（1399名受试者），并进行了17项荟萃分析。从荟萃分析中，极简鞋可以提高脚趾2到5的强度（置信区间= 0.02到0.76），而足部锻炼可以在跑步时降低内侧纵向足弓的运动（置信区间= 0.08到0.82）。证据的确定性从低到非常低，主要是由于现有研究数量有限和偏倚风险高。系统的综合支持锻炼和极简的鞋子来增加足部力量，但与肌肉大小相冲突。干预偶尔会改变步行和跑步的生物力学变量。解释：足部锻炼和极简鞋可能适合增加足部力量，并在动态任务中诱导生物力学变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.