Effects of Arch Support Pad Stiffness on Lower-Limb Biomechanics During Single-Leg Landing.

Arch structure is a crucial interface between the human body and the ground during landing tasks, but the biomechanical effects of arch support stiffness remain insufficiently explored. This study examines the effects of arch supports with different stiffnesses on lower-limb biomechanics during landing. Twelve male participants (six normal arches, six flat feet) performed a single-leg drop landing from a 45 cm height under four arch support conditions: no arch support pad (NAP), soft-stiffness arch support pad (SAP), medium-stiffness arch support pad (MAP), and high-stiffness arch support pad (HAP). Dominant lower-limb joint angles and moments in the sagittal plane and vertical ground reaction force (vGRF)-related parameters-time to peak vGRF, peak vGRF, and max loading rate-were recorded using a motion capture system and force plate. Data were analyzed using one-way repeated measures analysis of variance (ANOVA). Arch pad stiffness significantly affected ankle and knee kinematics. The NAP condition exhibited significantly higher ankle plantarflexion at initial contact (p ≤ 0.01), as well as larger range of motion (ROM) of the knee (p = 0.03) and hip (p < 0.01), compared to the use of a SAP or MAP. The use of a HAP resulted in a significantly lower peak ankle dorsiflexion moment and larger peak knee flexion angle than the other conditions (p ≤ 0.04). The peak knee extension moment was the highest when using a NAP, and was significantly higher than that shown with the use of a MAP or HAP (p ≤ 0.02). No significant differences were observed in hip joint moments or vGRF-related parameters across conditions (p ≥ 0.52). These results indicate that hard-stiffness arch support pads modulate lower-limb mechanics during landing, potentially enhancing shock absorption and reducing knee loading.