We found a significant decrease in dorsiflexion angle at foot contact among experimental runners in minimalist shoes and not among control runners in standard footwear. The control group remained unchanged with runners landing mainly with an RFS. Our findings agree with several other studies that have shown runners who transition from standard to minimalist or barefoot running change from RFS to more MFS/FFS,16, 17 and 38 just as most habitual barefoot runners often land more MFS/FFS.18, 20 and 21 This change in foot strike pattern may lead to greater muscle recruitment and

PARP inhibitors clinical trials therefore increased work performed by muscles of the foot.38 Runners within the experimental group who transitioned to a more MFS/FFS increased the ACSA and MV of the ADM muscle. The increase was similar for the MFS and the FFS transitions. However, ACSA and MV of the abductor muscles remained unchanged in runners who consistently used RFS. During the first half of stance the longitudinal arch deforms inferiorly in MFS and FFS,6, 7, 8 and 9 and the intrinsic muscles spanning the arch stretch similarly to mechanical springs under tension. These muscles

subsequently contract, stiffening the longitudinal arch as load shifts from the midfoot onto the ball of the foot, pulling the calcaneus and metatarsals closer. This windlass sequence does not characterize RFS because the arch stretches later in stance only during flatfoot21 when arch stiffening and muscle stabilization are less likely.

The intrinsic ADM, ABH, and FDB muscles provide structural integrity Selleck Luminespib to the medial longitudinal arch by their origins on the medial calcaneal tubercle enough and insertions distal to the metatarsal-phalangeal joints (MPJ).39 As the runner’s center of mass shifts to the forefoot the heel rises and the toes dorsiflex. The ground reaction force in response to MPJ rotation generates a dorsiflexion moment ranging in magnitude from 20 to 40 Nm.40 Activation of the long and short toe flexors (ADM, ABH, and FDB) counteract the external MPJ dorsiflexion moments.40 Although this heel rise–MPJ dorsiflexion event occurs regardless of foot strike pattern, those runners whose initial foot contact is either MFS or FFS clearly position the MPJ in greater dorsiflexion at foot contact than otherwise occurs in RFS.9 Such repetitive contact events in which the impact force occurs during high MPJ dorsiflexion may lead to increase in both MV and CSA as the short flexors act to mitigate the high MPJ dorsiflexion moment associated with MFS and FFS contact. We predicted that the runners transitioning from conventional running shoes to minimalist footwear would increase the MV and ASCA of the intrinsic ABH, FDB, and ADM muscles. Notably, the experimental group significantly increased both the MV and ACSAs of the ADM muscle (p = 0.009 and p = 0.007, respectively).