Prevention of overuse injuries of the foot by improved shoe shock attenuation. A randomized prospective study

Clin Orthop Relat Res. 1992 Aug;(281):189-92.


In a randomized prospective study among 390 recruits, the hypothesis that improved shoe shock attenuation could lessen the incidence of overuse injuries was tested. During the 14 weeks of training, 90% of the recruits sustained overuse injuries. Recruits training in a modified basketball shoe had a statistically significant lower incidence of metatarsal stress fractures and foot overuse injuries, compared with standard infantry boots, but their overall incidence of overuse injuries was not reduced. The effect of improved shoe shock attenuation was limited to those overuse injuries resulting from vertical impact loads.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Elasticity
  • Femoral Fractures / prevention & control*
  • Foot Injuries*
  • Fractures, Stress / prevention & control*
  • Humans
  • Leg Injuries / prevention & control
  • Male
  • Metatarsal Bones / injuries*
  • Pilot Projects
  • Prospective Studies
  • Shoes*
  • Tendinopathy / prevention & control
  • Tibial Fractures / prevention & control*
  • Walking / injuries