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Related Experiment Video

Updated: Feb 16, 2026

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Another Angle on Shoes.

Lynn Wallace, Steve Dickoff

    The Physician and Sportsmedicine
    |December 21, 2017
    PubMed
    Summary

    Undetected manufacturing defects in shoe forefoot can alter gait, increasing injury risk. Early detection is crucial for preventing biomechanical issues and promoting foot health.

    Area of Science:

    • Biomechanics
    • Sports Medicine
    • Footwear Engineering

    Background:

    • Manufacturing defects in footwear, particularly the forefoot, are common.
    • These defects can be subtle and difficult for consumers to detect.
    • Subtle defects can significantly impact foot function and biomechanics during locomotion.

    Purpose of the Study:

    • To investigate the impact of undetected manufacturing defects in shoe forefoot on gait parameters.
    • To establish a correlation between specific defects and resulting gait alterations.
    • To highlight the potential for these gait changes to lead to lower extremity injuries.

    Main Methods:

    • Utilized 3D motion capture technology to analyze gait patterns.
    • Employed pressure mapping systems to assess forefoot loading during walking and running.

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  • Included a cohort of participants wearing shoes with intentionally introduced, undetectable forefoot defects.
  • Main Results:

    • Significant alterations in key gait parameters such as stride length, foot-strike angle, and ground reaction forces were observed.
    • Increased pressure and altered load distribution in the forefoot region were consistently recorded in participants with defective shoes.
    • A notable increase in compensatory movements in the ankle and knee joints was identified.

    Conclusions:

    • Undetected manufacturing defects in shoe forefoot can lead to significant, detrimental changes in gait biomechanics.
    • These gait alterations represent a potential risk factor for developing overuse injuries in the lower extremities.
    • Improved quality control in footwear manufacturing and consumer awareness are recommended to mitigate injury risks.