Barefoot Running... Time to Ditch the Traditional Running Shoes? - November 7, 2011

Ditch the traditional running shoes?

     

You've probably seen them.  Maybe you've seen them at the gym, yoga class or while running.  They come in bright, outrageous color schemes and even in black. They're those strange looking "toe shoes," the Vibram FiveFingers.  Depending on who you talk to, people think they're ugly or cute, awesome or worthless, a new revolution or just the latest fad.  While the FiveFingers get most of the attention (and weird looks), almost every shoe manufacturer today has some kind of "minimalist" running shoe in its lineup. When and why did this all start? Is it just a fad? Should you make the switch? Are FiveFingers appropriate to wear at work?  While the last question depends extensively on your boss, we hope to answer the rest of those questions in this article.

How did it all start?


                Probably the first elite athlete to go barefoot was Adebe Bikila, who ditched the shoes and won gold in the marathon at the 1960 Olympics. Bikila said the team-issued running shoes bothered him so he decided to continue his barefoot training.  But, few really followed in his footsteps.  Later, several athletic trainers and coaches started having their athletes warm up and cool down barefoot, as they found that barefoot training improves foot strength, proprioception (awareness) and even seemed to reduce injuries.  Nike, after consulting with these trainers, wanted to make a shoe that mimicked the feeling and support of being barefoot, and created the Nike Free.  A huge push to the minimalistic running shoe phenomenon came about when Christopher McDougall wrote "Born To Run." Christopher was an avid runner but was always injured.  He then went and followed the reclusive Tarahumara Indian tribe in the Mexican Copper Canyons, who ran extremely long distances (100+ miles) with very thin sandals. As you can probably guess, he overcame his injuries and became pain free.  Around the same time, many people started wearing the FiveFingers for their favorite running shoes.  All of this started a movement towards the minimalist approach to shoes, but why?

What's the difference between running barefoot and running in shoes?
 

Luckily, as the barefoot and trend grew, some groups have started to research the differences between running barefoot and running with shoes.  Researchers from Harvard looked at several different groups of runners from USA and Kenya1.  While everyone studied from the USA grew up wearing shoes, many from Kenya never wore shoes or only wore shoes recently.  Researchers found that those who grew up wearing shoes usually utilize a heel-strike while running, whether barefoot or in shoes.  However, those who did not grow up with shoes usually had a mid-foot or fore-foot strike while running.  This difference in landing made a huge difference in impact forces.  Those with fore/mid-foot strikes had a much lower initial impact accompanied with a gradual increase in load.  Conversely, those with rear foot (heel) strikes, whether in shoes or barefoot, had a very high jarring initial impact with no gradual increase. Basically, with a fore/mid-foot strike, the foot serves as a natural shock absorber.  However, when someone heel strikes, this shock absorber isn't present, even with shoes.  Theoretically, this could translate into significantly less injuries if someone switches from a heel strike to a fore/midfoot strike.



Check out the large jarring "spike" when heel striking with or without shoes.  In contrast, that spike is absent when landing on the forefoot while barefoot (upper right).  This correlates to a huge difference in impact force as shown in the bar graph.


What we know. and don't know


                You might be saying "Less injuries? Sign me up!" Well, it is important to note that we wrote it could reduce injuries "theoretically."  We can't know for sure if it reduces injuries, as it has not been studied.  What we do know, however, is that changes and so called "improvements" in running shoes over the past 30 years have NOT reduced injuries.  About 60-70% of runners in the 1970's suffered an injury as results of their training.  How many of today's runners get injured? About 60-70%.  While this is good for those of us in business of pain treatment and rehab, it's more than frustrating for the average runner.  We'll have to wait for the studies to see if "natural running" is the cure.

However, from the study of the Kenyan runners who never wore shoes, we can say that running with a forefoot/midfoot strike seems to be the natural way of running.  Proponents against the minimalistic running idea argue that while it may be more natural, today's world isn't very "natural."  People and tribesmen that grew up without shoes did not work 40 hr/wk deskjobs, they did not run on sidewalks and paved roads and they did not eat a pro-inflammatory diet.  Both sides have valid points.

So Doc, should I run barefoot?


Before we answer this, we should take a step back and realize all the so called "magic" isn't in being barefoot or wearing Vibrams, but it's in the running form. It's in the forefoot/midfoot landing, in the shorter stride length, and in the higher cadence.  Take a look at what Christopher McDougall himself said in a recent interview2:

"I'm more interested in the future of running form. I couldn't care less what people wear; I'm more concerned about what they do. For too long, all we've heard about is what to buy; what's been missing from the conversation has been how to run properly. I'm convinced that the next big wave in running won't be footwear, but a surge in running coaches who teach proper, gentle, barefoot-style form."

Think about it. we stress swimming efficiency while training swimming, we have hundreds of drills to improve technique in sports like baseball and football, and we spend hundreds or even thousands on improving our golf game.  But how do most of us try to become a better runner? We do nothing more than trying to go farther and/or faster.  Something's missing.

So should I change my form?


                The absolute, 100% without question answer is. it depends.  We're sorry to take the easy way out, but in all honestly, no one has enough data to be able to make a definitive answer.  We will say, that if you're a heel striker and happy with your times, have no injuries or only easily manageable ones, why fix what isn't broken? However, if you are constantly fighting injuries, feel inefficient while running, want to improve your running times, or just want to be a more natural runner. give this approach a try.  After all, you can always return to regular running shoes and heel striking.

Three time Ironman World Champion Craig Alexander passing Terenzo Bozzone. Notice the difference in running forms.

The Hard Part - Changing Your Form


Several books have been written on this subject so we're just going to touch on a few points to help you get started.


1. Read those books on this subject! - Form is key, so read all about Chi Running, Pose Technique and Evolution Running.  Also check out the aforementioned Born to Run as well as Natural Running by Danny Abshire. Join your local library already!


2. Shoes - Most "traditional" running shoes have large heel rises (more padding beneath heel than beneath forefoot - around 15mm more).  You'll need to find shoes with minimal heel rise, which makes it easier to move towards a midfoot/forefoot strike.  Vibram FiveFingers have 0mm of heel rise, New Balance Minimus have 4mm heel rise, and Nike Frees have around a 6-10 mm heel rise.  Also, if you're an overpronator (as judged by a professional), take a look at Newton's S series which is a stability shoe with minimal heel rise (2 mm).


3. Take it Slow - Now is the perfect time to make the change.  Your summer runs and triathlons are over, so it's time to re-start your running from scratch.  The above books all have recommendations for making the switch but you're going to have to drop your ego and drastically cut your running distances.  If not, you'll risk injury and intense soreness. And isn't one of the reasons we're making the switch is to possibly reduce injury?


4. Throw in some short barefoot runs - Running barefoot will help you to adapt a mid or forefoot strike, or else your heel will take a beating.  But keep these short (<0.5 mile) at first, or you'll be getting some painful new blisters (the author is speaking from experience).


Well there you have it. Hopefully you now have the information and tools to make your own decision about barefoot/natural/minimalist/new-buzzword running.  We honestly think this trend is here to stay and will grow every year.  Although, we could be wrong.  After all, Bikila himself, after winning the gold in 1960, went on to set a world record at the 1964 Olympics... heel striking in shoes.

Drs. Jeff Remsburg and Thomas Cotter are chiropractors at Active Health Solutions: Chiropractic & Rehab, located in Prairie Village, Kansas.  Their clinic focuses on combining cutting edge chiropractic care with the latest in exercise and rehabilitation for pain treatment and performance enhancement.  You can find more information about their clinic by visiting their website at www.ahsKC.com or by calling 913-341-1200.  

 

References

1. Lieberman, D et al. Nature, 2010, 463(28) 531-535.

2. Interview with Christopher McDougall by Bill Katovsky. http://zero-drop.com/?p=10


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