PT  - JOURNAL ARTICLE
AU  - Jason Bonacci
AU  - Bill Vicenzino
AU  - Wayne Spratford
AU  - Paul Collins
TI  - Take your shoes off to reduce patellofemoral joint stress during running
AID  - 10.1136/bjsports-2013-092160
DP  - 2014 Mar 01
TA  - British Journal of Sports Medicine
PG  - 425--428
VI  - 48
IP  - 6
4099  - http://bjsm.bmj.com/content/48/6/425.short
4100  - http://bjsm.bmj.com/content/48/6/425.full
SO  - Br J Sports Med2014 Mar 01; 48
AB  - Aim Elevated patellofemoral joint stress is thought to contribute to the development and progression of patellofemoral pain syndrome. The purpose of this study was to determine if running barefoot decreases patellofemoral joint stress in comparison to shod running. Methods Lower extremity kinematics and ground reaction force data were collected from 22 trained runners during overground running while barefoot and in a neutral running shoe. The kinematic and kinetic data were used as input variables into a previously described mathematical model to determine patellofemoral joint stress. Knee flexion angle, net knee extension moment and the model outputs of contact area, patellofemoral joint reaction force and patellofemoral joint stress were plotted over the stance phase of the gait cycle and peak values compared using paired t tests and standardised mean differences calculated. Results Running barefoot decreased peak patellofemoral joint stress by 12% (p=0.000) in comparison to shod running. The reduction in patellofemoral joint stress was a result of reduced patellofemoral joint reaction forces (12%, p=0.000) while running barefoot. Conclusions Elevated patellofemoral joint stress during shod running might contribute to patellofemoral pain. Running barefoot decreases patellofemoral joint stress.