Does a high-drop running shoe prevent injury? -- Ask Malisoux!
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Does a high-drop running shoe prevent injury? -- Ask Malisoux!
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The podcast provides a critical review of a Randomized Controlled Trial (RCT) conducted by Malisoux et al. (2016) investigating whether the heel-to-toe drop (HTD) of standard cushioned running shoes influences the risk of running-related injuries in leisure runners. The study found no statistically significant difference in overall injury incidence when comparing 10 mm, 6 mm, and 0 mm drop shoes over six months. Crucially, a stratified analysis indicated that while low-drop shoes might benefit occasional runners, they significantly increased injury risk for regular runners (those with six or more months of weekly practice), suggesting that training history and adaptation status moderate the effect of shoe drop. The review identifies key strengths, such as the RCT design and large sample size, alongside limitations, including the lack of biomechanical mechanism data and insufficient adaptation time for participants.