More on EVA foam, impact loading behaviors, and adding shoe inserts.

A few weeks ago we wrote about some thoughts on the maximalist shoe foam trend and how it is possible that more foam could mean alterations in impact loading behaviors that could lead to problems (note we used the word could, and not will).  If there are pre-existing proprioceptive deficits in a limb these issues most likely will rise to the surface. 

The EVA foam in shoes is primarily used to absorb forces via air flow through interconnected air cells in the EVA during shoe deformation under body-weight. When the shoe has seen a finite number of compressive cycles the air cells collapse and the EVA can compact on itself leaving the shoe with an negatively impacting area of compression to fall into.  Shock absorption may be impacted and possibly lead to injury.

The Robbins study we discussed a few weeks ago (link) suggested that the reduction of impact moderating behaviour is 

Reduction of impact-moderating behavior is a response to loss of stability induced by soft-soled cushioned shoes: Humans reduce impact-moderating behavior in direct relation to increased instability.This is presumably an attempt to achieve equilibrium by obtaining a stable, rigid support base through compression of sole materials. Humans reduce impact-moderating behavior, thereby amplifying impact, when they are convinced that they are well protected by the footwear they are wearing. 

These were important points but we wanted to bring to your awareness of the component of the shoe you may have not thought of to this point, the foam foot bed that comes with the shoe, or ones you might add to the shoe  yourself post-purchase. With what we have just taught you in our last blog post and this blog post, we will let you make the connection we are suggesting you be aware of when it come to more foam, changes in foam as the shoes and inserts degrade and impaired impact loading behaviors.

There are just 3 brief study summaries here, take the time to read them and read between the lines now that we have educated you a little better in how to think about them.

Shawn and Ivo

J Appl Biomech. 2007 May;23(2):119-27.

Effects of insoles and additional shock absorption foam on the cushioning properties of sport shoes.

The purpose of this study was to investigate the effects of insoles and additional shock absorption foam on the cushioning properties of various sport shoes with an impact testing method. 

The results of this study seemed to show that the insole or additional shock absorption foam could perform its shock absorption effect well for the shoes with limited midsole cushioning. 

Further, our findings showed that insoles absorbed more, even up to 24-32% of impact energy under low impact energy. 

It seemed to indicate that insoles play a more important role in cushioning properties of sport shoes under a low impact energy condition.

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Biomed Mater Eng. 2006;16(5):289-99.

Role of EVA viscoelastic properties in the protective performance of a sport shoe: computational studies.

 Using lumped system and finite element models, we studied heel pad stresses and strains during heel-strike in running, considering the viscoelastic constitutive behavior of both the heel pad and EVA midsole. In particular, we simulated wear cases of the EVA, manifested in the modeling by reduced foam thickness, increased elastic stiffness, and shorter stress relaxation with respect to new shoe conditions. Simulations showed that heel pad stresses and strains were sensitive to viscous damping of the EVAWear of the EVA consistently increased heel pad stresses, and reduced EVA thickness was the most influential factor, e.g., for a 50% reduction in thickness, peak heel pad stress increased by 19%. We conclude that modeling of the heel-shoe interaction should consider the viscoelastic properties of the tissue and shoe components, and the age of the studied shoe.

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J Biomech. 2004 Sep;37(9):1379-86.

Heel-shoe interactions and the durability of EVA foam running-shoe midsoles.

A finite element analysis (FEA) was made of the stress distribution in the heelpad and a running shoe midsole, using heelpad properties deduced from published force-deflection data, and measured foam properties. The heelpad has a lower initial shear modulus than the foam (100 vs. 1050 kPa), but a higher bulk modulus. The heelpad is more non-linear, with a higher Ogden strain energy function exponent than the foam (30 vs. 4). Measurements of plantar pressure distribution in running shoes confirmed the FEA. The peak plantar pressure increased on average by 100% after 500 km run. Scanning electron microscopy shows that structural damage (wrinkling of faces and some holes) occurred in the foam after 750 km run. Fatigue of the foamreduces heelstrike cushioning, and is a possible cause of running injuries.

 

More shoe foam may mean more problems.
Last night we had a great online teleseminar (www.onlinece.com).  The talk was minimialism.  Here was 2 of our take home points:
More foam in the shoe is not always good. 
“Shoes with cushioning fail to a…

More shoe foam may mean more problems.

Last night we had a great online teleseminar (www.onlinece.com). The talk was minimialism. Here was 2 of our take home points:

More foam in the shoe is not always good.

“Shoes with cushioning fail to absorb impact when humans run and jump, and amplify force under certain conditions, because soft materials used as interfaces between the foot and support surface elicit a predictable reduction in impact-moderating behavior. ” -Robbins

Basically barefoot feet, and even shoes with thinner foam/soled shoes, tend to judge impact more precisely because there is less foam to dampen proprioceptive input. The more foam you stack under the foot, the more material that must be deformed before a sufficiently rigid surface can be detected by the foot. Think of this, what do we do in rehab ? We stand people on stacked foam to give them an unstable surface (if they have championed balance challenges on a stable surface first, this is an important first step). When the foot cannot find a firm platform it searches for stability and drowns in the instability. This can be what more foam under the foot provides, inability to reference stable ground surface can negatively impact proprioceptive joint and tissue receptors.

2. Impact loading behaviors.

if we know the surface (the shoe or the actual surface/ground) is unstable, we will modify the pending impact loading behavior. In other words, you will jump differently onto a frozen puddle than you would dry ground. Studies have shown that the more foam a shoe has (ie. the more the potential instability from the example above) the greater the reduction of impact moderating behavior.

Humans reduce impact-moderating behavior in direct relation to increased instability.- Robbins

hope to see you in the next online teleseminar in 4 weeks !

shawn and ivo

reference:

BioMechanics April 1998

Materials: Do soft soles improve running shoes?
Most athletic shoes advertise injury protection through “cushioning,” but real world studies have not shown impact moderation.
By Steven Robbins, MD, Edward Waked, PhD, and Gad Saad, PhD