Biomechanical locomotion adaptations on uneven surfaces can be simulated with a randomly deforming shoe midsole

<p>A shoe with unsystematic perturbations, similar to natural uneven terrain, may offer an enhanced training stimulus over current unstable footwear technologies. This study compared the instability of a shoe with unpredictably random midsole deformations, an irregular surface and a control shoe-surface while treadmill walking and running. Three-dimensional kinematics and electromyography were recorded of the lower limb in 18 active males. Gait cycle characteristics, joint angles at initial ground contact and maximum values during stance, and muscle activations prior to initial contact and during loading were analysed. Perceived stability, injury-risk and energy consumption were evaluated. Instability was assessed by movement variability, muscular activations and subjective ratings. Posture alterations at initial contact revealed active adaptations in the irregular midsole and irregular surface to maintain stability while walking and running. Variability of the gait cycle and lower limb kinematics increased on the irregular surface compared to the control across locomotion types. Similarly increased variability (coefficient of variation) were found in the irregular midsole compared to the control for frontal ankle motion (walk: 31.1 and 14.9, run: 28.1 and 11.6), maximum sagittal knee angle (walk: 7.6 and 4.8, run: 2.8 and 2.4), and global gait characteristics during walking only (2.1 ± 0.5 and 1.6 ± 0.3). Tibialis anterior pre-activation reduced and gastrocnemius activation increased in the irregular midsole compared to the control across locomotion types. During running, peroneus longus activation increased in the irregular midsole and irregular surface. Results indicate random shoe midsole deformations enhanced instability relative to the control and simulated certain locomotion adaptations of the irregular surface, although less pronounced. Thus, a shoe with unpredictable instability revealed potential as a novel instability-training device.