{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:30:33Z","timestamp":1788276633696,"version":"build-2803163510"},"reference-count":31,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T00:00:00Z","timestamp":1580169600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Purpose: The intervention of 12 week gait retraining with minimalist shoes was established to examine its effect on impact forces, joint mechanics, and vertical stiffness during running. Methods: Thirty male recreational runners were randomly assigned to the gait retraining + minimalist shoe (n = 15, GR) and minimalist shoe (n = 15, MIN) groups. The ground reaction force and marker trajectories were collected before and after intervention at a speed of 3.33 \u00b1 5% m\/s. Results: A total of 17 participants (9 in the GR group and 8 in the MIN group) completed the training. After training, (1) the loading rate of both groups decreased significantly, and the loading rate of the GR group was lower than that of the MIN group. (2) The foot strike angle of the GR group decreased significantly after training, and the plantarflexion angle and hip joint angular extension velocity increased in both groups. (3) The moment of ankle joint increased in the GR group, and the stiffness of lower limbs was significantly improved in both groups. Conclusion: The 12 week gait retraining with minimalist shoes converted rearfoot strikers into forefoot strikers with a rate of 78% (7\/9). More importantly, such a combined program, compared to the training with only minimalist shoes, can avoid the peak impact force and decrease the loading rate more effectively, thus providing a potential means of reducing risk of running injury caused by impact forces. Moreover, the increased vertical stiffness of lower extremity after gait retraining may improve running economy and corresponding energy utilization. However, these observations also suggest that the sole use of minimalist footwear may have limited effects on reducing running-related impacts.<\/jats:p>","DOI":"10.3390\/ijerph17030818","type":"journal-article","created":{"date-parts":[[2020,1,28]],"date-time":"2020-01-28T09:37:09Z","timestamp":1580204229000},"page":"818","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["Alterations in Running Biomechanics after 12 Week Gait Retraining with Minimalist Shoes"],"prefix":"10.3390","volume":"17","author":[{"given":"Yang","family":"Yang","sequence":"first","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xini","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Luo","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongqiang","family":"Ye","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7552-0452","authenticated-orcid":false,"given":"Weijie","family":"Fu","sequence":"additional","affiliation":[{"name":"School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China"},{"name":"Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai 200438, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1038\/nature03052","article-title":"Endurance running and the evolution of Homo","volume":"432","author":"Bramble","year":"2004","journal-title":"Nature"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1136\/bjsm.2006.033548","article-title":"Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review","volume":"41","author":"Siem","year":"2007","journal-title":"Br. J. Sports Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1249\/01.mss.0000183477.75808.92","article-title":"Biomechanical factors associated with tibial stress fracture in female runners","volume":"38","author":"Milner","year":"2006","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1097\/JSM.0b013e3181b8c270","article-title":"Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners","volume":"19","author":"Pohl","year":"2009","journal-title":"Clin. J. Sport. Med."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1016\/j.jshs.2016.08.012","article-title":"Influences of load carriage and physical activity history on tibia bone strain","volume":"8","author":"Wang","year":"2019","journal-title":"J. Sport Health Sci."},{"key":"ref_6","first-page":"477","article-title":"Effects of footwear on impact forces and soft tissue vibrations during drop jumps and unanticipated drop landings","volume":"34","author":"Fu","year":"2013","journal-title":"Int. J. Sports Med."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"S179","DOI":"10.3233\/THC-150952","article-title":"Impact-induced soft-tissue vibrations associate with muscle activation in human landing movements: An accelerometry and EMG evaluation","volume":"23","author":"Fu","year":"2015","journal-title":"Technol. Health Care"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/00042752-200101000-00002","article-title":"The role of impact forces and foot pronation: A new paradigm","volume":"11","author":"Nigg","year":"2001","journal-title":"Clin. J. Sport. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1515\/hukin-2017-0018","article-title":"Changes in Impact Signals and Muscle Activity in Response to Different Shoe and Landing Conditions","volume":"56","author":"Wang","year":"2017","journal-title":"J. Hum. Kinet."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/j.jsams.2017.03.009","article-title":"Shoe Cushioning Reduces Impact and Muscle Activation during Landings from Unexpected, but not Self-initiated, Drops","volume":"20","author":"Fu","year":"2017","journal-title":"J. Sci. Med. Sport"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1038\/nature08723","article-title":"Foot strike patterns and collision forces in habitually barefoot versus shod runners","volume":"463","author":"Lieberman","year":"2010","journal-title":"Nature"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1080\/02640414.2016.1224916","article-title":"Kinetic changes during a six-week minimal footwear and gait-retraining intervention in runners","volume":"35","author":"Warne","year":"2017","journal-title":"J. Sports Sci."},{"key":"ref_13","first-page":"443","article-title":"12 weeks of simulated barefoot running changes foot-strike patterns in female runners","volume":"35","author":"McCarthy","year":"2014","journal-title":"Int. J. Sports Med."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1325","DOI":"10.1249\/MSS.0b013e3182465115","article-title":"Foot strike and injury rates in endurance runners: A retrospective study","volume":"44","author":"Daoud","year":"2012","journal-title":"Med. Sci. Sports Exerc."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.jshs.2013.09.004","article-title":"Effect of minimal shoes and slope on vertical and leg stiffness during running","volume":"4","author":"Lussiana","year":"2015","journal-title":"J. Sport Health Sci."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1016\/j.gaitpost.2011.09.104","article-title":"A kinematic method for footstrike pattern detection in barefoot and shod runners","volume":"35","author":"Altman","year":"2012","journal-title":"Gait Posture"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1007\/s00421-012-2465-y","article-title":"Impact reduction during running: Efficiency of simple acute interventions in recreational runners","volume":"113","author":"Giandolini","year":"2013","journal-title":"Eur. J. Appl. Physiol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.jshs.2016.01.004","article-title":"Effects of 12 weeks of barefoot running on foot strike patterns, inversion-eversion and foot rotation in long-distance runners","volume":"8","year":"2019","journal-title":"J. Sport Health Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1136\/bjsports-2012-092061","article-title":"Examining injury risk and pain perception in runners using minimalist footwear","volume":"48","author":"Ryan","year":"2014","journal-title":"Br. J. Sports Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"262","DOI":"10.3113\/FAI.2012.0262","article-title":"Injuries Observed in Minimalist Runners","volume":"33","author":"Salzler","year":"2012","journal-title":"Foot Ankle Int."},{"key":"ref_21","unstructured":"Goss, D.L., and Gross, M.T. (2012). A review of mechanics and injury trends among various running styles. US Army Med. Dep. J., 62\u201371."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1080\/02640410400022003","article-title":"Effect of a global alteration of running technique on kinematics and economy","volume":"23","author":"Dallam","year":"2005","journal-title":"J. Sports Sci."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.clinbiomech.2010.09.003","article-title":"Gait retraining to reduce lower extremity loading in runners","volume":"26","author":"Crowell","year":"2011","journal-title":"Clin. Biomech."},{"key":"ref_24","doi-asserted-by":"crossref","unstructured":"Xia, R., Zhang, X., Wang, X., Sun, X., and Fu, W. (2017). Effects of Two Fatigue Protocols on Impact Forces and Lower Extremity Kinematics during Drop Landings: Implications for Noncontact Anterior Cruciate Ligament Injury. J. Healthc. Eng., 5690519.","DOI":"10.1155\/2017\/5690519"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jbiomech.2015.12.019","article-title":"The high frequency component of the vertical ground reaction force is a valid surrogate measure of the impact peak","volume":"49","author":"Blackmore","year":"2016","journal-title":"J. Biomech."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.jshs.2014.03.006","article-title":"Reduction in ground reaction force variables with instructed barefoot running","volume":"3","author":"Samaan","year":"2014","journal-title":"J. Sport Health Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jelekin.2005.08.001","article-title":"Active leg stiffness and energy stored in the muscles during maximal counter movement jump in the aged","volume":"16","author":"Liu","year":"2006","journal-title":"J. Electromyogr. Kinesiol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1177\/0363546519849920","article-title":"Adaptation of Running Biomechanics to Repeated Barefoot Running: A Randomized Controlled Study","volume":"47","author":"Hollander","year":"2019","journal-title":"Am. J. Sports Med."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1136\/bjsports-2012-091837","article-title":"Running in a minimalist and lightweight shoe is not the same as running barefoot: A biomechanical study","volume":"47","author":"Bonacci","year":"2013","journal-title":"Br. J. Sports Med."},{"key":"ref_30","first-page":"525","article-title":"Changes in lower extremity movement and power absorption during forefoot striking and barefoot running","volume":"7","author":"Williams","year":"2012","journal-title":"Int. J. Sports Phys. Ther."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1249\/MSS.0b013e318247989e","article-title":"Effects of footwear and strike type on running economy","volume":"44","author":"Perl","year":"2012","journal-title":"Med. Sci. Sports Exerc."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/3\/818\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T14:08:44Z","timestamp":1760364524000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/3\/818"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,28]]},"references-count":31,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,2]]}},"alternative-id":["ijerph17030818"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17030818","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,28]]}}}