{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:36Z","timestamp":1783509276540,"version":"3.55.0"},"reference-count":32,"publisher":"MDPI AG","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The biomechanics of the foot and leg are responsible for shock absorption during human gait. Lack of shock absorption is known to be a key component of knee pain. This study compares a new model of shoe sole with a built-in modification intended to absorb shock with a traditional sole shoe to examine whether shoe design modifications can help alleviate knee pain.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    A double-blind randomized controlled study was performed. Fifty-two adults with overuse symptoms of knee pain, either unilateral or bilateral, were enrolled and randomly assigned to use the intervention sole or the traditional sole shoes. For 5 weeks, participants wore either the shoe with the intervention sole or the shoe with the traditional sole, rating their knee pain on a 10-point visual analog scale at study onset, midway, and study completion.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    After 5 weeks, participants using the intervention sole shoe reported an average reduction in knee pain of 85%, significantly better than participants using the traditional sole shoe (\n                    <jats:italic>P<\/jats:italic>\n                    &lt; .001), whose average pain scores increased. Positive effects on back and foot pain were also observed in those with the intervention sole shoe compared with the traditional sole shoe.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions:<\/jats:bold>\n                    The intervention shock-absorbing sole represents an approach to midsole and outsole construction that can potentially increase shock absorption and decrease knee pain during prolonged standing and walking.\n                  <\/jats:p>","DOI":"10.7547\/17-224","type":"journal-article","created":{"date-parts":[[2022,3,23]],"date-time":"2022-03-23T14:12:26Z","timestamp":1648044746000},"source":"Crossref","is-referenced-by-count":0,"title":["Knee Pain Reduction Using a Shock-Absorbing Sole"],"prefix":"10.3390","volume":"112","author":[{"given":"Arnold S.","family":"Ross","sequence":"first","affiliation":[{"name":"Private practice, Los Angeles, CA."},{"name":"Department of Biomechanics and Mechanical Orthopedics, Western University of Health Sciences, College of Podiatric Medicine, Pomona, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lester J.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Surgery and Biomechanics, Western University of Health Sciences, College of Podiatric Medicine, Pomona, CA."},{"name":"Department of Podiatric Medicine and Surgery, Olive View UCLA Medical Center, Sylmar, CA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Geriatr Phys Ther","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1519\/JPT.0000000000000108","article-title":"Effect of footwear on joint pain and function in older adults with lower extremity osteoarthritis","volume":"41","author":"Wagner A","year":"2018","unstructured":"Wagner A, Luna S: Effect of footwear on joint pain and function in older adults with lower extremity osteoarthritis. 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