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Footwear plays a critical role in our daily lives, affecting our performance, health and overall well-being. Well-designed footwear can provide protection, comfort and improved foot functionality, while poorly designed footwear can lead to mobility problems and declines in physical activity. The overall goal of footwear research is to provide a scientific basis for professionals in the field to provide an optimal footwear solution for a given person, for a given task, in a given environment, while using sustainable manufacturing processes. This article suggests potential directions for future research with a focus on athletic footwear biomechanics. Directions include the evidence-based individualisation of footwear, the interaction between design and prolonged use, and improving the sustainability of footwear. The authors also provide a speculative outlook on methodological developments that may provide greater insight into these areas. These developments may include: (1) the use of larger scale, real-world and representative data, (2) the use of 3D printing to create experimental footwear, (3) the advancement of in silico research methods, and (4) furthering multidisciplinary collaboration. If successfully applied in the future, footwear research will contribute to active and healthy lifestyles across the lifespan.
Bewegungsanalysesysteme in der Forschung und für niedergelassene Orthopädinnen und Orthopäden
(2023)
Hintergrund
Komplexe biomechanische Bewegungsanalysen können für eine Vielzahl orthopädischer Fragestellungen wichtige Informationen liefern. Bei der Beschaffung von Bewegungsanalysesystemen sind neben den klassischen Messgütekriterien (Validität, Reliabilität, Objektivität) auch räumliche und zeitliche Rahmenbedingungen sowie Anforderungen an die Qualifikation des Messpersonals zu berücksichtigen.
Anwendung
In der komplexen Bewegungsanalyse werden Systeme zur Bestimmung der Kinematik, der Kinetik und der Muskelaktivität (Elektromyographie) eingesetzt. Der vorliegende Artikel gibt einen Überblick über Methoden der komplexen biomechanischen Bewegungsanalyse für den Einsatz in der orthopädischen Forschung oder in der individuellen Patientenversorgung. Neben dem Einsatz zur reinen Bewegungsanalyse wird auch der Einsatz von Bewegungsanalyseverfahren im Bereich des Biofeedbacktrainings diskutiert.
Beschaffung
Für die konkrete Anschaffung von Bewegungsanalysesystemen empfiehlt sich die Kontaktaufnahme mit Fachgesellschaften (z. B. Deutsche Gesellschaft für Biomechanik), Hochschulen und Universitäten mit vorhandenen Bewegungsanalyseeinrichtungen oder Vertriebsfirmen im Bereich der Biomechanik.
Research is often conducted to investigate footwear mechanical properties and their effects on running biomechanics, but little is known about their influence on runner satisfaction, or how well the shoe is perceived. A tool to predict runner satisfaction in a shoe from its mechanical properties would be advantageous for footwear companies. Data in this study were from a database (n = 615 subject-shoe pairings) of satisfaction ratings (gathered after participants ran on a treadmill), and mechanical testing data for 87 unique subjects across 61 unique shoes. Random forest and elastic net logistic regression models were built to test if footwear mechanical properties and subject characteristics could predict runner satisfaction in 3 ways: degree-of-satisfaction on a 7-point Likert scale, overall satisfaction on a 3-point Likert scale, and willingness-to-purchase the shoe (yes/no response). Data were divided into training and validation sets, using an 80–20 split, to build the models and test their accuracy, respectively. Model accuracies were compared against the no-information rate (i.e. proportion of data belonging to the largest class). The models were not able to predict degree-of-satisfaction or overall satisfaction from footwear mechanical properties but could predict runner’s willingness to purchase with 68–75% accuracy. Midsole Gmax at the heel and forefoot appeared in the top five of variable importance rankings across both willingness-to-purchase models, suggesting its role as a major factor in purchase decisions. The negative regression coefficient for both heel and forefoot Gmax indicated that softer midsoles increase the likelihood of a shoe purchase. Future models to predict satisfaction may improve accuracy with the addition of more subject-specific parameters, such as running goals or foot proportions.
Running footwear is continuously being modified and improved; however, running-related overuse injury rates remain high. Nevertheless, novel manufacturing processes enable the production of individualized running shoes that can fit the individual needs of runners, with the potential to reduce injury risk. For this reason, it is essential to investigate functional groups of runners, a collective of runners who respond similarly to a footwear intervention. Therefore, the objective of this study was to develop a framework to identify functional groups based on their individual footwear response regarding injury-specific running-related risk factors for Achilles tendinopathy, Tibial stress fractures, Medial tibial stress syndrome, and Patellofemoral pain syndrome. In this work, we quantified the footwear response patterns of 73 female and male participants when running in three different footwear conditions using unsupervised learning (k-means clustering). For each functional group, we identified the footwear conditions minimizing the injury-specific risk factors. We described differences in the functional groups regarding their running style, anthropometric, footwear perception, and demographics. The results implied that most functional groups showed a tendency for a single footwear condition to reduce most biomechanical risk factors for a specific overuse injury. Functional groups often differed in their hip and pelvis kinematics as well as their subjective rating of the footwear conditions. The footwear intervention only partially affected biomechanical risk factors attributed to more proximal joints. Due to its adaptive nature, the framework could be applied to other footwear interventions or performance-related biomechanical variables.
Rehabilitationsmaßnahmen nach Unfällen oder Krankheiten sind oft langwierig und häufig mit Schmerzen sowie Frustration verbunden – und Ähnliches gilt für Präventionstraining. Die spielerische Anreicherung des Trainings (im Folgenden: Gamification) kann dieser Entwicklung durch die Steigerung des Spaßfaktors entgegenwirken. Im Gegensatz zu regulären Spielen kann es durch die höhere Motivation und Immersion im Training allerdings zu einer verminderten Schmerzwahrnehmung und damit einer Verschlechterung des Gesundheitszustands bis hin zu einer erneuten Verletzung kommen. Daher war es bislang erforderlich, solche Ansätze kontinuierlich therapeutisch zu begleiten. Für eine autonome Intervention, zur Entlastung von Therapeuten, aber auch im Heimbereich ist eine automatisierte Anpassung des Schwierigkeitsgrads des Bewegungstrainings und eine individualisierte Zielsetzung und -kontrolle von zentraler Bedeutung. Diese Herausforderung ist in bestehenden Ansätzen zu wenig adressiert bzw. beschrieben worden. Der Einsatz künstlicher Intelligenz kann hier einen entscheidenden Beitrag zu leisten – insbesondere hybride Ansätze, die expertenbasierte Entscheidungsbäume mit Verfahren des maschinellen Lernens kombinieren, könnten in der Zukunft einen wichtigen Beitrag zu einer erfolgreichen Rehabilitation und Prävention liefern.