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Int J Sports Med 2022; 43(03): 269-277
DOI: 10.1055/a-1255-2803
Orthopedics & Biomechanics

Influence of Footwear on Posture and Comfort in Elite Rugby Players

Sylvain Blanchard 
1   Racing 92 Rugby Club, Scientific & Medical Department, Le Plessis-Robinson
2   Aix-Marseille I University, IFSTTAR, LBA UMR T24, Marseille
,
Laurence Bellaïche
3   Imagerie Médicale Paris Centre, Imagerie du Sportif, Paris
,
Zbigniew Kuliberda
4   EtioSYSTEMS, Evaluation Sportive, Strasbourg Aix-Marseille I University, IFSTTAR, LBA UMR T24, Marseille
,
Michel Behr
2   Aix-Marseille I University, IFSTTAR, LBA UMR T24, Marseille
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Abstract

Influence of footwear on posture in athletes is poorly documented despite its potential impact on biomechanics and injury risk. The aim of this study was to investigate effects of different footwear geometries on comfort and posture on a cohort of 48 elite rugby players. Spine posture was characterized by photogrammetry, while center of pressure was measured by means of a force platform. Three different footwear outsoles architectures (one rugby shoe with flat outsole, one rugby shoe with a 10 mm heel rise and foot arch support, and a running shoe with a 10mm heel rise and foot arch support) were compared to non-shod in randomized order. Then comfort felt at the level of foot and spine was also estimated by subjective questionnaires. Compared to the flat rugby model, both other models induced significantly (p<0.05) greater comfort at the level of foot and spine, a slight shift toward of center of pressure and a spinal posture closer to that observed when non-shod. The footwear geometry influences comfort and posture at the level of the foot as well as spine and should be considered in a dual purpose of injury prevention and performance.

Key words

photogrammetry - biomechanics - rugby boots - spinal posture


Publikationsverlauf

Eingereicht: 23. Januar 2020

Angenommen: 19. August 2020

Artikel online veröffentlicht:
24. September 2021

© 2021. Thieme. All rights reserved.

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Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 World Rugby. Rugby Count 2016. https://www.world.rugby/development/player-numbers; 2016
    PubMed
  • 2 Fuller CW, Taylor A, Kemp SP. et al. Rugby World Cup 2015: World Rugby injury surveillance study. Br J Sports Med 2017; 51: 51-57. doi:10.1136/bjsports-2016-096275
    CrossrefPubMedGoogle Scholar
  • 3 Viviers PL, Viljoen JT, Derman W. A review of a decade of rugby union injury epidemiology: 2007–2017. Sports Health 2018; 10: 223-227. doi:10.1177/1941738118757178
    CrossrefPubMedGoogle Scholar
  • 4 Williams S, Trewartha G, Kemp S. et al. A meta-analysis of injuries in senior men's professional Rugby Union. Sports Med 2013; 43: 1043-1055 doi:10.1007/s40279-013-0078-1
    CrossrefPubMedGoogle Scholar
  • 5 Yeomans C, Kenny IC, Cahalan R. et al. The incidence of injury in amateur male Rugby Union: a systematic review and meta-analysis. Sports Med 2018; 48: 837-848 doi:10.1007/s40279-017-0838-4
    CrossrefPubMedGoogle Scholar
  • 6 Blair MR, Elsworthy N, Rehrer NJ. et al. Physical and physiological demands of elite rugby union officials. Int J Sports Physiol Perform 2018; 13: 1199-1207. doi:10.1123/ijspp.2017-0849
    CrossrefPubMedGoogle Scholar
  • 7 World Rugby. Rugby World Cup 2015 Statistical Report. https://www.world.rugby/documents
    PubMed
  • 8 Ortega E, Villarejo D, Palao JM. Differences in game statistics between winning and losing rugby teams in the six nations tournament. J Sports Sci Med 2009; 8: 523-527
    PubMedGoogle Scholar
  • 9 Ungureanu AN, Brustio PR, Mattina L. et al. “How” is more important than “how much” for game possession in elite northern hemisphere rugby union. Biol Sport 2019; 36: 265-272. doi:10.5114/biolsport.2019.87048
    CrossrefPubMedGoogle Scholar
  • 10 Vaz L, Rooyen MV, Sampaio J. Rugby game-related statistics that discriminate between winning and losing teams in IRB and Super Twelve close games. J Sports Sci Med 2010; 9: 51-55
    PubMedGoogle Scholar
  • 11 Zunzarren G. Epiodémiologie Des Traumatismes Du Rachis Dans le Rugby Professionnel Français. Doctoral Thesis. Université Bordeaux II, France; 2013
    PubMed
  • 12 Jaco RM, Puckree T. Injury incidence and balance in Rugby players. Pak J Med Sci 2014; 30: 1346-1350
    PubMedGoogle Scholar
  • 13 Waddington G, Adams R. Discrimination of active plantarflexion and inversion movements after ankle injury. Aust J Physiother 1999; 45: 7-13
    CrossrefPubMedGoogle Scholar
  • 14 Waddington G, Adams R. Textured insole effects on ankle movment discrimination while wearing athletic shoes. Phys Ther Sport 2000; 1: 119-128
    CrossrefPubMedGoogle Scholar
  • 15 Davids K, Shuttleworth R, Button C. et al. “Essential noise” – enhancing variability of informational constraints benefits movement control: A comment on Waddington and Adams (2003). Br J Sports Med 2004; 38: 601-605. doi:10.1136/bjsm.2003.007427
    CrossrefPubMedGoogle Scholar
  • 16 Waddington G, Adams R. Football boot insoles and sensitivity to extent of ankle inversion movement. Br J Sports Med 2003; 37: 170-174. discussion 175
    CrossrefPubMedGoogle Scholar
  • 17 Kinchington M, Ball K, Naughton G. Monitoring of lower limb comfort and injury in elite football. J Sports Sci Med 2010; 9: 652-663
    PubMedGoogle Scholar
  • 18 Kinchington M, Ball K, Naughton G. Reliability of an instrument to determine lower limb comfort in professional football. Open Access J Sports Med 2010; 1: 77-85
    CrossrefPubMedGoogle Scholar
  • 19 Kinchington MA, Ball KA, Naughton G. Effects of footwear on comfort and injury in professional rugby league. J Sports Sci 2011; 29: 1407-1415. doi:10.1080/02640414.2011.593041
    CrossrefPubMedGoogle Scholar
  • 20 Kinchington M, Ball K, Naughton G. Relation between lower limb comfort and performance in elite footballers. Phys Ther Sport 2012; 13: 27-34. doi:10.1016/j.ptsp.2011.02.001
    CrossrefPubMedGoogle Scholar
  • 21 Bonanno DR, Landorf KB, Menz HB. Pressure-relieving properties of various shoe inserts in older people with plantar heel pain. Gait Posture 2011; 33: 385-389. doi:10.1016/j.gaitpost.2010.12.009
    CrossrefPubMedGoogle Scholar
  • 22 Chen TH, Chou LW, Tsai MW. et al. Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly. Clin Interv Aging 2014; 9: 351-356. doi:10.2147/CIA.S56268
    PubMedGoogle Scholar
  • 23 Lee YC, Lin G, Wang MJ. Evaluating insole design with joint motion, plantar pressure and rating of perceived exertion measures. Work 2012; 41 (Suppl. 01) 1114-1117. doi:10.3233/WOR-2012-0290-1114
    CrossrefPubMedGoogle Scholar
  • 24 Mündermann A, Stefanyshyn DJ, Nigg BM. Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors. Med Sci Sports Exerc 2001; 33: 1939-1945
    CrossrefPubMedGoogle Scholar
  • 25 Yung-Hui L, Wei-Hsien H. Effects of shoe inserts and heel height on foot pressure, impact force, and perceived comfort during walking. Appl Ergon 2005; 36: 355-362
    CrossrefPubMedGoogle Scholar
  • 26 Harriss DJ, MacSween A, Atkinson G. Ethical standards in sport and exercise science research: 2020 update. Int J Sports Med 2019; 40: 813-817. doi:10.1055/a-1015-3123
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 27 Drerup B, Hierholzer E. Movement of the human pelvis and displacement of related anatomical landmarks on the body surface. J Biomech 1987; 20: 971-977. doi:10.1016/0021-9290(87)90326-5
    CrossrefPubMedGoogle Scholar
  • 28 Turner-Smith AR. A television/computer three-dimensional surface shape measurement system. J Biomech 1988; 21: 515-529 doi:10.1016/0021-9290(88)90244-8
    CrossrefPubMedGoogle Scholar
  • 29 Drerup B, Ellger B, Meyer zu Bentrup FM. et al. Functional rasterstereographic images. A new method for biomechanical analysis of skeletal geometry. Orthopade 2001; 30: 242-250. doi:10.1007/s001320050603
    CrossrefPubMedGoogle Scholar
  • 30 Hazar Z, Karabicak GO, Tiftikci U. Reliability of photographic posture analysis of adolescents. J Phys Ther Sci 2015; 27: 3123-3126. doi:10.1589/jpts.27.3123
    CrossrefPubMedGoogle Scholar
  • 31 Zonnenberg AJ, Van Maanen CJ, Oostendorp RA. et al. Body posture photographs as a diagnostic aid for musculoskeletal disorders related to temporomandibular disorders (TMD). Cranio 1996; 14: 225-232
    CrossrefPubMedGoogle Scholar
  • 32 Kinel E, D’Amico M, Roncoletta P. Normative 3D opto-electronic stereo-photogrammetric sagittal alignment parameters in a young healthy adult population. PLoS One 2018; 13: e0203679. doi:10.1371/journal.pone.0203679
    CrossrefPubMedGoogle Scholar
  • 33 Kim SB, Heo YM, Hwang CM. et al. Reliability of the EOS imaging system for assessment of the spinal and pelvic alignment in the sagittal plane. Clin Orthop Surg 2018; 10: 500-507 doi:10.4055/cios.2018.10.4.500
    CrossrefPubMedGoogle Scholar
  • 34 Alfredson H, Cook J. A treatment algorithm for managing Achilles tendinopathy: new treatment options. Br J Sports Med 2007; 41: 211-216. doi:10.1136/bjsm.2007.035543
    CrossrefPubMedGoogle Scholar
  • 35 Baldassin V, Gomes CR, Beraldo PS. Effectiveness of prefabricated and customized foot orthoses made from low-cost foam for noncomplicated plantar fasciitis: a randomized controlled trial. Arch Phys Med Rehabil 2009; 90: 701-706. doi:10.1016/j.apmr.2008.11.002
    CrossrefPubMedGoogle Scholar
  • 36 Mayer F, Hirschmüller A, Müller S. et al. Effects of short-term treatment strategies over 4 weeks in Achilles tendinopathy. Br J Sports Med 2007; 41: e6. doi:10.1136/bjsm.2006.031732
    CrossrefPubMedGoogle Scholar
  • 37 Blanchard S, Palestri J, Guer JL. et al. Current soccer footwear, its role in injuries and potential for improvement. Sports Med Int Open 2018; 2: E52-E61 doi:10.1055/a-0608-4229
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 38 Zhang X, Li B. Influence of in-shoe heel lifts on plantar pressure and center of pressure in the medial-lateral direction during walking. Gait Posture 2014; 39: 1012-1016. doi:10.1016/j.gaitpost.2013.12.025
    CrossrefPubMedGoogle Scholar
  • 39 Johanson MA, Cooksey A, Hillier C. et al. Heel lifts and the stance phase of gait in subjects with limited ankle dorsiflexion. J Athl Train 2006; 41: 159-165
    PubMedGoogle Scholar
  • 40 Santos D, Carline T, Flynn L. et al. Distribution of in-shoe dynamic plantar foot pressures in professional football players. Foot 2001; 11: 10-14
    CrossrefPubMedGoogle Scholar
  • 41 Vanore JV, Christensen JC, Kravitz SR. et al. Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 2: Hallux rigidus. J Foot Ankle Surg 2003; 42: 124-136. doi:10.1053/jfas.2003.50037
    CrossrefPubMedGoogle Scholar
  • 42 Giannini S, Buda R, Mosca M. et al. Posterior ankle impingement. Foot Ankle Int 2013; 34: 459-465 DOI: 10.1177/1071100713477609.
    CrossrefPubMedGoogle Scholar
  • 43 Kee D, Lee I. Relationships between subjective and objective measures in assessing postural stresses. Appl Ergon 2012; 43: 277-282 doi:10.1016/j.apergo.2011.06.002
    CrossrefPubMedGoogle Scholar