Friday, October 23, 2009

Should I run barefoot today?

There has been so much talk lately about barefoot running. Stores can't stock enough of the Vibram Five fingers. Everyone wants to jump on the bandwagon and start running without shoes. I have to say I have been skeptical. My feet are so tender that I don't even like going barefoot in a carpeted room. I can't even fathom running barefoot. I have a mild pronation problem and I wear orthotics because my ankle hurts when I don't. I don't know how many times I have stubbed my toe on a rock while running and broken my toenail and had people shriek with fear when they saw me in sandals. I have had sore heals and blistered toes. Ouch, just the thought of barefoot running makes me cringe.

I read this article by Al Lyman with interest. He sheds some interesting light on the whys and why nots of running barefoot and some interesting facts about shoes and running performance.

Al Lyman is a nationally recognized coach, author, columnist and motivational speaker who coaches endurance athletes. His resume includes certifications from USA Triathlon, USA Cycling, the Cooper Institute for Aerobics Research and The National Strength and Conditioning Assoc. He is also an accomplished marathoner, 8x Ironman finisher and a 3x World Ironman finisher.

Running Shoes and Barefoot Running:
Musings From a Coach
Coach Al Lyman, CSCS

Among the most common questions I receive from runners are those asking about different brands and types of running shoes, and how differences in design affect form and function. With the increasing popularity of minimalist lightweight designs including Vibram’s 5-finger shoes (which mimic the feeling of being barefooted), as well as actual barefoot running, now is a good time to share some thoughts on shoes, form, and function. While I am not a biomechanist or shoe expert, I hope these musings that come from my own practical experience and study, are helpful. The questions I get usually follow similar themes: Is one shoe type or brand better than another? Should I try to change the way I run by changing to a different type of shoe? Should I be doing more barefoot running?

My first recollection of having given serious thought to differences in running shoe design and their specific relation to form, injury, and performance, was in 1991 while watching the World Cross Country Championships at Boston’s Franklin Park. The best runners in the world ran explosively and seemed to be extraordinarily resilient, despite wearing very little on their feet to protect them, or absorb impact stress. Since that time, the concepts surrounding how shoe design affects running performance and injury resistance for the average runner have been a constant in my own study and research. Fast forward to this year’s National Strength and Conditioning Association’s national conference in Las Vegas, where among the speakers I heard was well known PT and author, Gray Cook. Gray mentioned that after reading the book “Born to Run,” he was telling every runner he met to run barefooted exclusively. I sat there, somewhat stunned, at what I felt was a broad and perhaps haphazard recommendation, because I believed that while some runners could do well with barefooted running if they progressed smartly, many others who took his comments to heart might end up having more injuries, not less. They would inevitably try to do too much too soon, or suffer issues due to either a lack of running-specific functional / core strength or because of less-than “perfect” natural biomechanics.

That being said, I do believe many runners can benefit from integrating barefoot walking and running into their routine, as long as it is done in a controlled manner. I often program progressive barefoot workouts on the treadmill for athletes I coach, to help build lower-leg strength, dynamic flexibility, and also to help them make subtle adjustments to their form. Being barefooted is particularly helpful for runners who have a tendency to over stride. You simply can’t, when you don’t have the heel protection that a typical running shoe provides. These sessions involve subtle and progressive increases in grade, as well as backward walking and running to build balanced strength. Besides creating a new awareness of foot-strike, the ultimate benefit to these kinds of workouts is something we could all use more of: increased dynamic strength and flexibility, mobility, and resiliency of the lower leg and ankle, along with increased proprioceptive awareness and stronger intrinsic foot muscles.

Should you change the type of shoe you wear, or make wholesale changes to your run form based in part on shoe type? While the book, “Born to Run,” inspired Gray Cook to tell everyone they should immediately start running barefooted, I do NOT believe it is smart to do anything that results in an instant and/or arbitrary change in the way you run or the way your foot hits the ground, especially exclusively. Yes, there are things that each of us can do to improve or “tweak” our form, all of which could help us to become faster and more efficient, such as improving our posture, quickening our cadence, or driving our knee forward more while we drive our elbows back, to create more horizontal (not vertical) movements. Wholesale arbitrary changes however, are almost always a mistake, especially if done exclusively. The reason is simple and important: the way we move and run is a function of how we are uniquely put together as well as how our bodies have adapted to our daily lifestyle. Do we sit a lot and rarely stretch? Have we become immobile around the hips, lumber spine, and trunk? All of these factors dramatically impact how we move and function, and thus run.

o TIP: in my opinion, the single best way to improve running form is to improve your hip and ankle mobility, and develop a stronger core and run specific functional strength. These attributes will lead to shorter ground contact time (desirable), a natural, not forced increase in stride length (desirable), and a more stable pelvis during stance (desirable), all of which will improve your form and can reduce injury risk and improve efficiency and speed. While it could be argued that a mid-foot strike is optimal for efficient and fast running, and that more of the world’s best runners do land with a mid-foot strike, as of yet I know of no objective scientific evidence that says unequivocally that a mid-foot strike is “better” for ALL of us.

o TIP: when you run, you can focus on landing and thus loading your body UNDER your hips, which will result in better balance and less braking. When you do this, inevitably you will land more mid-foot. The key is how you get there, and how you define a heel vs. a mid-foot strike, as notice I used the word “load”. Very often we see good runners whose heel touches first, but they are not “loading” the stance leg with weight until the foot is beneath the hips. Conversely, loading the foot while it is out in front of your body, even slightly, can increase braking and impact stress. The best way to avoid doing this is to gradually work on increasing your cadence to 85-95 stride cycles-per-minute, improve hip mobility and flexibility, and integrate some short progressive periods of barefoot running. Be extremely cautious if you decide to go out and buy a minimalist shoe thinking you can change the way you run, just by wearing that shoe. Doing that may shock your body into moving a vastly different way, resulting in compensatory changes and increased stress on tissues that may not be ready to handle that stress. That could lead to a much higher risk of injury if you progress too quickly.

The same is true for barefoot running: a little can be beneficial – but a lot, especially progressed too fast, can end up causing injury, not preventing it. Most experts agree: only about 20% of the world’s running population have near ideal biomechanics and a neutral gait and can run barefooted or with a minimalist shoe without increased risk of injury.

The remaining 80% fall somewhere off of that “ideal” baseline and need to be smarter about how they progress with either shoes or barefooted running. Recently in a discussion I had with certified chiropractic sports physician and running injury expert, Kurt A. Strecker, DC, CCSP, he said: “minimalist shoes can often be a shock to the system.

Most of us don't spend our entire lives barefoot. We've worn shoes, often not good ones, our entire lives. I wouldn't run 26.2 miles without training and I don't think it's a good idea to ask the kinetic chain of the lower extremities and lumbar spine to absorb the loads imparted by running with minimal support or cushioning, without significant preparation.” Here are a few more TIPS that I hope help you in your search for the perfect shoe and stride: ·

How our feet impact the ground when we run involves different factors that are unique for each of us:

o Poor posture, which leads to poor skeletal stacking and muscular stress.

o Hip mobility or lack thereof, which greatly increases compensatory patterns and reduces your body’s ability to absorb and transfer energy via the stretch / shortening cycle.

o Lack of frontal plane (glute medius/hip rotator) balance and strength, which results in loss of stability and energy leaks.

o Poor flexibility or elasticity in the quads and hip flexors, which puts the pelvis out of neutral and creates compensations elsewhere which reduce efficiency. The point being, a change in foot wear or any other arbitrary change, without first addressing how strong and mobile your foundation is, is short sighted and may end up resulting in injury.

· Progressive barefoot walking and running can be beneficial for many runners if done in moderation and in a controlled, progressive manner. Yes, with short progressive periods of barefoot work on a treadmill, grass or trail, you can strengthen the lower legs and feet, develop more natural mechanics, and make your body more resilient. Just remember to be patient!

· If you use orthotics due to a biomechanical issue that was identified by a foot doctor or PT, you should continue to wear them, but at the same time continue strengthening your legs and feet and improve your hip mobility, with an eye toward hopefully needing less support from these devices as time goes on.

· Seek out a high quality running shoe store to purchase your shoes: My personal favorite is FLEET FEET SPORTS. Their staff is well trained and I like their approach to shoe fit. Remember, you usually get what you pay for.

· The road to faster, injury free running is paved with smart, diligent, progressive,patient, hard work. There is no easy way or quick fix to better running form, strength, mobility, or elasticity. Seek a path that avoids fads or quick fixes, and focus on established fundamentals. Become stronger, more mobile, more flexible, and train smart. In the end, you’ll run faster and be much happier.

· Lastly, get feedback from an expert by way of a video running form / gait analysis. For information or recommendations on how I can help you with this valuable service, email me at coachal@coach-al.com. Thanks for reading, and best of luck!

3 comments:

HappyTrails said...

Kelly, thanks for sharing the article-I really enjoyed his insights. Great job on the painting and pull-ups!!! Your first run can't be too far off??? We'll be looking for your documentation of that happy day!!! :-)
K

Unknown said...

Kelly, thanks so much for the great article with all the information it provides.

Maybe someday, after much more cajoling, and many more personal testimonials, I will try barefoot running.

I can pretty much assure though, that the arguments for barefoot running have not been strong enough yet for me, and that I will not be running barefoot anytime soon, unless it's on the soft smooth sand at the beach, on a sunny summer day, with my son and daughter, as we catch the frisbee, catch the football, or run towards our skimboards before hopping on for a ride.

If other runners find it's smart for them to run barefoot, and it truly works for them, my best to them, albeit slowly as your guest in the post suggests.

I think that for me, it would be ill advised.

Particulary on the rocky mountain trails that I have been running, in training and in races, the idea of running barefoot, with no protection from the hazards of the trail, seems like it would, at best slow me down, and at worst, end my training session or race quite a bit earlier than I would like, after I have significantly injured my bare feet.

I feel like the little kid along the parade route who is noticing that the king is wearing no clothes in this argument, while many others are saying that everything is just fine, though the king is totally nude!

But advocates of barefoot running are so passionate about it, and attest to how much better it is for them, that I am just glad they have found something that helps them run in a way they feel better suits them. I am only jealous that their shoe expenses are quite a bit lower than mine! :)

And yes, I am very glad there is a public option in this matter, and hope there will be a public option in other matters regarding health in the very near future.

Take care.

Angela and Jen said...

I am starting to run again (very little) after 3 months of downtime after the knee surgery. I hike and do this tiny bit of running in vibram five fingers. I love it! Trail Running in the vibrams is exhilarating. Better than with shoes. True freedom! I also realize that it is going to take some retraining which I am willing to do. My feet are wimpy from all the protection they've been used to. They way I look at it is: God (or Goddess) did not create junk. Our feet are perfect the way they are. Happy Trails!