Cochrane · systematic review · CD013368

Running shoes for preventing lower limb running injuries in adults

Relph, N, Greaves, H, Armstrong, R, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
24
current version
GRADE rated
5
No studies
19
Included studies
NR
No studies 19 · 79.2%Ungraded 0 · 0%Very low 1 · 4.2%Low 3 · 12.5%Moderate 1 · 4.2%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Neutral / cushioned versus minimalist running shoes for preventing lower‐limb running injuries in adults

Population: healthy adults participating in recreational running
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of runners sustaining a lower‐limb running injurya (
Neutral / cushioned vs minimalist running shoes
RR 0.77 [0.59, 1.01]5 studies · 766 participantsLow
Downgraded: risk of bias, imprecision
Number of lower‐limb running injuries
Neutral / cushioned vs minimalist running shoes
no estimate extractedNRNo studies
Number of runners who failed to return to running or their previous level of running
Neutral / cushioned vs minimalist running shoes
no estimate extractedNRNo studies
Runner satisfaction with footwear
Neutral / cushioned vs minimalist running shoes
RR 0.73 [0.47, 1.12]1 study · 24 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Adverse events (e.g. skin complaints) other than musculoskeletal injuries
Neutral / cushioned vs minimalist running shoes
no estimate extractedNRNo studies
Number of runners requiring hospital admission or surgery, or both, for musculoskeletal injury or adverse event
Neutral / cushioned vs minimalist running shoes
no estimate extractedNRNo studies

Motion control versus neutral / cushioned running shoes for preventing lower‐limb running injuries in adults

Population: healthy adults participating in recreational running
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of runners sustaining a lower‐limb running injurya (
Motion control vs neutral / cushioned running shoes
RR 0.92 [0.3, 2.81]2 studies · 421 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Number of lower‐limb running injuries
Motion control vs neutral / cushioned running shoes
no estimate extractedNRNo studies
Number of runners who failed to return to running or their previous level of running
Motion control vs neutral / cushioned running shoes
no estimate extractedNRNo studies
Runner satisfaction with footwear
Motion control vs neutral / cushioned running shoes
no estimate extractedNRNo studies
Adverse events (e.g. skin complaints) other than musculoskeletal injuries
Motion control vs neutral / cushioned running shoes
no estimate extractedNRNo studies
Number of runners requiring hospital admission or surgery, or both, for musculoskeletal injury or adverse event
Motion control vs neutral / cushioned running shoes
no estimate extractedNRNo studies

Soft versus hard running shoes for preventing lower‐limb running injuries in adults

Population: healthy adults participating in recreational running
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of runners sustaining a lower‐limb running injurya (
Soft vs hard running shoes
RR 0.822 studies · 1095 participantsLow
Downgraded: risk of bias, imprecision
Number of lower‐limb running injuries
Soft vs hard running shoes
no estimate extractedNRNo studies
Number of runners who failed to return to running or their previous level of running
Soft vs hard running shoes
no estimate extractedNRNo studies
Runner satisfaction with footwear
Soft vs hard running shoes
no estimate extractedNRNo studies
Adverse events (e.g. skin complaints) other than musculoskeletal injuries
Soft vs hard running shoes
no estimate extractedNRNo studies
Number of runners requiring hospital admission or surgery, or both, for musculoskeletal injury or adverse event
Soft vs hard running shoes
no estimate extractedNRNo studies

Running shoes recommended and selected on foot posture versus running shoes not recommended and selected on foot posture for preventing lower‐limb running injuries in adults

Population: military personnel
6 questions
OutcomeEffectEvidenceStatus / GRADE
Injury Incidence Rate (injuries / 1000 person‐days)a
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
Rate ratio 1.03 [0.94, 1.13]3 studies · 7203 participantsModerate
Downgraded: risk of bias
Number of runners sustaining a lower‐limb running injury
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
no estimate extractedNRNo studies
Number of runners who failed to return to running or their previous level of running
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
no estimate extractedNRNo studies
Runner satisfaction with footwear
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
no estimate extractedNRNo studies
Adverse events (e.g. skin complaints) other than musculoskeletal injuries
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
no estimate extractedNRNo studies
Number of runners requiring hospital admission or surgery, or both, for musculoskeletal injury or adverse event
Running shoes recommended and selected on foot posture vs running shoes not recommended and selected on foot posture
no estimate extractedNRNo studies