Skip to main content

What are the benefits and risks of wearing MBT™ footwear?

In this blog, I will discuss the benefits and risks of wearing MBT™ footwear if you have a specific foot and lower leg problem.  To help answer this question, I have summarized feedback from various chiropodists and podiatrists from Canada and the USA gathered by Dr. Chris MacLean, Director of Biomechanics at Paris Orthotics Ltd in Vancouver, BC.
Some of the benefits of wearing MBT shoes are definitely due to the rocker shaped outer sole.  A pilot study in 2005 by Department of Orthopaedic Surgery at the Edinburgh Royal Infirmary used pressure sensing insoles inside of MBT footwear while the study participants were either standing or walking. They compared the pressure readings in the MBT™ shoes to pressure readings inside of a flat soled running shoe. The study specifically compared the peak pressures of the heel, midfoot, ball of the foot (forefoot) and toes between the two shoe groups.
Results of this study showed:
1.       MBT’s decreased peak pressures in the forefoot and midfoot when walking,
2.       MBT’s decreased peak pressures and in the midfoot and heel when standing,
3.       Peak pressure was raised in the toes in MBT’s in both standing and walking conditions,
4.       The most dramatic difference was during standing, where the MBT shoes increased peak pressure in the toes by 76%, and lowered peak pressure in the midfoot and heels by 21% and 11% respectively and
5.       The most consistent finding, when both standing and walking, was decreased pressures in the midfoot in MBT’s.
These results of the Department of Orthopaedic Surgery at the Edinburgh Royal Infirmary study are consistent with the feedback that Chris MacLean gathered on the benefits of wearing MBT footwear. 
What foot problems can benefit from MBT footwear?
1.       Stiffness in the big toe joint(hallux limitus)
2.       Bunions
3.       Heel pain or plantar fasciitis
4.       Pain in the forefoot( metatarsalagia)
5.       Decreasing weight away from the ball of the foot
6.       Painful callus on the ball of the foot
7.       Inflammation of the joint capsule in the forefoot
8.       Neuroma ( irritation of nerves between the metatarsal bones of the foot)
9.       Foot osteoarthritis
10.   Someone who mostly stands while they work.
In my last blog, I discussed the effects of wearing MBT footwear. I have summarized these effects.
1.       Wearing MBT shoes increased the activity of many of the lower leg and thigh muscles while subjects stood or walked wearing MBT shoes. 
2.       Wearing MBT shoes is similar to balancing on a wobble board.  Wobble boards are used for rehab after an ankle sprain which helps to strengthen muscles around an injured ankle joint and promote balance.  Postural sway increased while wearing MBT shoes. 
3.       Wearing MBT a shoes while walking caused an increase in ankle joint dorsiflexion (dorsiflexion of the ankle happens when you move your foot towards your leg) from initial heel contact through to midstance (midstance is the time when your swinging leg is even to your weight bearing foot and leg). Increased ankle dorsiflexion at contact to midstance makes your calf muscle stretch more while walking as compared to subjects wearing the New Balance shoe.  If you have tight calf muscles the use of MBT footwear may cause strain on the tendo Achilles resulting in tendinitis.
If you are considering MBT footwear you probably should have good balance, good muscle flexibility and an intact nervous system.  
These are problems that are considered too risky to use MBT footwear:
1.       Achilles tendinitis or peroneal tendinitis(these tendons are found on the outside of the foot and are damaged during ankle sprain),
2.       Poor balance,
3.       History of ankle sprains,
4.       Loss of nerve transmission to the lower extremities such as diabetic neuropathy,
5.       Neurological deficits such as multiple sclerosis,
6.       Stress fractures especially while standing and
7.       Knee problems
Before you consider buying a pair of “Toning or Physiological shoes you should be aware of the risks and benefits of wearing these types of shoes.  Most if not all of the research has been conducted using MBT footwear, therefore, the MBT footwear benefit and risk profile cannot be applied to the other “Toning and Physiological” brands of footwear.
In my next blog entry I will discuss the topic of minimalist running shoes used for barefoot running.

Whitby Family Footcare

Comments

  1. mbt shoes exercise the body's muscles, spine, joints and other aspects of the role. MBT shoes because the shape is more special, many people call it "shake or swing shoes," What is more, directly call MBT shoes "ugly shoes", in fact MBT shoes should be called fitness shoes or health shoes More appropriate.

    ReplyDelete
  2. It was really insightful.
    Thanks for the info.
    Wanna have more contents from you.
    Cheers
    BTW if anyone interested more have a look Read More thanks

    ReplyDelete

Post a Comment

Popular posts from this blog

MBT™ footwear: A chiropodist’s view of the “Physiological” footwear.

Over the past year,  I have been asked on several occasions to express my opinion on the benefits and risks of wearing  unconventional footwear such as  MBT™ (Masai Barefoot Technology) shoes , Sketchers “Shape Up”™ shoes and other similar shoes.   I have reviewed research presented at scientific seminars, talked to a MBT footwear medical representative and I have also received feedback from a few patients over the past year who have used MBT shoes or other similar shoes.  In this blog I will discuss the design of MBT footwear and its effects on the thigh and lower leg muscles while standing and walking in MBT footwear.  I will also discuss the effects on ankle joint motion while walking in MBT footwear. MBT footwear was developed in Switzerland in 1996 and came to North America in 2003.  The unstable MBT shoe has been promoted as the original “barefoot” function shoe. This shoe has a rounded sole starting from the heel and continues ...

Wearing flats over 60

Here are some tips for wearing flats if you are over 60. Generally, flats do not have much support and the toe box is narrow instead of rounded. This is also good advice for anyone under 60. https://bestlifeonline.com/flats-over-60/ Whitby Family Footcare

Spring has finally arrived don't be hobbled by plantar fasciitis

It has been a long winter in southern Ontario. Most people have limited their walking outside due to snow and ice on sidewalks and roads. The good news is most of the snow and ice has melted from the sidewalks making it safer to walk without slipping. The bad news is that first spring walk or run might lead to heel pain. Plantar fasciitis usually comes on gradually, but can occur suddenly and be severe. It can affect both feet, but often occurs in only one foot at a time.  Plantar fasciitis is the most common cause of heel pain. The pain is caused by inflammation of the tissue along the bottom of your foot that connects your heel bone to your toes. Plantar fasciitis causes stabbing or burning pain that is usually worse in the morning because the fascia tightens overnight. The pain usually decreases as your foot limbers up, but it may return after standing for a long time or after getting up from a seated position. If plantar fasciitis is not dealt with quickly it can bec...