Transitioning to Minimal Footwear: a Systematic Review of Methods and Future Clinical Recommendations

Sports Medicine 3(1) · December 2017

Joe P. Warne

Abstract

Background: Recent interest in barefoot running has led to the development of minimalist running shoes that are

popular in distance runners. A careful transition to these shoes has been suggested and examined in the literature.

However, no guidelines based on systematic evidence have been presented.

The purpose of this review is to systematically examine the methods employed in the literature to transition to

minimal footwear (MFW), as well as the outcomes to these studies in distance runners. In addition, MFW

transition guidelines for future clinical practice will be presented based on observations from this review.

Methods: A systematic database search was employed using PubMed online as the primary database. Twenty

papers were included in the final review.

Results: All studies implemented a prospective transition design to MFW with a detail of this transition provided,

which increased MFW exposure up to an average of 60% (30–100%) at completion. Only 8/20 studies included

injury prevention exercises, and 9/20 included gait retraining. The main outcomes of this transition included

limited positive evidence of transitioning into MFW for running economy (n = 4 studies) and muscle development

(n = 5). The injury incidence comparing running during the MFW transition (17.9 injuries per 100 participants) to

matched participants in conventional running shoes (13.4 injuries per 100) appears equivocal (p = 0.219; effect

been presented.

Conclusions: It is hoped that this paper will present important first steps in unifying the process of transitioning to

MFW, both for academic and clinical use.