Lower limb injuries are a continual and serious issue for military personnel. Such injuries have been associated with the requirement to train in military boots (MBs) and might be offset with commercial insoles. In this study, ground reaction forces were measured in seven male participants wearing running shoes (RS), MBs commonly used by Cypriot and Greek Army personnel, and the MBs with two types of shock-absorbing insole. The participants performed 4-min trials at walking pace (5 km·h-1) and running pace (10 km·h-1) at a 5% gradient on a treadmill under all four shod conditions. The treadmill incorporated two force plates under its belt, which provided measurements of key kinetic variables. During walking, RS showed significantly lower values for impact peak force (p < 0.01), maximum force (p < 0.05), and push-off rate (p < 0.05) compared with other conditions, although no significant differences were found during running. Although the RS were rated significantly more comfortable than any other condition, neither insole made the MBs more comfortable to wear. With little evidence to support wholesale adoption of insoles in MBs, their use by military personnel can only be recommended on a case-by-case basis.
Reprint & Copyright © 2013 Association of Military Surgeons of the U.S.