Effects of auxetic shoe on lumbar spine kinematics and kinetics during gait and drop vertical jump by a combined in vivo and modeling investigation.

The present study examined the effects of auxetic shoes on the biomechanics of the spine, as compared to barefoot and conventional shoe conditions, during gait and drop vertical jump (DVJ) activities using a combined in vivo and musculoskeletal modeling approach. Motion and force-plate data as well as electromyographic (EMG) activities of select trunk muscles of 11 individuals were collected during foregoing activities. In DVJ activity, two main phases of first landing (FL) and second landing (SL) were studied. In the FL phase of DVJ noticeable alternations were observed when auxetic shoes were used. That is, compared to the conventional footwear condition, smaller EMG activities in extensor muscles (by ~ 16-29%, p < 0.001), smaller anterior-posterior (AP) distance between the center of pressure of ground reaction force and heel (by ~ 19%, p = 0.002), generally larger maximal hip, knee, and ankle flexion angles (p < 0.005) and finally smaller maximal L5-S1 compression force and maximal external moment (by ~ 12 and 8%, respectively, p < 0.001) were obtained by wearing auxetic shoes. Our results, therefore, indicate that using auxetic shoes can reduce load on the lumbar spine during high-demanding activities such as vertical jump and thus may decrease the musculoskeletal risk of injuries during these activities.