Influence of the Heel-to-Toe Drop of Standard Cushioned Running Shoes on Injury Risk in Leisure-Time Runners: A Randomized Controlled Trial With 6-Month Follow-up

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553 leisure-time runners were randomized to three groups that differed only in the heel-to-toe drop (10mm, 6mm, or 0mm) of their running shoes. The investigators measured the risk of injury over 6 months. Overall, there were no significant differences in the primary outcome when comparing the standard 10mm drop to the 6mm and 0mm drop shoes.However, after evaluating participants according to their running profile, it was shown that low-drop shoes (6mm or 0mm drop shoes) had a lower risk of injury among occasional runners (<6 months of weekly practice over the last year), but a higher risk of injury among regular runners (>6 months of weekly practice over the last year).