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Dysfunctional Foot and Therapeutic Approaches – Part 1


“The entirety of biology is reducible to physical and chemical laws and has arisen through evolution by natural selection.” 

– E. O. Wilson (1998) 

Form determines function — there is no doubt about that in biology. The foot serves as a stable base and is meant to provide support. From physics we know: 

The broader the base, the greater the stability. A functional foot is therefore broad. In short: for a foot to function properly, it must also be shaped like a foot.

Shoes Shape Feet: 
What studies have shown since 1905 

This is precisely where shoes that are not foot-shaped cause problems. 


As early as Hoffman (1905) showed: 

Among people who usually go barefoot, the toes are widely splayed — the forefoot is broad and stable, fully in line with the physical laws of stability. 

He also demonstrated how quickly conventional footwear can alter foot shape — after just six weeks.

Recent comparisons confirm this. In a study comparing habitually barefoot-running Indians (right) with Chinese participants wearing conventional shoes (left), Shu et al. (2015) found pronounced differences in foot shape.

Shine (1965) also showed: the longer people wear shoes, the more the foot shape shifts. A randomized study by Munteanu et al. (2017) confirmed that the decisive factor in deformation is years of wearing conventional shoes.

This aligns with Wolff’s Law (1892): 

Bones adapt to the forces acting upon them. 


Conversely:

Under appropriate conditions — that is, with room to expand — the functional foot shape can be restored. 

Knowles (1953) documented a complete return to a functional foot shape after two years in foot-shaped shoes.

The most common foot dysfunction is therefore a disrupted shape — and it is the starting point for further problems. The therapy is simple:

  • Wear foot-shaped, functional shoes that allow the toes to splay and give the forefoot room. 

  •  Load your feet regularly with your own body weight so the necessary stimuli can act to restore the functional shape.

Functional footwear from Joe Nimble® is based precisely on these principles and the underlying science.

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References 

  • Hoffman, P., Conclusions drawn for a comparative study of the feet of barefooted and shoe-wearing peoples. J Bone Joint Surg. 1905; 3: 105–136. 
  • Knowles, F. W., Effects of shoes on foot form: An anatomical experiment. Med J Aust. 1953; 1: 579–581. 
  • Shine, I. B., Incidence of hallux valgus in a partially shoe-wearing community. Br Med J. 1965; 1: 1648–1650. 
  • Shu, Y., et al., Foot morphological difference between habitually shod and unshod runners. PLoS ONE. 2015; 10: e0131385. 
  • Wilson, E. O., Consilience: The unity of knowledge. New York: Vintage Books; 1998. 
  • Wolff, J., Das Gesetz der Transformation der Knochen. Berlin: A Hirschwald; 1892.