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Study note

The Role of Footwear, Foot Orthosis, and Training-Related Strategies in the Prevention of Bone Stress Injuries: A Systematic Review and Meta-Analysis.

PMID 37649463 (2023): injury, load — Injury risk (study note for endurance athletes).

Updated Jul 22, 2026

Read the study note

Study note • PMID 37649463

The Role of Footwear, Foot Orthosis, and Training-Related Strategies in the Prevention of Bone Stress Injuries: A Systematic Review and Meta-Analysis.

International journal of exercise science2023 • DOI 10.70252/ZNRS2138

How to use this page

This note summarizes one study record. Check the participants, methods, results, and limitations before applying it to training.

  • Design signal: systematic review / meta-analysis.
  • Population relevance: athlete/trained context.
  • Consistency: synthesis evidence present.
  • Practical recommendation depends on tolerance, context, and whether it protects training consistency.

ELI5

In plain language

To evaluate the effectiveness of footwear, foot orthoses and training-related strategies to prevent lower extremity bone stress injury (BSI). (systematic review / meta-analysis; athletes).

In this systematic review / meta-analysis, the abstract suggests potential trade-offs that could affect Injury risk. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: To evaluate the effectiveness of footwear, foot orthoses and training-related strategies to prevent lower extremity bone stress injury (BSI).
  • In this systematic review / meta-analysis, the abstract suggests potential trade-offs that could affect Injury risk.
  • Population: athletes.
  • Protocol cues: abstract may omit dose/timing; use the full paper to replicate accurately.

Protocol

Protocol (as reported)

  • Intervention/exposure: injury, load.
  • Dose/time/duration: abstract doesn’t include enough detail; use the full paper’s methods section.
  • Outcomes: Injury risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it may help, and who should be cautious

Who it helps

  • Athletes similar to the study population (athletes) working on injury risk.
  • Athletes who can measure Injury risk with a repeatable workout or time-trial effort.

Who should be cautious

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: systematic review / meta-analysis.
  • Population: athletes.
  • Outcomes measured: Injury risk.
  • Source: PubMed PMID 37649463 (2023) — International journal of exercise science.

Results excerpt

What the abstract reports

When wearing foot orthoses, the risk ratio of developing a BSI on any lower extremity bone is 0.47 (95% CI 0.26 to 0.87; p = 0.02).

Note: excerpts are short; for full context, read the paper.

Limits

Limitations and bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Reviews and consensus statements mix protocols and populations; recommendations may not match your exact constraints.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources