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Rocker Shoe Put to the Test

Rocker Shoe

MBT Shoe

Patients have been ask­ing me about the new rocker bot­tom shoes.  So I wanted to learn more about them myself.

MBTis the orig­i­nal brand using the rocker bot­tom design.   That stands for “Masai Bare­foot Tech­nol­ogy” – the con­cept is that the shoe mim­ics the pat­tern of gait that Masai peo­ple uti­lize in walk­ing on sand.

The MBT tech­nol­ogy is delib­er­ately designed to cre­ate an “unsta­ble” pat­tern of stand­ing or walk­ing.  That means that, instead of rigidly “lock­ing” into ver­ti­cal stance when wear­ing nor­mal shoes, you have to actively engage your mus­cles (and your bal­ance and coor­di­na­tion mech­a­nisms) while wear­ing the MBT shoes.

MBT makes some sig­nif­i­cant claims about their shoes – that your pos­ture will improve, you’ll acti­vate under­uti­lized mus­cles, reduce stress on your joints, and burn more energy just in every­day walk­ing.  And their web­site lists a few rel­e­vant sci­en­tific stud­ies that doc­u­ment at least some of these claims.

But before I could rec­om­mend them to my patients, I wanted to feel the effects for myself.  So I wan­dered into my local “The Walk­ing Com­pany” store to check them out.

They’re def­i­nitely dif­fer­ent.  As soon as I put them on I instantly stood and walked dif­fer­ently (and prob­a­bly in a more phys­i­o­log­i­cal ideal way.)   When stand­ing, my weight was shifted for­ward, since I was unable to rock my weight back onto my heels (there were no heels!)  That meant my align­ment was bet­ter, and I almost auto­mat­i­cally engaged my abdom­i­nal mus­cles in a health­ful way.

I expected that the MBT shoes wouldn’t allow for nor­mal foot move­ment – that the rocker action would in effect sub­sti­tute for the phys­i­o­log­i­cal motion of the joints of the foot.  In fact, the effect was the exact oppo­site of what I expected.  When I began to walk, I enjoyed the way my feet nat­u­rally and fully flowed through a nor­mal gait cycle.

I liked them.  Next, I’ll have to try them out in a real world sit­u­a­tion – stand­ing in them all day, or walk­ing for 3 — 4 miles.  But I liked them.

They’re expen­sive, at least for my bud­get.  But there are less expen­sive knock-offs.  Skech­ers Shape-Ups is one vari­a­tion.  Of course, at The Walk­ing Com­pany the sales­clerk insisted that the patented tech­nol­ogy in the MBT shoe was much more effec­tive.  I can’t say if that’s true or not.

But I have con­fi­dence I can rec­om­mend them to patients – those with hip, knee, or low back prob­lems, or any­one who has to stand and walk a large part of the day.

Has any­body else had good results with the MBT’s or their rival brands?


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