Current Pedorthics | May-June 2018 | Vol.50, Issue 3 | Page 44

ROCKER SOLE REVOLUTION movement from heel to toe, decreasing impact forces, spreading the load across the foot more evenly and minimizing stresses higher up in the kinetic chain. Normally of course, a shoe flexes across the metatarsal heads on a slight transverse angle, this is called the ‘break’ of the shoe in the forepart. The MBT midsole rocker creates a natural instability underfoot with its integrated (convex) balancing area, requir- ing an active and controlled rolling motion with each step. This function, combined with a rigid forepart in the shoe may be of use for those with functional hallux limitus; though it may equally inhibit the normal flexibility of the 1st MTP joint and windlass mechanism in those with normal functioning feet. In certain brands of ‘rocker soled’ shoes the claim is simi- lar, even though they are built with a neutral sagittal plane sole, they claim the same effect is achieved by using varying density materials imitating a midsole rocker effect in the sagittal ( Fig.3 ) 42 Pedorthic Footcare Association | www.pedorthics.org plane without the introduction of a mechanical fulcrum. A LEGACY OF FOOTWEAR MARKETING This is where ‘shoe marketeering’ enters into the concept. Rocker soles used in footwear up until this century, where used strictly for medical purposes, as explained above. They are still a reliable treatment modality for pedor- thic and podiatric practitioners. Now, that the words ‘instability underfoot’ has entered into the lifestyle footwear lexicon (compliments of MBT), (Fig.3) there has been a rush to justify the marketing claims made by its many imita- tors. Many copiers turned to biomechanists to explain and justify the postural changes that rocker soles were introducing, not so much on the feet (that was well known from the medi- cal side) but on the whole body giving rise to