Objective Women are disproportionately affected by musculoskeletal disorders. Parous women appear to be at particularly elevated risk for structural and functional changes in the lower limbs. The combination of increased weight on joints with potentially greater laxity during pregnancy could lead to permanent structural changes in feet. Although arches may become lax during pregnancy, it is unknown whether changes persist. The objective of this study was to determine whether arch height loss persists postpartum. Design Forty-nine women completed this longitudinal study. Static and dynamic arch measurements were collected in first-trimester and at 19 weeks postpartum. Linear mixed models were used to determine whether outcome measures significantly changed overall or by parity. Results Arch height and rigidity index significantly decreased, with concomitant increases in foot length and arch drop. The first pregnancy accounted for the reduction in arch rigidity and increases in foot length and arch drop. No changes were detected in the center of pressure excursion index. Conclusions Pregnancy appears to be associated with a permanent loss of arch height and the first pregnancy may be the most significant. These changes in the feet could contribute to the increased risk for musculoskeletal disorders in women. Further research should assess the efficacy of rehabilitative interventions for prevention of pregnancy-related arch drop.

Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

Peak resultant and vertical LR are not ubiquitously lower when using a shod FFS versus RFS despite an absence of resultant and vertical impact peaks. Furthermore, there were impact peaks in the posterior and medial directions, leading also to greater LR in these directions during FFS. Therefore, transitioning from RFS to FFS in traditional running shoes may not offer long-term protection against impact-related running injuries because hFF running with an FFS demonstrated many GRF and LR similar to or greater than RFS.

Shortening one's stride length may decrease or at least not increase propensity for running injuries based on the variables that we measured. One foot strike style does not appear universally better than the other; rather, different foot strike styles may predispose runners to different types of injuries.