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(p 0.05) were noted for the RER (p<0.05), but significantly less NoS were taken during the Insolia  Flex condition (p<0.001). A significantly improved overall and forefoot comfort rating (p<0.001) was noted for the Footwear Comfort Scale. Conclusions: The findings of this study show that energy consumption measures (i.e. HR and VO2/kg) and the PCI (a proxy measure) are influenced by first MTP joint function and suggests that efficiency is improved with the use of a modified insole that promotes function at this joint. Further research is required to clarify these findings.

Gait Efficiency and the Use of Insolia® Flex to Promote First Metatarsophalangeal Joint Dorsiflexion