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The effect of midsole shape on Running Prosthetic Feet during experimental and numerical simulation of a mid-stance inspired test condition: a preliminary study

This preliminary study demonstrates that interchangeable midsole inserts can significantly alter the mechanical stiffness and ground reaction force progression of a running prosthetic foot during mid-stance testing, with simplified finite element models successfully reproducing the observed trends in global stiffness.

Original authors: Francesco Lorè, Mattia Scapinello, Andrea Giovanni Cutti, Nicola Petrone

Published 2026-08-12
📖 4 min read☕ Coffee break read

Original authors: Francesco Lorè, Mattia Scapinello, Andrea Giovanni Cutti, Nicola Petrone

Original paper licensed under CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). This is an AI-generated explanation of the paper below. It is not written or endorsed by the authors. For technical accuracy, refer to the original paper. Read full disclaimer

The Science of the Springy Step

Imagine you are a runner, but instead of legs, you have high-tech, springy carbon-fiber blades. These aren't just sticks; they are engineered to store energy when you land and snap back to launch you forward, much like a diving board. But here's the tricky part: just like a real foot needs shoes to handle different tracks or speeds, these artificial legs need a way to change how "stiff" or "bouncy" they feel without swapping out the entire expensive blade. Scientists have been wondering if the little cushiony bit between the blade and the ground—the "midsole"—could act like a secret dial. If you change the shape of that cushion, does it change how the whole leg behaves? It's a bit like asking if changing the shape of a trampoline's padding changes how high you bounce, even if the springs underneath stay exactly the same. This question matters because if runners could tweak their prosthetics with simple, cheap inserts instead of buying new blades, they could adapt to rain, track surfaces, or different race distances much more easily.

The Shape-Shifters Experiment

In this playful but serious study, a team of researchers from Italy decided to play with the shape of these midsoles to see what happened. They took a single, standard running prosthetic foot (a C-shaped carbon-fiber blade) and treated it like a test subject in a giant, slow-motion squish machine. They didn't just leave it bare; they sandwiched it between the ground and three different, interchangeable "cushion" inserts made of a foam-like material called EVA. Think of these inserts as three different puzzle pieces: one was curved like a parabola (M01), one had a double-bend "double-flex" shape (M02), and one was a simple straight line (M03).

The team pushed the foot down a massive 110 mm (about the length of a ruler) in a controlled, slow-motion test that mimics the middle of a running step. They wanted to see if the shape of that foam cushion could change the "stiffness" of the whole system. The results were surprisingly clear: the shape of the foam actually did matter! The curved and double-flex inserts (M01 and M02) made the leg feel stiffer, increasing its resistance by about 24% and 28% respectively compared to having no extra cushion at all. On the flip side, the straight-line insert (M03) made the leg feel softer, reducing the stiffness by 13%.

But it wasn't just about how hard it was to push down. The researchers also looked at how the foot "stiffened up" as it got squished. They found that all three foam shapes made the foot less likely to get progressively stiffer as it compressed, which is a different kind of mechanical change. They also tracked where the force hit the ground (the "center of pressure"). The curved foams made the force hit closer to the back of the foot, while the straight foam let the force slide further forward.

To double-check their findings, the team built a computer simulation—a digital twin of the experiment. This virtual model was pretty good at guessing the big picture; it correctly predicted that the curved foams would make the leg stiffer and the straight one would make it softer. However, the computer model was a bit less accurate when trying to predict the subtle changes in how the foot stiffened up during the squeeze.

The researchers are careful to say this is just a "preliminary study," meaning it's a first look at the idea rather than a final rulebook. They tested only one type of blade and three specific foam shapes. But the main takeaway is exciting: the shape of the little cushion between the blade and the ground can indeed act like a tuning knob, changing how the prosthetic feels and behaves. It suggests that in the future, runners might be able to swap out these simple foam inserts to customize their run, rather than needing a whole new leg for every different condition.

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