SSMT-2026-0007v12026-07-26Type M · MeasurementBiomechanicsdraft
Claim, as marketed
“Know your injury risk before it happens. (measurement component)”
Canonical claim
In-shoe sensors measure between-limb load asymmetry during training.
Scope
Instrumented insoles validated against force plates in a laboratory. No field or free-living validity data was located for any device.
Verdict
Partially supportedForce magnitude yes; the asymmetry number itself does not reproduce.
Real evidence, narrower than the claim.
This claim is split. The measurement limb of a marketed claim whose prediction limb is graded Contradicted. Split so the false half cannot ride on the true half.
Comparator is genuinely done properly — 1000–3000 Hz force plates and instrumented treadmills. Reproducibility is the entire finding here.
Evidence located
5
validation studies
4/5
independent
0
field validity studies
30
largest n
Findings
What holds. Discrete vertical ground-reaction-force variables agree well with force plates — peak force ICC 0.78–0.99, impulse 0.61–0.97, bias typically under 5%. Four of five studies carry explicit no-funding, no-COI statements, which is genuinely clean.
Rate-based variables are materially worse. Loading rate ICC drops to 0.61 at 100 Hz with 14% bias, and force rate was explicitly described as 'not sufficiently resolved' at that sampling rate.
The asymmetry metric's own day-to-day repeatability is near zero. Between-day limb symmetry index reproducibility was measured at ICC 0.004–0.297 for the stop jump (0.659–0.880 for the single hop). This is the single most damning number in the register — today's asymmetry score may not reproduce tomorrow — and it is the finding that justified adding Reproducibility as a seventh drift axis.
What would change this verdict
Demonstrated between-day and between-session reliability of the asymmetry metric in field conditions, targeting ICC above 0.75. Plus any free-living validity data at all, which currently does not exist for any device in this class.
Practitioner read
These sensors can genuinely tell you how much force each foot puts into the ground — that checks out against lab force plates for peak force and impulse, mostly in independent research. But the asymmetry number specifically has been measured with day-to-day repeatability as low as 0.004, so do not treat a single session's reading as a property of the athlete.
Could not be verified
Sample size for the one vendor-authored validation is not located (abstract omits it, full text paywalled).
No independent peer-reviewed validation of one popular consumer device was located.
One vendor's accuracy figures are self-published and not peer-reviewed — they must not be presented as independent evidence.
Listed rather than dropped. Counts are floors, not censuses.
Sources
Renner KE, Williams DSB, Queen RM (2019). Sensors 19(2):265 ↗
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