Abstract
Background: Recreational running is a globally popular activity known for its physical and mental health benefits, including stress reduction and improved quality of life. However, many recreational runners lack structured guidance, increasing their risk of lower limb injuries, often linked to variations in foot posture. Although African populations are well known for their endurance running abilities, limited research has examined their foot biomechanics and injury risk. This study addresses this gap by investigating foot posture and structure among African male recreational runners in South Africa. Methods: A cross-sectional, quantitative design was employed. Data were collected using structured data collection sheets, capturing demographic information, Foot Posture Index (FPI) scores, and Three-Dimensional (3D) foot scans. FPI provided a clinical evaluation of foot posture, while 3D foot scans delivered precise structural measurements. The aim was to describe and compare the foot posture characteristics and bilateral load distribution patterns in this population, using the Foot Posture Index (FPI) and 3D foot scanning as complementary assessment tools. Results: Findings showed agreement between FPI and 3D foot scan results, with both tools identifying a high prevalence of flexible flat feet among participants. Each method captured unique aspects of foot posture: FPI offered a qualitative overview, while 3D scans provided detailed, quantitative insights. This dual-assessment approach supports the value of using complementary methods in clinical and sports settings. Conclusions: This study suggests that integrating FPI and 3D scanning enhances the accuracy of foot posture assessments. Despite limitations such as a moderate sample size, the findings support personalized clinical interventions and footwear design tailored to the unique biomechanics of Black African male runners.