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To examine the effects of shoe-stiffening inserts on lower limb kinematics in individuals with first metatarsophalangeal (MTP) joint osteoarthritis (OA). Forty-eight individuals with radiographically confirmed first MTP joint OA (24 males and 24 females; mean age 57.8 years, standard deviation 10.5) were randomized to receive either shoe-stiffening inserts or sham inserts, and underwent gait analysis during level walking using a 10-camera infrared Vicon motion analysis system. Sagittal plane kinematics of the first MTP, ankle, knee, and