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Advances in sport shoe design, materials, technology, and their impact on athletes from the early 20th Century are discussed in detail. Research discusses that the involvement of podiatrists (foot scientists) initially sparked the introduction of the first technologically enhanced features. Secondary research consists of a comparison between classic shoes of old and the innovative shoes of today. Touching on the effects they have had on performance as well as the medical impacts Further progression in sport shoe design and their effects on sportsmen and women are discussed. This investigation may provide a history of sport shoe design arid material improvements, and a discussion of experiences and results that show the impacts on athletes.