## 4 Discussion
Their results reveal that looser lacing can lead to subtle yet noteworthy changes in the peak plantar pressure and pressure time integral under specific regions of the foot. This insight holds particular significance for individuals with conditions like diabetes, for whom precise foot pressure management is critical in preventing complications [49; 50; 51]. Moreover, [PERSON] et al. (2010) [26] contribute a crucial dimension to this discussion by examining the impact of footwear and lacing on Achilles tendon loading. Their study shows that high-top shoes and tied laces can significantly reduce peak Achilles tendon tension. This finding has practical implications for athletes and individuals susceptible to Achilles tendon injuries, highlighting the importance of both shoe selection and lacing style. In a broader context, these collective findings underscore the idea that lacing techniques represent not merely a utilitarian task but a tool for customization [2]. By skillfully adjusting lacing techniques, individuals can enhance their perceived comfort and stability. This fosters a comfortable fit that not only promotes overall foot health but also potentially enhances athletic performance. From a clinical standpoint, these results offer healthcare professionals an avenue to provide tailored advice to patients, especially those with specific foot health concerns [52; 53; 54; 55; 56; 57; 58; 59; 60; 61]. Recommending appropriate lacing techniques can aid in mitigating the risks associated with aberrant foot mechanics, pressure distribution, or tendon loading. In conclusion, the studies reviewed collectively emphasize the multifaceted impact of lacing techniques on foot biomechanics, pressure distribution, and comfort. These insights empower individuals to make informed choices when lacing their shoes, potentially reducing the risk of foot-related issues and enhancing their overall well-being. Moreover, they open up avenues for future research in this field, where further exploration can refine our understanding of the relationship between lacing patterns and foot health. Various lacing techniques (Figure 2) demonstrate specific biomechanical benefits that may enhance foot stability, reduce injury risk, and optimize comfort. The criss-cross lacing pattern, commonly used in standard footwear, promotes an even distribution of plantar pressure, reducing stress on susceptible areas of the foot. High-eyelet lacing, which involves extending the lacing to additional eyelets near the ankle, has been shown to increase ankle stability and minimize excessive pronation, effectively lowering injury risks. Lock-lacing techniques, which secure the heel more firmly within the shoe, reduce in-shoe slippage and enhance foot stability, particularly in activities involving rapid directional changes [1; 62; 63]. Illustration of four lacing techniques with specific biomechanical effects. From left to right: **standard criss-cross lacing**, which provides even pressure distribution across the foot; **high-eyelet lacing**, enhancing ankle stability and reducing excessive pronation; **straight bar lacing**, ideal for reducing pressure on the top of the foot for increased comfort; and lock-lacing**, securing the heel to minimize foot slippage within the shoe, especially useful for high-impact activities. Each lacing method is tailored to address specific biomechanical needs to improve comfort and stability.