###### Abstract  
**Background:** Lacing techniques are often viewed as a functional necessity, but recent research has highlighted their role as a customization tool for foot health and comfort. This review synthesizes findings from studies examining the biomechanical effects of different Lacing patterns on pressure distribution, tendon loading, and foot mechanics. **Methods:** We analyzed studies that investigated various Lacing techniques, including tightness and patterns. Objective measurements, such as pressure insoles and cadaveric models, were used to quantify the effects. Diverse study populations, including individuals with foot health concerns and athletes, were considered. This study was conducted as a scoping review following the JBI methodology, adhering to the PRISMA-ScR guidelines. **Results:** The studies collectively reveal that Lacing patterns significantly influence dorsal pressure distribution during activities like running. Customized lacing can optimize foot biomechanics, reducing the risk of injuries related to abnormal pressure distribution. A total of 27 records were identified from the initial search. After removing duplicates and screening, four articles were included in the final review. Additionally, certain lacing configurations were found to reduce peak Achilles tendon tension, a crucial finding for injury-prone individuals. **Conclusions:** Proper lacing techniques are not just a functional aspect but a means to enhance foot health and prevent injuries. Healthcare professionals can provide personalized lacing recommendations to patients, with implications for those with specific foot conditions, athletes, and individuals at risk of injuries. The importance of patient education on the significance of lacing techniques cannot be overstated, emphasizing the need for informed choices when lacing shoes. These findings underscore the multifaceted role of lacing techniques in promoting foot health and well-being. s 202420202420  
a more refined approach to injury prevention. Furthermore, modern approaches to foot stability, particularly in relation to tendon loading and fatigue, underscore the need to integrate personalized lacing strategies as part of comprehensive foot health management. Recent studies have demonstrated the significant role that specific lacing techniques play in reducing plantar pressure, particularly in key areas such as the forefoot and midfoot, directly influencing injury prevention, especially in high-risk groups [15]. Recent advancements in pressure distribution systems, such as in-shoe pressure sensors and motion capture technologies, have enabled more precise evaluations of how lacing patterns impact plantar pressure and foot stability. These tools allow for the real-time measurement of pressure distribution across different foot regions, while biomechanical analysis systems assess tendon tension and joint stability under varying lacing conditions. Such technologies provide detailed insights that support evidence-based recommendations for optimized lacing techniques [16; 17]. Advances in biomechanical sensors have allowed for more precise evaluations of tendon loading during physical activity [18]. Furthermore, biomechanical analysis of Achilles tendon tension under different lacing configurations has shown promising results in reducing injury rates in athletes and older adults [19]. These studies underscore the growing relevance of shoe lacing customization as part of holistic foot health management. Research on footwear biomechanics has predominantly focused on sole design, cush-ioning, and materials, while lacing has received comparatively less attention [8; 20; 21; 22; 23; 24; 25]. Improper or inconsistent lacing can lead to an uneven distribution of pressure across the foot, resulting in discomfort and increased susceptibility to injuries such as plantar fascitis or metatarsal stress fractures.