EFFECT OF WEARING INSOLE WITH DIFFERENT DENSITY ON STANDING AND WALKING PLANTAR PRESSURE DISTRIBUTION

2019 ◽  
Vol 19 (03) ◽  
pp. 1950006 ◽  
Author(s):  
NAHID TAFTI ◽  
SAJJAD BAYAT TURK ◽  
FATEMEH HEMMATI ◽  
EHSAN NOROUZI ◽  
KEYVAN SHARIFMORADI ◽  
...  

Diabetic ulcers can lead to infection and amputation. Using insole can help to reduce and prevent foot ulceration and amputation in a diabetic patient. The aim of this study was to analyze the effect of wearing an insole with different density on standing and walking plantar pressure distribution. Methods: A group of 10 diabetic patients participated in this one-grouped before-after trial. Plantar pressure distribution was measured during walking and standing. Repeated Measure was used to test differences. Results: Repeated measure test showed that use of insole decreased foot pressure while walking significantly ([Formula: see text]). Pairwise comparison showed that wearing shoe insole with shore 30 decreased pressure compared to wearing shoe insole with shore 50 ([Formula: see text]) and walking without insole respectively ([Formula: see text]). Conclusion: The insole has more effect on plantar pressure during walking than standing, it also concluded that insole with shore 30 decreased pressure during walking more than that of the insole with shore 50. It could be said that patients who suffer from pain and discomfort on hind and forefoot may benefit insole with shore 30 to relieve from plantar pressure on the hindfoot and forefoot regions during standing and walking.

2016 ◽  
Vol 106 (3) ◽  
pp. 189-200 ◽  
Author(s):  
Lale Cerrahoglu ◽  
Umut Koşan ◽  
Tuba Cerrahoglu Sirin ◽  
Aslihan Ulusoy

Background: We aimed to investigate whether a home exercise for self-care program that consists of range of motion (ROM), stretching, and strengthening exercises could improve ROM for foot joints and plantar pressure distribution during walking in diabetic patients to prevent diabetic foot complications. Methods: Seventy-six diabetic patients were recruited (38 with neuropathy and 38 without neuropathy). Neuropathy and nonneuropathy groups were randomly divided into a home exercise group (n = 19) and a control group (n = 19). Exercise groups performed their own respective training programs for 4 weeks, whereas no training was done in the control group. Total contact area and plantar pressure under six foot areas before and after the exercise program were measured. Ankle and first metatarsophalangeal joint ROM were measured before and after the exercise program. Results: In the exercise group, there were significant improvements in ROM for the ankle and first metatarsophalangeal joints (P < .001); static pedobarographic values showed significant reduction in right forefoot-medial pressure (P = .010); and significant decreases were seen in dynamic pedobarographic values of peak plantar pressure at the left forefoot medial (P = .007), right forefoot lateral (P = .018), left midfoot (P < .001), and right hindfoot (P = .021) after exercise. No significant positive or negative correlation was found between the neuropathy and nonneuropathy groups (P > .05). Conclusions: A home exercise program could be an effective preventive method for improving ROM for foot joints and plantar pressure distribution in diabetic patients independent of the presence of neuropathy.


Author(s):  
Ali Hussein Sabry ◽  
W. Z. Wan Hasan ◽  
Mohd Nazim Mohtar ◽  
Raja Mohd Kamil Raja Ahmad ◽  
Hafiz Rashidi Ramli ◽  
...  

<span lang="EN-GB">Although many equipments and techniques are available for plantar pressure analysis to study foot pressure distributions, there is still a need for mathematical modelling references to compare the acquired measurements. In order to derive formulas in this concern, this research proposes a measurement-based method which adopts the reference measured parameters such as; the weight of a subject, contact-area size, age, and the pressure level distribution over a plantar image captured by the EMED plantar pressure system. The proposed analysis and algorithm were verified by a group 79 volunteers through data collection with four various measurement conditions. Three mathematical modelling equations have been proposed that describe the relationships between the foot plantar pressure levels and the subject’s body mass, foot size, and age. The modelling of foot plantar pressure could be useful for various applications such as gait analysis, hospitals, clinics, custom shoe making, and early detection of ulceration in the case of diabetic patients.</span>


2018 ◽  
Vol 59 ◽  
pp. 34-39 ◽  
Author(s):  
Masumeh Bagherzadeh Cham ◽  
Mohammad Ali Mohseni-Bandpei ◽  
Mahmood Bahramizadeh ◽  
Saeed Kalbasi ◽  
Akbar Biglarian

Symmetry ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1476
Author(s):  
Karolina Gawronska ◽  
Jacek Lorkowski

Pedobarography is a safe, non-invasive diagnostic method that enables estimation of plantar pressure distribution. This article aims to describe the symmetry between right and left toes in the Polish adult population using data obtained during postural pedobarographic examinations. Eighty-two patients, both sexes, with a mean age of 42.12 (range 19–70), without significant pathologies, participated in the study. Plantar pressure was evaluated using a PEL38 pressure plate. The study applies the elements of Cavanagh’s classification to identify the foot sole regions: Hallux, Second Toe and Lateral Toe areas and the entire foot surface. The parameters measured included maximal and average pressures, total support area for each foot, and contact area of the foot with the ground at individual moments of standing. The results showed significantly greater loading under the right Hallux in women. As regards men, higher values in the whole foot pressure distribution were noted on the left side. Plantar pressure distribution does not increase along with the global factors such as age and body mass. The findings suggest that the asymmetry in the morphological structure of the foot does not determine the asymmetry in the plantar pressure distribution. None of the feet studied had full symmetry on the entire surface.


Foot & Ankle ◽  
1992 ◽  
Vol 13 (5) ◽  
pp. 263-270 ◽  
Author(s):  
Nicholas E. Rose ◽  
Lawrence A. Feiwell ◽  
Andrea Cracchiolo

A new, high resolution, pressure-sensitive insole was tested and found to provide reproducible measurements of static and dynamic plantar pressures inside the shoe of normal test subjects under certain conditions. However, calibration between separate sensors was poor and the sensor pads showed significant wear with use. This system was also used to investigate the effect of heel wedges on plantar foot pressure to determine whether this system was sensitive enough to detect the effect of a gross shoe modification on plantar foot pressure. Medial heel wedges decreased plantar pressures under the first and second metatarsals as well as under the first toe, and shifted the center of force laterally in all portions of the foot. Lateral heel wedges decreased pressures under the third, fourth, and fifth metatarsals, increased pressures under the first and second metatarsals, and shifted the center of force medially in all portions of the foot. Our evaluations indicate that it is possible to measure static and dynamic plantar foot pressures within shoes and to study the possible effect of shoe modifications on plantar pressures in controlled gait trials.


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