The Plantar Loading Variations to Uphill and Downhill Gradients During Treadmill Walking

2000 ◽  
Vol 21 (3) ◽  
pp. 227-231 ◽  
Author(s):  
John Grampp ◽  
John Willson ◽  
Thomas Kernozek

The purpose of the study was to examine the plantar loading changes during 5 gradient conditions on a treadmill (−15%, −8.5%, Level, 8.5%, 15%) for 20 participants using the Pedar® in-shoe pressure measurement system. The measurement system uses EMED insoles, each consisting of 99 capacitive sensors, sampled at 50 Hz. Data was collected from the last 20 seconds at each gradient condition while participants walked. As the treadmill gradient increased, loading (peak pressure [PP] and peak force [PF]) increased in the hallux and 1st metatarsal regions and decreased in the heel region. With negative gradients, loading (PP and PF) increased in the heel region and decreased in the 4th and 5th metatarsal regions.

1996 ◽  
Vol 17 (4) ◽  
pp. 204-209 ◽  
Author(s):  
T. W. Kernozek ◽  
E. E. LaMott ◽  
M. J. Dancisak

We examined the reliability of in-shoe foot pressure measurement using the Pedar in-shoe pressure measurement system for 25 participants walking at treadmill speeds of 0.89, 1.12, and 1.34 meters/sec. The measurement system uses EMED insoles, which consist of 99 capacitive sensors, sampled at 50 Hz. Data were collected for 20 seconds at two separate times while participants walked at each gait speed. Differences in some of the loading variables across speed relative to the total foot and across the different anatomical regions were detected. Different anatomical regions of the foot were loaded differently with variations in walking speed. The results indicated the need to control speed when evaluating loading parameters using in-shoe pressure measurement techniques. Coefficients of reliability were calculated. Variables such as peak force for the total foot required two steps to achieve a coefficient of reliability of 0.98. To achieve excellent reliability (>0.90) in the peak force, force time integral, peak pressure, and pressure time integral across the total foot and the seven regions, a maximum of eight steps was needed. In general, timing variables, such as the instant of peak force and the instant of peak pressure, tended to be the least reliable measures.


1999 ◽  
Vol 89 (2) ◽  
pp. 75-80 ◽  
Author(s):  
MG Mandato ◽  
E Nester

The purpose of this study was to determine the effect of increasing heel height on peak forefoot pressure. Thirty-five women were examined while wearing sneakers and shoes with 2-inch and 3-inch heels. An in-shoe pressure-measurement system was used to document the magnitude and location of plantar peak pressures. Pressure under the forefoot was found to increase significantly with increasing heel height. As the heel height increased, the peak pressure shifted toward the first metatarsal and the hallux. The reproducibility of data obtained with the in-shoe pressure-measurement system was tested in five subjects; the data were found to be reproducible to within approximately 3% of measured pressures.


1997 ◽  
Vol 87 (10) ◽  
pp. 466-472 ◽  
Author(s):  
JG Fleischli ◽  
LA Lavery ◽  
SA Vela ◽  
H Ashry ◽  
DC Lavery

Few scientific data are available on the effectiveness of commonly used modalities for reducing pressure at the site of neuropathic ulcers in persons with diabetes mellitus. The authors' aim was to compare the effectiveness of total contact casts, half-shoes, rigid-soled postoperative shoes, accommodative dressings made of felt and polyethylene foam, and removable walking casts in reducing peak plantar foot pressures at the site of neuropathic ulcerations in diabetics. Using an in-shoe pressure-measurement system, data from 32 midgait steps were collected for each treatment. There was a consistent pattern in the devices' effectiveness in reducing foot pressures at ulcer sites under the great toe and ball of the foot. Removable walking casts were as effective as or more effective than total contact casts. Half-shoes were consistently the third most effective modality, followed by accommodative dressings and rigid-soled postoperative shoes.


2014 ◽  
Vol 5 (3) ◽  
pp. 04014001 ◽  
Author(s):  
A. M. Sadeghioon ◽  
Robert Walton ◽  
David Chapman ◽  
Nicole Metje ◽  
Carl Anthony ◽  
...  

2006 ◽  
Vol 26 (5-7) ◽  
pp. 1077-1081 ◽  
Author(s):  
K. Arshak ◽  
D. Morris ◽  
A. Arshak ◽  
O. Korostynska ◽  
E. Jafer

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