Reproducibility of Plantar Pressure Measurements in Patients with Chronic Arthritis: A Comparison of One-Step, Two-Step, and Three-Step Protocols and an Estimate of the Number of Measurements Required

2004 ◽  
Vol 25 (10) ◽  
pp. 739-744 ◽  
Author(s):  
Marike van der Leeden ◽  
Jos H.M. Dekker ◽  
Petra C. Siemonsma ◽  
Sandy S. Lek-Westerhof ◽  
Martijn P.M. Steultjens
2011 ◽  
Vol 39 (12) ◽  
pp. 2679-2685 ◽  
Author(s):  
Rebecca S. Kearney ◽  
Sarah E. Lamb ◽  
Juul Achten ◽  
Nicholas R. Parsons ◽  
Matthew L. Costa

Background: Advances in the management of Achilles tendon rupture have led to the development of immediate weightbearing protocols. These vary regarding which ankle-foot orthoses (AFOs) are used and the number of inserted heel wedges used within them. Purpose: This study was conducted to evaluate plantar pressure measurements and temporal gait parameters within different AFOs, using different numbers of heel wedges. Study Design: Controlled laboratory study. Methods: Fifteen healthy participants were evaluated using 3 different AFOs, with 4 different levels of inserted heel wedges. Therefore, a total of 12 conditions were evaluated, in a sequence that was randomly allocated to each participant. Pressure and temporal gait parameters were measured using an in-shoe F-Scan pressure system, and range of movement was measured using an electrogoniometer. Results: Ankle-foot orthoses that were restrictive in design, combined with a higher number of inserted heel wedges, reduced forefoot pressures, increased heel pressures, and decreased the amount of time spent in the terminal stance and preswing phase of the gait cycle ( P = .029, .002, and .001). Conclusion: The choice of AFO design and the number of inserted heel wedges have a significant effect on plantar pressure measurements and temporal gait parameters. The implications of these changes need to be applied to the clinical management of acute Achilles tendon ruptures. This clinical management requires a balance between protected weightbearing and functional loading, requiring further research within a clinical context. Clinical Relevance: The biomechanical data from this research imply that a carbon-fiber AFO, with 1 heel raise, protects against excessive dorsiflexion while facilitating the restoration of near-normal gait parameters. This could lead to an accelerated return to function, avoiding the effects of disuse atrophy. This is in contrast to the rigid rocker-bottom AFO design with a greater number of heel-wedge inserts. However, research within a clinical context would be required to ascertain if these biomechanical advantages translate into a functional benefit for patients. The results should also be considered in relation to the amount of force a healing Achilles tendon can withstand.


2006 ◽  
Vol 24 ◽  
pp. S247-S248 ◽  
Author(s):  
Kevin Deschamps ◽  
Barbara Callewaert ◽  
Ivan Birch ◽  
Janett Mc Innes ◽  
Kaat Desloovere ◽  
...  

2015 ◽  
Vol 76 ◽  
pp. 302-307 ◽  
Author(s):  
Aina Mardhiyah M. Ghazali ◽  
W.Z.W. Hasan ◽  
M.N. Hamidun ◽  
Ahmed H. Sabry ◽  
S.A. Ahmed ◽  
...  

1997 ◽  
Vol 12 (3) ◽  
pp. S18 ◽  
Author(s):  
T. Tsvetkova ◽  
V. Lebedev ◽  
Y. Makarov ◽  
V. Kazimirsky

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Clara Sanz Morère ◽  
Łukasz Surażyński ◽  
Ana Rodrigo Pérez-Tabernero ◽  
Erkki Vihriälä ◽  
Teemu Myllylä

Locomotor activities are part and parcel of daily human life. During walking or running, feet are subjected to high plantar pressure, leading sometimes to limb problems, pain, or foot ulceration. A current objective in foot plantar pressure measurements is developing sensors that are small in size, lightweight, and energy efficient, while enabling high mobility, particularly for wearable applications. Moreover, improvements in spatial resolution, accuracy, and sensitivity are of interest. Sensors with improved sensing techniques can be applied to a variety of research problems: diagnosing limb problems, footwear design, or injury prevention. This paper reviews commercially available sensors used in foot plantar pressure measurements and proposes the utilization of pressure sensors based on the MEMS (microelectromechanical systems) technique. Pressure sensors based on this technique have the capacity to measure pressure with high accuracy and linearity up to high pressure levels. Moreover, being small in size, they are highly suitable for this type of measurement. We present two MEMS sensor models and study their suitability for the intended purpose by performing several experiments. Preliminary results indicate that the sensors are indeed suitable for measuring foot plantar pressure. Importantly, by measuring pressure continuously, they can also be utilized for body balance measurements.


2011 ◽  
Vol 34 (3) ◽  
pp. 391-396 ◽  
Author(s):  
Kristyn M. Leitch ◽  
Trevor B. Birmingham ◽  
Ian C. Jones ◽  
J. Robert Giffin ◽  
Thomas R. Jenkyn

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