A comparison of types and thicknesses of adhesive felt padding in the reduction of peak plantar pressure of the foot: a case report

Background: Distal metatarsal osteotomy has been used to alleviate plantar pressure caused by anatomic deformities. This study’s purpose was to examine the effect of minimally invasive floating metatarsal osteotomy on plantar pressure in patients with diabetic metatarsal head ulcers. Methods: We performed a retrospective case series of prospectively collected data on 32 patients with diabetes complicated by plantar metatarsal head ulcers without ischemia. Peak plantar pressure and pressure time integrals were examined using the Tekscan MatScan prior to surgery and 6 months following minimally invasive floating metatarsal osteotomy. Patients were followed for complications for at least 1 year. Results: Peak plantar pressure at the level of the osteotomized metatarsal head decreased from 338.1 to 225.4 kPa ( P < .0001). The pressure time integral decreased from 82.4 to 65.0 kPa·s ( P < .0001). All ulcers healed within a mean of 3.7 ± 4.2 weeks. There was 1 recurrence (under a hypertrophic callus of the osteotomy) during a median follow-up of 18.3 months (range, 12.2-27). Following surgery, adjacent sites showed increased plantar pressure and 4 patients developed transfer lesions (under an adjacent metatarsal head); all were managed successfully. There was 1 serious adverse event related to surgery (operative site infection) that resolved with antibiotics. Conclusion: This study showed that the minimally invasive floating metatarsal osteotomy successfully reduced local plantar pressure and that the method was safe and effective, both in treatment and prevention of recurrence. Level of Evidence: Level III, retrospective case series of prospectively collected data.

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The Relationship of the Position of the Metatarsal Heads and Peak Plantar Pressure

Foot & Ankle International ◽

10.1177/107110070302400408 ◽

2003 ◽

Vol 24 (4) ◽

pp. 349-353 ◽

Cited By ~ 25

Author(s):

René E. Weijers ◽

Geert H.I.M. Walenkamp ◽

Henk van Mameren ◽

Alphons G.H. Kessels

Keyword(s):

Plantar Pressure ◽

Lateral Side ◽

Ct Scanner ◽

Plantar Pressures ◽

Medial Side ◽

Plantar Pressure Distribution ◽

Peak Plantar Pressure ◽

The Right ◽

Relationship Of ◽

The Relationship

We test the premise that peak plantar pressure is located directly under the bony prominences in the forefoot region. The right foot of standing volunteers was examined in three different postures by a CT-scanner. The plantar pressure distribution was simultaneously recorded. The position of the metatarsal heads and the sesamoids could be related to the corresponding local peak plantar pressures. The metatarsal heads 1, 4, and 5 had a significantly different position than the local peak plantar pressures. The average difference in distance between the position of the metatarsal heads and the peak plantar pressure showed a significant correlation: on the medial side the head was located more distally to the local peak plantar pressure, on the lateral side more proximally. The findings suggest that normal plantar soft tissue is able to deflect a load. The observations might improve insight into the function of the normal forefoot and might direct further research on the pathological forefoot and on the design of footwear.

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Body Mass is a Poor Predictor of Peak Plantar Pressure in Diabetic Men

Diabetes Care ◽

10.2337/diacare.14.8.750 ◽

1991 ◽

Vol 14 (8) ◽

pp. 750-755 ◽

Cited By ~ 67

Author(s):

P. R. Cavanagh ◽

D. S. Sims ◽

L. J. Sanders

Keyword(s):

Body Mass ◽

Plantar Pressure ◽

Poor Predictor ◽

Peak Plantar Pressure

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Foot Function in Diabetic Patients after Partial Amputation

Foot & Ankle International ◽

10.1177/107110079601700110 ◽

1996 ◽

Vol 17 (1) ◽

pp. 43-48 ◽

Cited By ~ 61

Author(s):

Juan Carlos Garbalosa ◽

Peter R. Cavanagh ◽

Ge Wu ◽

Jan S. Ulbrecht ◽

Mary B. Becker ◽

...

Keyword(s):

Range Of Motion ◽

Plantar Pressure ◽

Three Dimensional ◽

Diabetic Patients ◽

Plantar Pressures ◽

Plantar Pressure Distribution ◽

Patients With Diabetes ◽

Peak Plantar Pressure ◽

Partial Amputation ◽

Foot Function

The function of partially amputated feet in 10 patients with diabetes mellitus was studied. First-step bilateral barefoot plantar pressure distribution and three-dimensional kinematic data were collected using a Novel EMED platform and three video cameras. Analysis of the plantar pressure data revealed a significantly greater mean peak plantar pressure in the feet with transmetatarsal amputation (TMA) than in the intact feet of the same patients. The heels of the amputated feet had significantly lower mean peak plantar pressures than all the forefoot regions. A significantly greater maximum dynamic dorsiflexion range of motion was seen in the intact compared with the TMA feet. However, no difference was noted in the static dorsiflexion range of motion between the two feet and there was, therefore, a trend for the TMA feet to use less of the available range of motion. Given the altered kinematics and elevated plantar pressures noted in this study, careful postsurgical footwear management of feet with TMA would appear to be essential if ulceration is to be prevented.

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Do Strike Patterns or Shoe Conditions Have a Predominant Influence on Foot Loading?

Journal of Human Kinetics ◽

10.1515/hukin-2017-0205 ◽

2018 ◽

Vol 64 (1) ◽

pp. 13-23 ◽

Cited By ~ 9

Author(s):

Xiaole Sun ◽

Yang Yang ◽

Lin Wang ◽

Xini Zhang ◽

Weijie Fu

Keyword(s):

Plantar Pressure ◽

Loading Rate ◽

Peak Pressure ◽

Impact Force ◽

Pressure System ◽

Risk Of Injury ◽

Maximum Loading ◽

Peak Plantar Pressure ◽

Foot Loading ◽

The Impact

Abstract This study aimed to explore the effects of strike patterns and shoe conditions on foot loading during running. Twelve male runners were required to run under shoe (SR) and barefoot conditions (BR) with forefoot (FFS) and rearfoot strike patterns (RFS). Kistler force plates and the Medilogic insole plantar pressure system were used to collect kinetic data. SR with RFS significantly reduced the maximum loading rate, whereas SR with FFS significantly increased the maximum push-off force compared to BR. Plantar pressure variables were more influenced by the strike patterns (15 out of 18 variables) than shoe conditions (7 out of 18 variables). The peak pressure of midfoot and heel regions was significantly increased in RFS, but appeared in a later time compared to FFS. The influence of strike patterns on running, particularly on plantar pressure characteristics, was more significant than that of shoe conditions. Heel-toe running caused a significant impact force on the heel, whereas wearing cushioned shoes significantly reduced the maximum loading rate. FFS running can prevent the impact caused by RFS. However, peak plantar pressure was centered at the forefoot for a long period, thereby inducing a potential risk of injury in the metatarsus/phalanx.

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Baropodometric profile of patients assisted in a physiotherapy clinic

Manual Therapy Posturology & Rehabilitation Journal ◽

10.17784/mtprehabjournal.2020.18.760 ◽

2020 ◽

Vol 18 ◽

pp. 1-5

Author(s):

Francisco Valmor Macedo Cunha ◽

Joana D'arc Alves Sousa ◽

Jonas Almeida Alves

Keyword(s):

Plantar Pressure ◽

Center Of Gravity ◽

The Body ◽

Anthropometric Parameters ◽

Cross Sectional ◽

Satisfactory Correlation ◽

Health Council ◽

Peak Plantar Pressure ◽

The Right ◽

Physiotherapy Clinic

Background: Computerized baropodometry, a posturographic recording technique used in the diagnosis and assessment of plantar pressure, which records the pressure points exerted by the body on the plantar surface, is an accurate, objective and quantitative examination. Its record is used in the diagnosis and evaluation of plantar pressure, both in static and dynamic positions. Objective: Analyze the baropodometric profile of patients in a physiotherapy clinic. Methods: A cross-sectional study of documentary character of baropodometry exams registered in the database of a physiotherapy clinic in Teresina (PI), carried out from January 2015 to December 2018. Totaling 193 exams, which include the types of feet, peak plantar pressure and correlation between peak plantar pressure with age, weight, height and BMI. The collected data were analyzed statistically by the software Win Track version 12.0, and presented through tables and figures. In this research, all ethical precepts were carried out in accordance with the resolution of the National Health Council and was approved by the ethics committee. Results: There was a higher prevalence of hollow feet (96.89%), showing a greater occurrence of displacement of the center of gravity posteriorly to the right (46.11%), it was found that there was no satisfactory correlation of anthropometric parameters with peak plantar pressure (p>0.05). Conclusion: It was possible to observe that the examinations evaluated showed a higher prevalence of hollow feet and center of gravity posteriorized to the right. In addition, there was no satisfactory correlation between peak plantar pressure with the variables age, weight, height and BMI.

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Non-Symptomatic Diagnosed Inflammation on the Cuneiforms on T2* maps and its Relationship to Plantar Pressure: A Case Report

Biology Engineering and Medicine ◽

10.15761/bem.1000171 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Hyun Kyung Kim ◽

Justin Fernandez ◽

Ali Mirjalili

Keyword(s):

Case Report ◽

Plantar Pressure

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A Review of the Plantar Pressure Distribution Effects from Insole Materials and at Different Walking Speeds

Applied Sciences ◽

10.3390/app112411851 ◽

2021 ◽

Vol 11 (24) ◽

pp. 11851

Author(s):

Fahni Haris ◽

Ben-Yi Liau ◽

Yih-Kuen Jan ◽

Veit Babak Hamun Akbari ◽

Yanuar Primanda ◽

...

Keyword(s):

Text Analysis ◽

Plantar Pressure ◽

Walking Speed ◽

Ethylene Vinyl Acetate ◽

Diabetic Foot Ulcers ◽

Scientific Databases ◽

Manual Search ◽

Plantar Pressure Distribution ◽

Peak Plantar Pressure ◽

Walking Speeds

Among people with diabetes mellitus (DM), the two common strategies for decreasing peak plantar pressure (PPP) to reduce diabetic foot ulcers (DFUs) risks are to modify walking speeds and to change insole materials. This study reviewed the PPP reduction based on various walking speeds and insole materials. The articles were retrieved from four major scientific databases and manual search. We identified 1585 articles, of which 27 articles were selected for full-text analysis. We found that in faster walking speeds, the forefoot PPP was higher (308 kPa) than midfoot (150 kPa) and rearfoot (251 kPa) PPP. The appropriate walking speed for reducing the forefoot PPP was about 6 km/h for non-DM and 4 km/h for DM people. The forefoot PPP in DM people was 185% higher than that of non-DM people. Ethylene–vinyl acetate (EVA) insole material was the most popular material used by experts (26%) in the forefoot and reduced 37% of PPP. In conclusion, the suitable walking speed for DM was slower than for non-DM people, and EVA was the most common insole material used to decrease the PPP under the forefoot. The clinicians might recommend DM people to walk at 4 km/h and wear EVA insole material to minimize the DFUs.

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