scholarly journals The effect of taping on maximum plantar pressure and ground reaction force in flat-footed people after applying a fatigue protocol

Author(s):  
Fatemeh Aghakeshizadeh ◽  
Amir Letafatkar ◽  
Peyman Aghaei Ataabadi ◽  
Mahdi Hosseinzadeh

Abstract We examined the effects of two types of antipronation taping on the lower limb kinetics in flat foot people before and after performing a physical fatigue protocol. 20 male and female with flat foot aged 22.39 ± 2.02 years old were studied under three conditions (untaping, reverse-6 taping and low-dye taping) either before or after fatigue states. A statistically significant difference was observed after applying two types of taping (reverse-6 vs. low-dye taping) in the maximum plantar pressure perceived in metatarsus 1 (P = 0.016) and lateral heel (P = 0.044). In the post-fatigue conditions, there were significant differences between the two taping types in metatarsus 4 (P = 0.024). The maximum ground reaction force in toe 1 (P = 0.001), toe 2–5 (P = 0.001), metatarsus 5 (P = 0.001), and medial heel (P = 0.001) was significantly different between reverse-6 and Low-dye tapings. The results indicated that the low-dye and reverse-6 taping types can reduce the pressure on the medial side of the foot, and push it towards the lateral side. It is therefore suggested using taping as an effective treatment for redistribution of the pressure and force in sole of the foot in people with flat foot.

2021 ◽  
Author(s):  
Fatemeh Aghakeshizadeh ◽  
Amir Letafatkar ◽  
Peyman Aghaei Ataabadi ◽  
Mahdi Hosseinzadeh

Abstract Background: People suffering from flat foot show more movements in hindfoot and midfoot joints as compared to the others. The anti-pronation tapings are supposed to provide temporary external support for the medial longitudinal arch. The aim of this study was to examine the effects of two types of anti-pronation taping on the lower limb kinetics in flat foot people before and after performing a physical fatigue protocol. Methods: 20 male and female with flat foot aged 22.39 ± 2.02 years old were studied under three conditions (untaping, reverse-6 taping and low-dye taping) either before or after fatigue states. The maximum plantar pressure and ground reaction force were measured by an RSscan foot scan system during walking. Results: A statistically significant difference was observed after applying two types of taping (reverse-6 vs. low-dye taping) in the maximum plantar pressure perceived in metatarsus 1 (P = 0.016) and lateral heel (P = 0.044). In the post-fatigue conditions, there were significant differences between the two taping types in metatarsus 4 (P = 0.024). The maximum ground reaction force in toe 1 (P = 0.001), toe 2-5 (P = 0.001), metatarsus 5 (P = 0.001), and medial heel (P = 0.001) was significantly different between reverse-6 and Low-dye tapings. Conclusions: The results indicated that the low-dye and reverse-6 taping types can reduce the pressure on the medial side of the foot, and push it towards the lateral side. It is therefore suggested using taping as an effective treatment for redistribution of the pressure and force in sole of the foot in people with flat foot.


2011 ◽  
Vol 11 (05) ◽  
pp. 1071-1083 ◽  
Author(s):  
SU-YA LEE ◽  
CHEN-YU CHOU ◽  
YI-YOU HOU ◽  
YU-LIN WANG ◽  
CHICH-HAUNG YANG ◽  
...  

The aim of this study was to investigate the foot plantar pressure distribution and the effect of different step width during walking. Methods: Nineteen female volunteers who aged 18~30 years old and with no history of lower extremity injury were considered. Subjects walked at a pre-determined set speed with varied step width (5 cm, 10 cm, and 20 cm) for three trials at each step width. This study used an in-sole plantar pressure measurement system to collect the peak pressure, maximum ground reaction force, pressure–time integral, and force–time integral data of eight different foot regions. Results: The data revealed that the peak plantar foot pressure on the medial arch increased with wider step width (p < 0.05). In contrast, maximum ground reaction force, peak plantar pressure, pressure–time integral, and force–time integral on the lateral arch and lateral side of the metatarsals decreased with wider step width (p < 0.05). Conclusion: The results of this study revealed that smaller step width during walking result in decreasing the pressure on the medial arch of the foot. It may have the relieving effect for clients with pes planus and it can be a reference for rehabilitation clinicians while treating the above-mentioned subjects.


2013 ◽  
Vol 29 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Hiroaki Hobara ◽  
Koh Inoue ◽  
Kazuyuki Kanosue

Understanding the degree of leg stiffness during human movement would provide important information that may be used for injury prevention. In the current study, we investigated bilateral differences in leg stiffness during one-legged hopping. Ten male participants performed one-legged hopping in place, matching metronome beats at 1.5, 2.2, and 3.0 Hz. Based on a spring-mass model, we calculated leg stiffness, which is defined as the ratio of maximal ground reaction force to maximum center of mass displacement at the middle of the stance phase, measured from vertical ground reaction force. In all hopping frequency settings, there was no significant difference in leg stiffness between legs. Although not statistically significant, asymmetry was the greatest at 1.5 Hz, followed by 2.2 and 3.0 Hz for all dependent variables. Furthermore, the number of subjects with an asymmetry greater than the 10% criterion was larger at 1.5 Hz than those at 2.2 and 3.0 Hz. These results will assist in the formulation of treatment-specific training regimes and rehabilitation programs for lower extremity injuries.


2013 ◽  
Vol 28 (2) ◽  
pp. 80-83 ◽  
Author(s):  
Soledad Echegoyen ◽  
Takeshi Aoyama ◽  
Cristina Rodríguez

Zapateado is a repetitive percussive footwork in dance. This percussive movement, and the differences in technique, may be risk factors for injury. A survey on zapateado dance students found a rate of 1.5 injuries/1,000 exposures. Knee injuries are more frequent than in Spanish dancers than folkloric dancers. The aim of this research was to study the relationship between technique and ground reaction force between zapateado on Spanish and Mexican folkloric dancers. Ten female dance students (age 22.4 ± 4 yrs), six Spanish dancers and four Mexican folkloric dancers, were considered. Each student performed zapateado with a flat foot, wearing high-heeled shoes during 5 seconds on a force platform. Videotapes were taken on a lateral plane, and knee and hip angles in each movement phase were measured with Dartfish software. Additionally, knee and ankle flexor and extensor strength was measured with a dynamometer. Ground reaction forces were lower for Spanish dancers than Mexican folkloric dancers. Spanish dancers had less knee flexion when the foot contacted to the ground than did Mexican folkloric dancers. On Spanish dancers, the working leg had more motion in relation to hip and knee angles than was seen in folkloric dancers. The ankle extensors were stronger on folkloric dancers, and there were no differences for the other muscle groups. Knee flexion at foot contact and muscle strength imbalance could be risk factors for injuries. It is suggested that the technique in Spanish dance in Mexico be reviewed, although more studies are required to define more risk factors.


2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0010
Author(s):  
Jeffrey E. Bischoff ◽  
Sandra Snyder ◽  
J. Chris Coetzee ◽  
Stuart Miller ◽  
Terrence Philbin

Category: Ankle Introduction/Purpose: Contemporary total ankle arthroplasty (TAA) techniques reconstruct the tibiotalar articulation while preserving the medial and lateral malleoli. The malleoli place anatomic constraints on the design of the talar component of the TAA system. If these constraints are not respected, then proper placement of the talar component may be compromised intra- operatively, or unintended contact between the prosthesis and bone may occur post-operatively. The goal of this study was therefore to quantify the medial and lateral malleolar boundaries. Methods: The orientation of the talus from a frontal view was quantified based on CT scans of left leg, non-arthritic specimens (n=89; 52M/37F) (Figure 1a). The talar dome was identified as the portion of the talus superior to the talar neck. The frontal profile of the dome defined by a plane positioned through the medial and lateral high points was extracted for each specimen. Statistical shape analysis was performed to identify the modes of variation of the frontal profile. Medial and lateral lines were fit to each profile, and resulting angles relative to the superior-inferior axis were measured. A paired student t-test (P<.05) was used to assess differences between the medial and lateral malleolus. Results: Figure 1b shows the average frontal profile of the talar dome, as well as ±1 and ±2 standard deviations. The average medial and lateral taper angles of the talus were 15.5° ± 5.9° and 7.6° ± 2.9°, respectively, with the lateral taper angle being significantly smaller than the medial taper angle (P<.001). The medial taper increased with talus size (as measured by the medial- lateral width of the dome) whereas the lateral taper decreased with talus size (Figure 1c), though both regressions were weak (R2 < 0.1). No statistically significant difference in taper angles was found between genders. Conclusion: Restoration of the bicondylar articulation geometry of the tibiotalar joint is an important design goal for TAA. One aspect of this geometry is the anatomic constraints imposed by the medial and lateral malleoli, to minimize unexpected impingement of the TAA prostheses with surrounding anatomic structures. Here, we have quantified those constraints through analysis of the medial and lateral taper of the talus, showing an increased taper angle on the medial side of the talus as compared to the lateral side.


2003 ◽  
Vol 24 (4) ◽  
pp. 349-353 ◽  
Author(s):  
René E. Weijers ◽  
Geert H.I.M. Walenkamp ◽  
Henk van Mameren ◽  
Alphons G.H. Kessels

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.


2020 ◽  
Vol 36 (3) ◽  
pp. 134-140
Author(s):  
Piaolin Peng ◽  
Shaolan Ding ◽  
Zhikang Wang ◽  
Yifan Zhang ◽  
Jiahao Pan

The purpose of this study was to explore the immediate effects of running speed and midsole type on foot loading during heel–toe running. Fifteen healthy male college students were required to complete 3 running trials on an indoor 45-m tartan runway at 4 different speeds (3, 4, 5, and 6 m/s) using 2 different running footwear types (engineering thermoplastic polyurethane elastomer, polyurethane elastomer; and ethylene vinyl acetate, vinyl acetate). The ground reaction force and plantar pressure data were quantified. Significant speed effects were detected both in ground reaction force and plantar pressure-related data (P < .05). Vertical average loading rate was significantly less, and time to first peak occurred later for the polyurethane elastomer compared with vinyl acetate footwear (P < .05). The peak pressure of the heel, medial forefoot, central forefoot, lateral forefoot, and big toe was significantly less when subjects wore a polyurethane elastomer than vinyl acetate footwear (P < .05). Overall, our results suggested that, compared with the vinyl acetate footwear, the special polyurethane elastomer footwear that is adhered with thousands of polyurethane elastomer granules was effective at reducing the mechanical impact on the foot.


2015 ◽  
Vol 9 (1) ◽  
pp. 103-107 ◽  
Author(s):  
L Yin ◽  
D Sun ◽  
Q.C Mei ◽  
Y.D Gu ◽  
J.S Baker ◽  
...  

Large number of studies showed that landing with great impact forces may be a risk factor for knee injuries. The purpose of this study was to illustrate the different landing loads to lower extremity of both genders and examine the relationships among selected lower extremity kinematics and kinetics during the landing of a stop-jump task. A total of 35 male and 35 female healthy subjects were recruited in this study. Each subject executed five experiment actions. Lower extremity kinematics and kinetics were synchronously acquired. The comparison of lower extremity kinematics for different genders showed significant difference. The knee and hip maximum flexion angle, peak ground reaction force and peak knee extension moment have significantly decreased during the landing of the stop-jump task among the female subjects. The hip flexion angle at the initial foot contact phase showed significant correlation with peak ground reaction force during landing of the stop-jump task (r=-0.927, p<0.001). The knee flexion angle at the initial foot contact phase had significant correlation with peak ground reaction force and vertical ground reaction forces during landing of the stop-jump task (r=-0.908, p<0.001; r=0.812, P=0.002). A large hip and knee flexion angles at the initial foot contact with the ground did not necessarily reduce the impact force during landing, but active hip and knee flexion motions did. The hip and knee flexion motion of landing was an important technical factor that affects anterior cruciate ligament (ACL) loading during the landing of the stop-jump task.


2013 ◽  
Vol 38 (2) ◽  
pp. 160-166 ◽  
Author(s):  
Hassan Saeedi ◽  
Mohammad E Mousavi ◽  
Basir Majddoleslam ◽  
Mehdi Rahgozar ◽  
Gholamreza Aminian ◽  
...  

Background:Due to blocking of pronation/dorsiflexion in flexible flat foot and restriction of these movements in using the University of California Berkeley Laboratory orthosis, provided pressures in sole by the orthosis were increased. Therefore, this article describes the evaluation of modified foot orthosis with flexible structure in the management of individuals with flexible flat foot.Case description and method:The patient was a 21-year-old male who had symptomatic flat foot. The modified foot orthosis included movable surface and the outside structure. The modified foot orthosis was evaluated by standing foot X-ray, comfort rate, electromyography of leg muscle and vertical ground reaction force during walking.Findings and outcomes:The modified foot orthosis improved the foot alignment and decreased the symptoms of flat foot with more comfort. Subtalar position by sub-maximum supination had higher position than neutral in sagittal plane. It may increase the muscle activity of peroneus longus by 7% compared to barefoot, and there was a decrease of 11% ground reaction force in mid stance.Conclusion:The result of this single case evaluation only proposed the feasibility of this modified insole as the orthotic treatment in flexible flat foot.Clinical relevanceThe modified foot orthosis, which is mobile in the midfoot, is an orthosis for walking and standing in subjects with flexible flat foot.


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