Effect of a Low-Dye Application of Scotchcast Soft Cast on Peak and Mean Plantar Pressures in Subjects with a Navicular Drop Greater than 10 mm

2008 ◽  
Vol 98 (6) ◽  
pp. 457-465 ◽  
Author(s):  
Julie L. Walters ◽  
Belinda S. Lange ◽  
Lucy S. Chipchase

Background: We investigated whether a low-Dye application of Scotchcast Soft Cast significantly altered plantar pressure distribution during gait in patients with a navicular drop greater than 10 mm. Methods: An experimental, same-subject, repeated-measures design was used. Thirty-two subjects aged 18 to 35 years were screened with the navicular drop test and were included if a navicular drop greater than 10 mm was established. The Emed-AT-2 platform system was used to measure the plantar pressure distribution under the right foot of each subject using the midgait method of data collection. Each subject performed six barefoot walks and six walks with Soft Cast applied to the right foot. Average peak and mean plantar pressure measurements were recorded for ten discrete areas (masks). The heel and midfoot were each divided into two masks, and the forefoot and toe regions were divided into three masks each. Paired t tests were used to detect differences in peak and mean plantar pressures for each mask. Results: Soft Cast significantly affected peak and mean plantar pressures in seven and nine of the ten masks, respectively. No significant change in peak or mean plantar pressure was found beneath the medial midfoot. Conclusion: Plantar pressure may represent dynamic foot and ankle joint motion. With further research, Soft Cast may provide an alternative to current management techniques in controlling foot pronation and reducing symptoms of lower-limb abnormalities. (J Am Podiatr Med Assoc 98(6): 457–465, 2008)

2020 ◽  
Author(s):  
Ayuni Nabilah Alias ◽  
Karmegam Karuppiah ◽  
Vivien How ◽  
Velu Perumal

Abstract Background: Plantar pressure distribution has been recognized as a significant finding to associate with various feet conditions. Objectives: To determine the feet plantar pressure distribution among female school teachers; Methods: This research consisted of 124 female school teachers. Respondents was asked to walk at a regular pace for 10 seconds from a fixed starting point while using footwear pressure insole device and pressure measurement was recorded.; Results: The findings show that lateral heel exerted the most pressure in the right and left foot (94 kPa vs 85 kPa). The second highest average of plantar pressure distribution for right foot among female school teachers was medial forefoot (67 kPa), followed by central forefoot (55 kPa), lateral forefoot (52 kPa) and lateral midfoot with 49 kPa. For the left foot, the second highest for average of plantar pressure distribution was medial forefoot (58 kPa), followed by lateral forefoot (48 kPa), and central forefoot (47 kPa) and lateral midfoot (33 kPa). The result was significant differences as the right foot often exerted greater pressure on any part of the foot than the left foot; Conclusions: The pressure plantar distribution of foot reflects the conditions of school teachers with various posture and movement.


2019 ◽  
Vol 32 ◽  
Author(s):  
Paula Silva de Carvalho Chagas ◽  
Riuraly Caroline Barreiros Fortunato Rangel ◽  
Sulamita Saile de Jesus Oliveira Dornelas ◽  
Anderson Daibert Amaral ◽  
Flávio Augusto Teixeira Ronzani ◽  
...  

Abstract Introduction: Some peculiar features of Down Syndrome (DS), such as ligament laxity, hypotonia, delay in gait acquisition, among others, may generate alterations in the distribution of plantar pressures, modifying the plantar support. Objective: To verify whether there are differences in the evaluation of plantar pressure distributions in standing posture between the measurement instruments (Baropodometer, SAPO, and Radiography). Method: This was a cross-sectional study, evaluating ten children with SD and ten children with normal development (ND), aged from two to five years old. Bio-photogrammetry, baropodometry, and foot radiography were used to assess the plantar pressure distribution. Kappa analysis was used to evaluate the agreement index between the different instruments. Results: Children with DS and ND had a higher prevalence of pronated feet in all three instruments, with poor to substantial agreement among the instruments. Conclusion: According to this study instruments, there was a greater prevalence of pronated feet in the two groups . Differences in the evaluation of the distribution of plantar pressures in the standing posture between the Baropodometer, SAPO, and radiography were observed. These instruments should be used in a complementary manner, as they propose to evaluate different aspects of the feet alignment.


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.


2021 ◽  
pp. 1-9
Author(s):  
Warlindo Carneiro da Silva Neto ◽  
Alexandre Dias Lopes ◽  
Ana Paula Ribeiro

Context: Running is a popular sport globally. Previous studies have used a gait retraining program to successfully lower impact loading, which has been associated with lower injury rates in recreational runners. However, there is an absence of studies on the effect of this training program on the plantar pressure distribution pattern during running. Objective: To investigate the short-term effect of a gait retraining strategy that uses visual biofeedback on the plantar pressure distribution pattern and foot posture in recreational runners. Design: Randomized controlled trial. Setting: Biomechanics laboratory. Participants: Twenty-four recreational runners were evaluated (n = 12 gait retraining group and n = 12 control group). Intervention: Those in the gait retraining group underwent a 2-week program (4 sessions/wk, 30 min/session, and 8 sessions). The participants in the control group were also invited to the laboratory (8 times in 2 wk), but no feedback on their running biomechanics was provided. Main Outcome Measures: The primary outcome measures were plantar pressure distribution and plantar arch index using a pressure platform. The secondary outcome measure was the foot posture index. Results: The gait retraining program with visual biofeedback was effective in reducing medial and lateral rearfoot plantar pressure after intervention and when compared with the control group. In the static condition, the pressure peak and maximum force on the forefoot and midfoot were reduced, and arch index was increased after intervention. After static training intervention, the foot posture index showed a decrease in the foot pronation. Conclusions: A 2-week gait retraining program with visual biofeedback was effective in lowering rearfoot plantar pressure, favoring better support of the arch index in recreational runners. In addition, static training was effective in reducing foot pronation. Most importantly, these observations will help healthcare professionals understand the importance of a gait retraining program with visual biofeedback to improve plantar loading and pronation during rehabilitation.


2000 ◽  
Vol 16 (3) ◽  
pp. 320-326 ◽  
Author(s):  
Mikko Virmavirta ◽  
Paavo V. Komi

The Paromed Datalogger® with two insole pressure transducers (16 sensors each, 200 Hz) was applied to study the feasibility of the system for measurement of plantar pressure distribution in ski jumping. The specific aim was to test the sensitivity of the Paromed system to the changes in plantar pressure distribution in ski jumping. Three international level ski jumpers served as subjects during the testing of the system. The Datalogger was fixed to the jumpers’ lower back under the jumping suit. A separate pulse was transmitted to the Datalogger and tape recorder in order to synchronize the logger information with photocell signals indicating the location of the jumper on the inrun. Test procedure showed that this system could be used in ski jumping with only minor disturbance to the jumper. The measured relative pressure increase during the inrun curve matched well the calculated relative centrifugal force (mv2· r‒1), which thus serves a rough estimation of the system validity. Strong increase in pressure under the big toes compared to the heels (225% and 91%, respectively) with large interindividual differences characterized the take-off. These differences may reflect an unstable anteroposterior balance of a jumper while he tries to create a proper forward rotation for a good flight position.


2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Ping Huang ◽  
Minjun Liang ◽  
Feng Ren

This study was aimed to analyze the foot posture index and plantar pressure characteristics of fifteen badminton players and fifteen controls. The hypothesis was that people with the habit of playing badminton would be significantly different with nonplaying people in foot posture index, 3D foot surface data, and plantar pressure distribution. Nine regions of plantar pressure were measured by using the EMED force platform, and badminton players showed significantly higher peak pressure in the hallux (p=0.003), medial heel (p=0.016), and lateral heel (p=0.021) and force-time integral in the hallux (p=0.002), medial heel (p=0.026), and lateral heel (p=0.015). There is no asymmetrical plantar pressure distribution between the left foot and the right foot of players. The mean foot posture index values of male and female badminton players are 5.2 ± 1.95 and 5.7 ± 1.15, respectively, and comparatively, those values of male and female controls are 1.5 ± 1.73 and 1.7 ± 4.16, respectively. This study shows that significant differences in morphology between people with the habit of playing badminton and people without that habit could be taken as a factor for a future study in locomotion biomechanics characteristics and foot shape of badminton players and in a footwear design in order to reduce injury risks.


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.


1996 ◽  
Vol 17 (8) ◽  
pp. 470-472 ◽  
Author(s):  
Rob L. Martin ◽  
Stephen F. Conti

In a previous study, we examined plantar pressures under normally arched individuals in casts. The investigation described in this article was designed to assess plantar pressure distribution in subjects with Charcot midfoot collapse and rockerbottom deformity in standard short leg casts and total contact casts. Our results show that both types of casts significantly reduced midfoot pressures. No significant differences were noted between the two casting groups.


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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