A postural stability analysis by using plantar pressure measurements

Author(s):  
S Boukhenous ◽  
M Attari
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.


2016 ◽  
Vol 8 (1) ◽  
Author(s):  
Vanessa K.N. Petry ◽  
Jürgen R.J. Paletta ◽  
Bilal F. El-Zayat ◽  
Turgay Efe ◽  
Nathalie S.D. Michel ◽  
...  

Sport specific movements coming along with characteristic plantar pressure distribution and a fatigue of muscles result in an increasing postural sway and therefore lead to a decrease in balance control. Although single soccer specific movements were expatiated with respect to these parameters, no information is available for a complete training session. The objective of the present observational study was to analyze the direct influence of soccer training on postural stability and gait patterns and whether or not these outcomes were altered by age. One hundred and eighteen experienced soccer players participated in the study and were divided into two groups. Group 1 contained 64 soccer players (age 13.31±0.66 years) and Group 2 contains 54 ones (age 16.74±0.73 years). Postural stability, static plantar pressure distribution and dynamic foot loading patterns were measured. Our results showed that the soccer training session, as well as the age, has relevant influence on postural stability, while the age only (excluding the training) has an influence on static plantar pressure distribution. The parameters of dynamic assessment seem therefore to be affected by age, training and a combination of both. Training and young age correlate with a decreased postural stability; they lead to a significant increase of peak pressure in the previously most loaded areas, and, after reaching a certain age and magnitude of absolute values, to a change in terminal stance and preswing phase of the roll-over. Moreover, younger players show an inhomogenous static plantar pressure distribution which might be the result of the decreased postural control in the young age.


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 ◽  
...  

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

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