scholarly journals Elhízott populációra jellemző talpnyomásminták vizsgálata

2016 ◽  
Vol 157 (48) ◽  
pp. 1919-1925 ◽  
Author(s):  
Eleonóra Leidecker ◽  
Péter Kellermann ◽  
Mónika Galambosné Tiszberger ◽  
Bálint Molics ◽  
Aliz Bohner-Beke ◽  
...  
Keyword(s):  
Body Weight ◽  
Contact Area ◽  
Plantar Pressure ◽  
Peak Pressure ◽  
Maximum Pressure ◽  
Foot Health ◽  
Working Age ◽  
Obese Subjects ◽  
The Impact ◽  
Plantar Area

Introduction: Although the role of body weight on foot health and load has been widely documented in research, the effect of the extra load due to body weight on plantar pressure characteristics is not well known. Aim: The aim of this study was to evaluate the impact of obesity on plantar pressure patterns among the working-age population. Method: 180 participants were involved. Two groups were evaluated according to body mass index categories regarding eight regions of the plantar area, focusing on the following parameters: contact area, maximum pressure and peak pressure. Results: Compared with non-obese subjects, the peak pressure was the highest on the midfoot (p<0.001) and the forefoot (p<0.001). Regarding the maximum force, significant statistical difference was detected on the toes (p<0.001), with a value lower among the obese group. The contact area on the total foot and the midfoot was lower among the non-obese subjects (p<0.001). Conclusions: Loading is greatly increasing on the whole plantar area, especially at the midfoot and the forefoot region. Orv. Hetil., 2016, 157(48), 1919–1925.

scholarly journals Impact of body weight on shifting of foot pressure among adult subjects

2020 ◽  
Vol 22 (2) ◽  
Author(s):  
Enas F. Youssef ◽  
Alsayed A. Shanb ◽  
Mariam A. Ameer ◽  
Mahmoud E. Shanab
Keyword(s):  
Contact Area ◽  
Plantar Pressure ◽  
Peak Pressure ◽  
Normal Subjects ◽  
Foot Pressure ◽  
Foot Length ◽  
Group I ◽  
Walking Activity ◽  
Length Width ◽  
Obese Subjects

Purpose: The aim of the study was to compare the distribution of foot plantar pressure between normal and obese adult subjects during walking. Methods: Sixty male and female adult volunteers (aged 20–40) were recruited into the study. They were equally divided into 30 normal subjects (BMI = 18.5–22.9 kg/cm2) into group I and 30 obese subjects (BMI ≥ 25.0 kg/cm2) into group II, according to their BMI. Results: There were statistically significant differences between normal and obese subjects in foot length, width, and pressure distribution in the hindfoot, midfoot, forefoot, and toes. There was a statistically significant increase in the plantar pressure of all measured areas in obese persons in comparison with the normal subjects. In addition, all measures of foot pressure showed statistically significant differences between the same sex of both groups, while the obese subjects of both genders have higher foot pressure in all measured areas. High positive correlations were detected between BMI, peak pressure, foot contact, and foot width in both groups, but there was a weak positive correlation between normal BMI and foot contact area. Conclusion: The distribution of plantar foot pressure is different in adult obese subjects than in normal adult subjects during walking activity. The obese persons have larger foot length, width, higher peak pressure, and contact area. This study can help physical therapists to understand the differences of foot pressure between normal and obese subjects, and consequently, to detect any expected foot abnormalities accompanied by obesity.

scholarly journals The effect of medial arch support over the plantar pressure and triceps surae muscle strength after prolonged standing

2015 ◽  
Vol 24 (3) ◽  
pp. 146-9 ◽  
Author(s):  
Hindun Saadah ◽  
Deswaty Furqonita ◽  
Angela Tulaar
Keyword(s):  
Muscle Strength ◽  
Contact Area ◽  
Plantar Pressure ◽  
Peak Pressure ◽  
Standing Position ◽  
Triceps Surae ◽  
Prolonged Standing ◽  
Triceps Surae Muscle ◽  
Before And After ◽  
Arch Support

Background: The activity with prolonged standing position is one of the causes of abnormalities in the lower leg and foot. The aim of this study is to discover the effect of medial arch support over the distribution of plantar pressure when standing and walking.Methods: This was an experimental study with pre- and post-design the strength of triceps surae muscle after prolonged standing, was also evaluated in an experimental study with pre- and post-design. Variables of plantar pressure measurement are the contact area and pressure peak were measured by using the Mat-scan tool. The measurement of the triceps surae muscle strength was done with a hand-held dynamometer, before and after using the medial arch support. Measurement was performed before and after working with prolonged standing position which took place about seven hours using the medial arch support inserted in the shoes. Data was analyzed using paired T-test.Results: There was a significant difference of peak pressure between standing (p = 0.041) and walking (p = 0.001). Whereas the contact area showed a significant decrease in the width of the contact area when standing (104.12 ± 12.42 vs 99.08 ± 10.21 p = 0.023). Whereas, the triceps surae muscle strength pre- and post-standing prolonged did not indicate a significant difference.Conclusion: There was decrease in peak pressure when standing and walking and decrease in contact area when standing on plantar after used of the medial arch support after prolonged standing.

scholarly journals ATFL repair alone versus combined repairs of ATFL and CFL

2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0002
Author(s):  
Kenneth Hunt ◽  
Judas Kelley ◽  
Richard Fuld ◽  
Nicholas Anderson ◽  
Todd Baldini
Keyword(s):  
Contact Area ◽  
Peak Pressure ◽  
Plantar Flexion ◽  
Weight Bearing ◽  
Three Dimensional ◽  
Lateral Ligament ◽  
Joint Stability ◽  
Intact Specimen ◽  
Significant Difference ◽  
The Impact

Category: Ankle Introduction/Purpose: The standard for lateral ligament stabilization is direct repair of the ATFL by open or arthroscopic technique. The implications and necessity of repairing the CFL are not well understood. The purpose of this study was to assess the impact of repairing the ATFL alone compared to repairing both the ATFL and CFL, in a biomechanical cadaver model. We hypothesized that repairing the CFL will substantially augment ankle and subtalar joint stability during weight-bearing ankle inversion compared to ATFL repair alone. Methods: Ten matched pairs of fresh frozen human cadaveric ankles were dissected to expose intact ATFL and CFL. Ankles were mounted to an Instron at 20° plantar flexion and 15° of internal rotation. Each ankle was loaded to body weight and then tested from 0 to 20° of inversion for three cycles; stiffness and torque were recorded, peak pressure and contact area were recorded using a calibrated Tekscan sensor system, and rotational displacement of the talus and calcaneus relative to the ankle mortise was recorded using a three-dimensional motion capture system. Ankles then underwent sectioning of ATFL and CFL and were randomly assigned to ATFL only repair using two arthroscopic Broström all-soft anchors, or combined ATFL and CFL repair. Testing was repeated after repair to 20° of inversion, then load-to-failure (LTF). Results: The predominant mode of failure after repair was at the tissue/suture. There were no instances of anchor pullout. There was an 11.7% increase in stiffness in combined repairs, and only a 1.6% increase in ATFL-only repairs. CFL failed at lower torque and rotation than the ATFL in combined repairs. There were strong correlations between intact stiffness and stiffness after repair (r=.74) and ATFL torque in LTF testing (r=.77), across both groups. There was no significant difference in peak pressure or contact area in the tibiotalar joint between the intact ankle and ATFL or combined repair. Conclusion: We found a greater increase in stiffness following combined ATFL and CFL repair compared to ATFL repair alone. This added stability is due to complimentary contributions of the CFL, not augmented LTF strength of the ATFL. Intact specimen stiffness correlated strongly with stiffness after repair and LTF torque, suggesting that a patient’s inherent tissue laxity or inelasticity is likely a meaningful predictor of strength after repair. Restoring the CFL plays a relevant role in lateral ligament repair, however sufficient time for ligament healing should be allowed before substantial inversion stresses are applied.

A Comparison of Metatarsal Pads on Pressure Redistribution in High Heeled Shoes

2014 ◽  
Vol 18 (2) ◽  
pp. 40-48
Author(s):  
Y. Luximon ◽  
J. Yu ◽  
M. Zhang
Keyword(s):  
Plantar Pressure ◽  
Peak Pressure ◽  
Comfort Level ◽  
Pressure Relief ◽  
Foot Health ◽  
Foot Problems

Foot health is very important for women. Previous studies have demonstrated that the wearing of high heeled shoes could create high forefoot pressure and cause many foot problems. Metatarsal pads are often used in plantar pressure relief. Therefore, the effects of several different metatarsal pads for high heeled shoes are investigated in this study. There are three tested materials, including bio-gel, polyurethane and EVA. Forefoot pressure, heel pressure, and comfort level are recorded and analyzed. The results show that the insertions of all types of metatarsal pads reduce forefoot peak pressure and increase heel peak pressure during walking. Polyurethane is the most efficient material, which relieves the forefoot peak pressure by 35.54% compared to circumstances without the padding. In addition, the subjective comfort level is significantly improved when the bio-gel pad is applied. The results from this study could be useful in the designing of metatarsal pads for high heeled shoes.

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

2018 ◽  
Vol 64 (1) ◽  
pp. 13-23 ◽  
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.

scholarly journals Influence of schoolbag carriage on pattern changes in plantar pressure during walking among first-grade schoolchildren

Kinesiology ◽  
2018 ◽  
Vol 50 (2) ◽  
pp. 188-193 ◽  
Author(s):  
Mario Kasović ◽  
Martin Zvonar ◽  
Larisa Gomaz ◽  
Filip Bolčević ◽  
Vincent Anton
Keyword(s):  
Body Weight ◽  
Plantar Pressure ◽  
Peak Pressure ◽  
Statistical Significance ◽  
First Grade ◽  
The Body ◽  
Compensatory Mechanisms ◽  
Foot Problems ◽  
The Mean ◽  
Dependent Samples

The aim of this study was to determine the influence of schoolbag carriage on pattern changes in plantar pressure during walking among schoolchildren of first grade. The sample consisted of 127 schoolchildren, 48.8% male (n = 62) and 51.2% female (n = 65), aged 6.7 (±0.5) years. The mean schoolbag weight was 4.2 kg (±0.7), which represented 16.9% (±3.9) of children’s body weight, thus exceeding the upper limit of the recommended 15% of the body weight and generally affecting their posture. The study has shown the statistically significant influence of the schoolbag on changes in plantar pressure pattern when walking in relation to walking without the schoolbag. Using a t-test for large dependent samples and by setting statistical significance at p≤.05, the significant increase was noticed in peak pressure for the forefoot (p=.000; 17.1%), midfoot (p=.000; 5.7%) and hindfoot (p=.004; 3.9%) as well as in average pressure for the midfoot (p=.005; 6.2%). Also, due to the compensatory mechanisms activated while the bag was being carried, the statistically significant increase in the contact surface at the forefoot (p=.000; 3.6%) and midfoot (p=.000, 8.8%) occurred. Changes in the distribution of pressure between different parts of the foot are a source of potential foot problems which is why the results of this study have a high applicability in the prevention of foot pathology in the future

scholarly journals Comparative Study of Plantar Pressure during Step Exercise in Different Floor Conditions

2007 ◽  
Vol 23 (2) ◽  
pp. 162-168 ◽  
Author(s):  
Rita Santos-Rocha ◽  
António Veloso
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Plantar Pressure ◽  
Mechanical Load ◽  
Reaction Force ◽  
Force Platform ◽  
Contact Forces ◽  
Impact Forces ◽  
The Impact ◽  
Floor Condition

Mechanical load has been estimated during step exercise based on ground reaction force (GRF) obtained by force platforms. It is not yet accurately known whether these measures reflect foot contact forces once the latter depend on footwear and are potentially modified by the compliant properties of the step bench. The aim of the study was to compare maximal and mean plantar pressure (PP), and maximal GRF obtained by pressure insoles after performing seven movements both over two metal force platforms and over the step bench. Fifteen step-experienced females performed the movements at the cadences of 130 and 140 beats per minute. PP and GRF (estimated from PP) obtained for each floor condition were compared. Maximal PP ranged from 29.27 ± 9.94 to 47.07 ± 12.88 N/cm2 as for metal platforms, and from 28.20 ± 9.32 to 43.00 ± 13.80 N/cm2 as for the step bench. Mean PP ranged from 11.09 ± 1.62 to 14.32 ± 2.06 N/cm2 (platforms) and from 10.71 ± 1.54 to 14.22 ± 1.77 N/cm2 (step bench). GRF (normalized body weight) ranged from 1.43 ± 0.14 to 2.41 ± 0.24 BW (platforms) and from 1.38 ± 0.14 to 2.36 ± 0.19 BW (step bench). No significant statistical differences were obtained for most of the comparisons between the two conditions tested. The results suggest that metal force platform surfaces are suitable to assess mechanical load during this physical activity. The forces applied to the foot are similar to the softer step bench and the hard force platform surface. This may reflect the ability of the performers to adapt their movement patterns to normalize the impact forces in different floor conditions.

scholarly journals Targeting the Endocannabinoid CB1 Receptor to Treat Body Weight Disorders: A Preclinical and Clinical Review of the Therapeutic Potential of Past and Present CB1 Drugs

Biomolecules ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. 855 ◽  
Author(s):  
Thomas Murphy ◽  
Bernard Le Foll
Keyword(s):  
Body Weight ◽  
Therapeutic Potential ◽  
Treatment Options ◽  
Endocannabinoid System ◽  
Cb1 Receptor ◽  
Obese Subjects ◽  
Treatment Of Obesity ◽  
Psychiatric Side Effects ◽  
Preclinical And Clinical Studies ◽  
The Impact

Obesity rates are increasing worldwide and there is a need for novel therapeutic treatment options. The endocannabinoid system has been linked to homeostatic processes, including metabolism, food intake, and the regulation of body weight. Rimonabant, an inverse agonist for the cannabinoid CB1 receptor, was effective at producing weight loss in obese subjects. However, due to adverse psychiatric side effects, rimonabant was removed from the market. More recently, we reported an inverse relationship between cannabis use and BMI, which has now been duplicated by several groups. As those results may appear contradictory, we review here preclinical and clinical studies that have studied the impact on body weight of various cannabinoid CB1 drugs. Notably, we will review the impact of CB1 inverse agonists, agonists, partial agonists, and neutral antagonists. Those findings clearly point out the cannabinoid CB1 as a potential effective target for the treatment of obesity. Recent preclinical studies suggest that ligands targeting the CB1 may retain the therapeutic potential of rimonabant without the negative side effect profile. Such approaches should be tested in clinical trials for validation.

scholarly journals The Effect of Achilles Tendon Loading on Ankle Joint Contact Area and Peak Pressure

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0030
Author(s):  
L. Daniel Latt ◽  
Alfonso Ayala ◽  
Samuel Kim ◽  
Jesus Lopez
Keyword(s):  
Achilles Tendon ◽  
Ankle Joint ◽  
Contact Area ◽  
Axial Load ◽  
Peak Pressure ◽  
The Body ◽  
Neutral Position ◽  
Joint Contact ◽  
Axially Loaded ◽  
The Impact

Category: Ankle Introduction/Purpose: Increased tibiotalar peak pressure (PP) and decreased contact area (CA) following ankle fracture are associated with the development of post-traumatic osteoarthtritis. Lateral talar translation of just 1 mm has been shown to decrease CA by 42%. The impact of talar malalignment in other directions on ankle joint contact pressures (AJCP) are not well understood. The majority of research on AJCP has utilized cadaveric models in which body weight is simulated with an axial load applied through the tibia. This model does not account for Achilles tendon - which transmits the largest tendon force in the body during weight bearing. This study aimed to determine the effects of Achilles tendon loading on tibiotalar CA and PP in an axially loaded cadaver model at different ankle flexion angles. Methods: Ten fresh frozen cadaveric lower extremity specimens transected mid-tibia were dissected free of soft tissues surrounding the ankle, sparing the ligaments. The proximal tibia and fibula were potted in quick drying cement for rigid mounting on a MTS machine. A pressure sensing element (TekScan KScan model 5033) was inserted into the tibiotalar joint and used to measure CA (cm2) and PP (MPa). An axial load of 686 N was applied through the tibia and fibula, followed by a 350 N load via the Achilles tendon to simulate mid-stance conditions. Measurements were taken at neutral position, 15 degrees of dorsiflexion and 15 degrees of plantarflexion, with and without Achilles load. The effects of Achilles load and ankle flexion angle on CA and PP were analyzed using a 2x3 ANOVA. Bonferroni post-hoc adjustments were used for multiple comparisons. Level of statistical significance was set at p < 0.05. Results: ANOVA revealed significant main effects of ankle flexion on contact area and peak pressures (Table 1). Contact area was significantly lower for 15 degrees of plantarflexion than neutral and 15 degrees of dorsiflexion (p < 0.001). In addition, peak pressure was significantly higher for 15 degrees of plantarflexion than neutral and 15 degrees of dorsiflexion. ANOVA also indicated that contact area and peak pressure were significantly higher with Achilles load than without (p < 0.001). No interaction effects were found. Conclusion: The applied Achilles tendon load significantly altered tibiotalar PP in an axially loaded cadaver model. On the other hand, changes in CA with Achilles load were found to be minimal (~1.8%). We also found that the greatest PP and smallest CA occured during plantar flexion. This observation can be explained by a difference in width between the anterior and posterior talus. While the results of this study demonstrate the importance of Achilles tendon load on tibiotalar measurements, further studies investigating the effects of additional factors such as loading techniques are warranted to improve the physiological accuracy of cadaver models.

Pressure Distribution under Symptom-Free Feet during Barefoot Standing

Foot & Ankle ◽  
1987 ◽  
Vol 7 (5) ◽  
pp. 262-278 ◽  
Author(s):  
Peter R. Cavanagh ◽  
Mary M. Rodgers ◽  
Akira liboshi
Keyword(s):  
Body Weight ◽  
Pressure Distribution ◽  
Significant Relationship ◽  
Plantar Pressure ◽  
Load Distribution ◽  
Peak Pressure ◽  
Distribution Analysis ◽  
Pressure Distributions ◽  
Transverse Arch ◽  
Peak Pressures

The plantar pressure distributions for a large heterogeneous sample of feet (N = 107) were collected during barefoot standing using a capacitance mat. From these data, the function of the foot during standing was characterized. Peak pressures under the heel (139 kPa) were, on average, 2.6 times greater than forefoot pressures (53 kPa). Forefoot peak pressures were usually located under the second or third metatarsal heads. No significant relationship was found between body weight and the magnitude of peak pressure. The concepts of a transverse arch at the level of the metatarsal heads and a “tripod” theory of load distribution were not substantiated by this study. Load distribution analysis showed that the heel carried 60%, the midfoot 8%, and the forefoot 28% of the weightbearing load. The toes were only minimally involved in the weightbearing process. Examples of unusual distributions are shown; finally, a checklist is provided to aid the clinician in evaluating plantar pressure findings.

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