Forefoot Plantar Pressures in Rheumatoid Arthritis

2004 ◽  
Vol 94 (3) ◽  
pp. 255-260 ◽  
Author(s):  
Simon J. Otter ◽  
Catherine Jane Bowen ◽  
Adam K. Young
Keyword(s):  
Rheumatoid Arthritis ◽  
Pressure Measurement ◽  
Plantar Pressure ◽  
Rheumatoid Arthritis Group ◽  
Foot Pressure ◽  
Plantar Pressures ◽  
Plantar Pressure Distribution ◽  
Temporal Aspects ◽  
Peak Plantar Pressure ◽  
Force Time

We sought to investigate the magnitude and duration of peak forefoot plantar pressures in rheumatoid arthritis. The spatial and temporal characteristics of forefoot plantar pressures were measured in 25 patients with a positive diagnosis of rheumatoid arthritis of 5 to 10 years’ duration (mean, 8 years) and a comparison group using a platform-based pressure-measurement system. There were no significant differences between groups in the magnitude of peak plantar pressure in the forefoot region. Significant differences were, however, noted for temporal aspects of foot-pressure measurement. The duration of loading over sensors detecting peak plantar pressure was significantly longer in the rheumatoid arthritis group. In addition, the rheumatoid arthritis group demonstrated significantly greater force–time integrals. Significant increases in the temporal parameters of plantar pressure distribution, rather than those of amplitude, may be characteristic of the rheumatoid foot. (J Am Podiatr Med Assoc 94(3): 255–260, 2004)

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

2003 ◽  
Vol 24 (4) ◽  
pp. 349-353 ◽  
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.

Foot Function in Diabetic Patients after Partial Amputation

1996 ◽  
Vol 17 (1) ◽  
pp. 43-48 ◽  
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.

scholarly journals Plantar Pressures in Rheumatoid Arthritis Using Prefabricated Metatarsal Padding

2004 ◽  
Vol 94 (3) ◽  
pp. 239-245 ◽  
Author(s):  
Lorraine Jackson ◽  
Jodi Binning ◽  
Julia Potter
Keyword(s):  
Rheumatoid Arthritis ◽  
Measurement System ◽  
Pressure Measurement ◽  
Plantar Pressure ◽  
Full Length ◽  
Plantar Pressures ◽  
Experienced Pain ◽  
Plantar Pressure Measurement ◽  
Pressure Measurement System

We sought to determine whether one of two prefabricated insole designs could better manage high forefoot plantar pressures in patients with rheumatoid arthritis. Ten subjects with rheumatoid arthritis who experienced pain with shod weightbearing were studied by using a plantar pressure measurement system. Two insole designs and a shoe-only control condition were randomly tested in repeated trials. Dome- and bar-shaped metatarsal pads made of latex foam were incorporated into full-length insoles made of urethane. Significant reductions in mean peak plantar pressures over the central metatarsals were noted when using the insole and dome pad design (12% [33 kPa]) and the insole and bar pad design (21% [58 kPa]) compared with the shoe-only condition. A prefabricated insole design incorporating a bar metatarsal pad is recommended to manage high forefoot plantar pressures in patients with rheumatoid arthritis. (J Am Podiatr Med Assoc 94(3): 239-245, 2004)

A Method for Measuring Foot Pressures Using a High Resolution, Computerized Insole Sensor: The Effect of Heel Wedges on Plantar Pressure Distribution and Center of Force

Foot & Ankle ◽  
1992 ◽  
Vol 13 (5) ◽  
pp. 263-270 ◽  
Author(s):  
Nicholas E. Rose ◽  
Lawrence A. Feiwell ◽  
Andrea Cracchiolo
Keyword(s):  
High Resolution ◽  
Pressure Distribution ◽  
Plantar Pressure ◽  
Foot Pressure ◽  
The Third ◽  
Plantar Pressures ◽  
Pressure Sensitive ◽  
Plantar Pressure Distribution ◽  
Normal Test

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.

Feet Plantar Pressure Distribution Among Female School Teachers

2020 ◽  
Author(s):  
Ayuni Nabilah Alias ◽  
Karmegam Karuppiah ◽  
Vivien How ◽  
Velu Perumal
Keyword(s):  
Pressure Distribution ◽  
Pressure Measurement ◽  
Plantar Pressure ◽  
Significant Finding ◽  
School Teachers ◽  
Plantar Pressure Distribution ◽  
Starting Point ◽  
The Right

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.

scholarly journals Plantar pressure distribution evaluation in children with down syndrome from 2 to 5 years old

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 ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Pressure Distribution ◽  
Plantar Pressure ◽  
Cross Sectional Study ◽  
Measurement Instruments ◽  
Standing Posture ◽  
Cross Sectional ◽  
Plantar Pressures ◽  
Pressure Distributions ◽  
Plantar Pressure Distribution

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.

EFFECT ON PLANTAR PRESSURE DISTRIBUTION WITH WEARING DIFFERENT BASE SIZE OF HIGH-HEEL SHOES DURING WALKING AND SLOW RUNNING

2012 ◽  
Vol 12 (01) ◽  
pp. 1250018 ◽  
Author(s):  
LAN-YUEN GUO ◽  
CHIEN-FEN LIN ◽  
CHICH-HAUNG YANG ◽  
YI-YOU HOU ◽  
HUNG-LIN LIU ◽  
...  
Keyword(s):  
Plantar Pressure ◽  
Specific Area ◽  
High Heel ◽  
Plantar Pressures ◽  
Plantar Pressure Distribution ◽  
Healthy Female ◽  
Base Size ◽  
Plantar Area ◽  
Narrow Base ◽  
Female Subjects

High heeled shoes may alter the regular loading pattern of the plantar pressure, especially increased in the forefoot area. Walking with narrow base of high heeled shoes may induce the brisk acceleration of the supported leg due to instability that increases the force on the plantar area. Particularly, this phenomenon may be amplified while slow running, but never been investigated. Materials and Methods: Plantar pressures were measured for different specific area of foot using the Pedar-X system. The effects on plantar pressure with different sized bases (1.2× 1.2 cm2 and 2.2 × 3.5 cm2) of high-heeled shoe (7.8 cm in height) were examined while walking in thirteen healthy female subjects and during slow running in nine healthy female subjects. Results: The plantar pressures of the hallux and toe while wearing narrow base high heel were significantly (p < 0.05) greater than those when walking with wearing wide base one. For both narrow and wide base heels, significantly increased (p < 0.05) plantar pressure were found in the medial forefoot while slow running at 2.0 m/s as compared with walking at 1.0 m/s and 1.5 m/s. While slow running with wearing narrow base high heel indicated significantly (p < 0.05) increased plantar pressures in the medial, central and lateral forefoot and toes regions compared with those with wearing wide base one. Conclusion: The findings suggest that if individuals have to wear high heeled shoes, it would be better to select one with a wide based heel to avoid running in at any circumstance.

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

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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