Abstract

Pedobarographic examination is a non-invasive method that enables the quantitative and qualitative evaluation of plantar pressure distribution, notably the plantar pressure distribution, referring to the function of the entire musculoskeletal system. This is a scoping review that aims to update knowledge on the practical use of pedobarography in foot disorders. We also attempted to systematize the methodological principles of conducting the pedobarographic examination. We searched Medline/PubMed, Embase, Web of Science, and the Cochrane Database of Systematic Reviews for the articles on the methodology of pedobarography. The search encompassed clinical trials, randomized controlled trials, meta-analyses, and reviews published in English between January 1982 and February 2021. The literature distinguishes three different types of examinations: static, postural, and dynamic. The rationale for each is presented. The review pointedly shows the unique use of pedobarography for the quantitative and qualitative evaluations of the plantar pressure distribution. It also points to the need for enhancing the awareness among medical professionals of the method and advantages it provides for patient management. Shortcomings of the method are discussed of which the difficulty in establishing the cause-and-effect relationship of foot disorders is the most disturbing as it limits the comparative verification of results of different studies. There also appears a need for developing standardized algorithmic protocols and recommendations to seamlessly perform pedobarography in clinical settings, which would help make wider use of this valuable tool.

Highlights

  • Foot disorders are an underestimated widespread ailment, in developed societies

  • It was improved by Hennig et al [18] who evaluated the contact pressure between the plantar surface and the shoe insole and Péruchon et al [19] who assessed foot-pressure distribution in multisensory artificial soles composed of barosensitive cells during walking conditions

  • We attempted to systematize the methodological principles of conducting the pedobarographic examination based on the available literature

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Summary

Introduction

Foot disorders are an underestimated widespread ailment, in developed societies. Cavanagh and Ae [17] introduced quantitative evaluation of dynamic pressure distribution under the feet while walking in shoes, the method was a predecessor of contemporary pedobarography. It was improved by Hennig et al [18] who evaluated the contact pressure between the plantar surface and the shoe insole and Péruchon et al [19] who assessed foot-pressure distribution in multisensory artificial soles composed of barosensitive cells during walking conditions. The methodological information is mostly brief and included in the articles’ fragments that deal with clinical conditions and the management of disorders This is a scoping review that aims to update knowledge on the use of pedobarography in foot disorders. We attempted to systematize the methodological principles of conducting the pedobarographic examination based on the available literature

Literature Search
Discussion
Pedobarographic Measurements
Findings
Difficulties and Ambiguities concerning Pedobarography
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