Plantar Pressure Distribution Research Articles

Center of pressure in relation to foot morphology and knee symptoms in older women with medial knee joint deformity: A cross-sectional study.

To examine the correlations amongst center of pressure (COP) trajectories, foot morphology and knee symptoms in older women with medial knee deformity. This was a cross-sectional study. Participants were recruited from two local orthopedic clinics. Eighty-four female patients with medial knee deformity (Kellgren Lawrence grade ≥1) aged 60 years or older. Not applicable. COP trajectories during comfortable gait were obtained using a plantar pressure distribution platform. As foot morphology metrics, hallux valgus angle, navicular/foot ratio, and leg-heel alignment were measured. The knee society scoring system was used to evaluated knee symptom severity. We used statistical parametric mapping for COP trajectory analysis to reduce the bias caused by data extraction. Multiple linear regression in statistical parametric mapping was used to determine the correlations amongst foot morphology, knee symptom severity and COP trajectories. There was a correlation between higher navicular/foot ratio and medial shift on COP at initial contact (0〜3.0% stance phase, p<0.05) and at toe-off (95.3〜100% stance phase, p=0.04). Also, higher navicular/foot ratio was associated with lateral shift of COP during single leg stance phase (8.3〜80.1% stance phase, p<0.01). We also found a significant correlation between lateral shift of COP during loading response phase (6.8〜19.0% stance phase) and knee symptom severity (p=0.03). Our results indicated that patients with severe knee symptoms may benefit from intervention to modify the foot arch and to medially shift the COP, which may be capable of relieving knee symptoms. Although our results do not directly show pain reduction, a medial COP shift could indeed reduce pain in cases where knee adduction moment is responsible for pain. These findings may contribute to the further development of conservative intervention, which focus on knee OA patients' foot morphology.

Modified kinematic alignment better restores plantar pressure distribution than mechanical alignment in total knee arthroplasty: a randomized controlled trial.

Kinematic alignment (KA) in the short to medium term clinical outcomes is superior to the mechanical alignment (MA), but whether it will improve patients' postoperative gait is still controversial. Understanding whether and how KA influences postoperative gait mechanics could provide insights into optimizing alignment philosophy to improve functional outcomes. To investigate the impact of KA versus MA in total knee arthroplasty (TKA) on the operated and contralateral native lower limbs by analyzing plantar pressure distribution during walking gait. This study was designed as a secondary analysis from a randomized controlled trial. Thirty-seven patients were included, nineteen underwent KA-TKA and eighteen underwent MA-TKA, each with a native knee in the contralateral limb. Pressure-sensitive insoles were used to collect plantar pressure distribution of both limbs simultaneously during walking defined as medial-lateral load ratio (MLR). Perioperative characteristics including radiographic metrics (Hip-Knee-Ankle angle (HKA), mechanical lateral distal femoral angle (mLDFA), and mechanical medial proximal tibial angle (mMPTA) and clinical outcomes (Oxford Knee Scores (OKS)) were compared between the two groups pre-operatively and 2-year postoperatively. Significant differences were found in postoperative radiographic metrics, with KA showing better OKS 1 year postoperatively (p = 0.021), lower mean HKA (p = 0.009) and mMPTA (p < 0.001). Other perioperative characteristics were similar between groups. In the pedobarographic analysis, the MA group demonstrated greater medial pressure distribution in forefoot compared to both the KA group (p < 0.001) and the contralateral native knee (p = 0.002). Besides, the MA group revealed a more lateral pressure distribution in rearfoot compared to the KA group (p = 0.007) and the contralateral native knee (p = 0.001). While there was no significant difference between KA and native group (p = 0.064 and p = 0.802, respectively). KA offered advantages over MA in restoring a more physiologic plantar pressure distribution at two years postoperatively. These results underscore the potential clinical benefits of adopting KA techniques in TKA procedures.

Paradoxıcal effect of body mass index ranges on pedobarographic evaluatıon

Although there is evidence suggesting that obesity alters plantar pressure distribution, the specific effects of certain body mass index (BMI) ranges on pedobarographic measures in healty individuals has been poorly investigated. A cross-sectional study with 167 healthy participants was conducted to assess plantar pressure changes across 4 BMI ranges: Under/normal weight (NW), overweight (OW), obese (OB), severe obese (SO). Subjects walked on the Footscan® pressure plate at a self-selected speed, and peak plantar pressure (PPP), load rate, and contact area values were recorded. The foot was divided into 10 zones: hallux (T1), toes 2–5 (T2-5), metatarsals 1–5 (M1-M5), midfoot (MF), medial hindfoot (MH) and lateral hindfoot (LH). PPP underneath M2-M4 was lowest in the NW group (p = 0.011), and although PPP values for the SO group were lower than those for the OW and OB groups, these differences were not statistically significant. Load rate values of M2-M3 were lower in both the NW and SO groups (p = 0.008) compared to the OW and OB groups. In addition, the metatarsal load rate values for the SO group were generally lower than those for the NW group. The total metatarsal contact area of both the NW and SO groups was lower (p = 0.019) than that of the OW and OB groups in both feet. These findings suggest that as BMI increases, PPP, load rate, and contact area in the middle metatarsal region initially increase, stabilize early in obesity, and then decrease at advanced stages, indicating a shift of the load to the midfoot.

Gait performance changes after ten cervical retractions

Background and Study Aim. Students are prone to spine overloading, as they often spend prolonged periods in unfavorable postures. They tend to struggle with balancing study time and leisure physical activity. The head and neck regions are particularly rich in proprioceptors. Prolonged forward head posture (protraction) can lead to balance disturbances. This, in turn, affects gait and overall body posture. The aim of this study was to examine the effects of a series of corrective active head exercises on gait, a fundamental form of movement, in a group of healthy university students. Material and Methods. Gait patterns were assessed in 10 healthy male full-time students with an average age of 22.8 years (SD = 1.1). The assessment was based on the regional distribution of plantar pressure across two measurement sessions. One session was conducted before, and one after performing 10 active head retractions. Gait changes were analyzed in ten foot regions for 200 steps of each participant. Results. After 10 cervical retractions, a decrease in pressure, ground reaction force, contact time, and area values was observed in the 1st metatarsal head (1MTH). Conversely, an increase in these quantities was found in the toes. Additionally, there was a tendency toward a decrease in the contact area of the heel and 3rd metatarsal head (3MTH), along with increased contact time in the midfoot. Performing 10 neck retractions altered gait by inducing heel supination. It also increased hallux involvement in propulsion and widened the base of toe support. Conclusions. Even a few movements that correct head protraction have an immediate effect on whole-body movement. This effect suggests potential benefits of incorporating neck retractions into physical education programs for students. Even when time-consuming forms of regular exercise are not feasible, performing just a few neck-correcting movements can positively impact overall body movement.

An observational study of lower limb muscle imbalance assessment and gait analysis of badminton players.

The imbalance of muscle strength indicators has a negative impact on players. Lower limb muscle imbalance can cause gait abnormalities and increase the risk of muscle injury or decreased performance in significantly asymmetrical situations. This study aims to assess the lower limb muscle imbalance and gait feature between the dominant and non-dominant sides of badminton players and the associations between the two variables. The study included 15 badminton players with years of training experience. Muscle strength and gait parameters were obtained from isokinetic muscle strength testing and plantar pressure analysis systems. The symmetry index was calculated based on formulas such as plantar pressure distribution and percentage of plantar contact area. In the isokinetic muscle strength test, significant differences were found in bilateral knee flexors' average power and total work at 60°/s angular speed. The hamstring to quadriceps ratio (H/Q) range of knee joints of the dominant and non-dominant sides is 0.63-0.74at low speed, while the H/Q range is 0.81-0.88at fast speed. The H/Q of bilateral knees increases with increasing angular velocity. As the angular velocity increases, the peak torque to body weight ratio (PT/BW) of the participants' bilateral knee flexors and extensors shows a decreasing trend. The asymmetry score of H/Q at 180°/s angular speed is positively related with step time and stance time. There are varying degrees of differences in gait staging parameters, plantar pressure in each area, plantar contact area, and symmetry index between the dominant and non-dominant sides of badminton players when walking. Badminton players have weaker flexors of the knee joint, imbalanced muscle strength in flexors and extensors, decreased lower limb stability, and a risk of knee joint injury on the non-dominant side. The bending and stretching strength of the knee joint on the dominant side of the players is greater than that on the non-dominant side. The pressure in the first metatarsal region of the dominant side is higher, while that in the midfoot and heel regions is higher on the non-dominant side. badminton players have better forward foot force and heel cushioning ability. Long term badminton sports result in specialized changes in plantar pressure distribution and reduced symmetry.

Longitudinal weight and plantar pressure distribution while standing after tibial or malleolar fractures in patients with or without fracture union

Fracture healing is usually monitored by clinical impressions and radiographs. Objective and easy methods for assessing fracture healing without radiation would be beneficial. The aim of this study was to analyse whether weight and plantar pressure while standing can be used to monitor healing of tibial or malleolar fractures and whether these parameters can discriminate between patients with and without union. Thirteen patients were longitudinally assessed during each postoperative clinical visit, of whom two developed a nonunion. Eleven matched healthy controls were assessed once. Additionally, five patients already experiencing nonunion were assessed once at the time of their nonunion diagnosis. All participants performed a standing task for ten seconds with pressure-sensing insoles. Greatest improvements were detected throughout the first three months in patients with union. However, six months after surgery, more than half of the parameters were still significantly different from those of the controls. The weight and pressure distributions did not differ between patients with or without union six months after surgery. A standing task can be used to monitor improvements in weight and pressure distribution throughout the healing process of tibial or malleolar fractures, but lacks potential to discriminate between patients with or without fracture union.

An expository analysis of biomechanical and subjective impacts induced by shoe inserts in asymptomatic subjects: A systematic review on functionality and mechanisms of action

AbstractThis systematic review explores the biomechanical and subjective effects of shoe inserts, including foot orthotics (FOs) and insoles, in asymptomatic subjects. Aimed at understanding their implications, the review poses two key research questions: (i) the influence of shoe inserts on lower extremity biomechanics and subjective perception and (ii) the effects of different design characteristics on these aspects. Following Preferred Reporting of Systematic Reviews and Meta‐Analysis guidelines, a meticulous search of Scopus and PubMed from August 2022 to March 2023 yielded 34 articles, with 26 focusing on biomechanical effects and eight on comfort effects. The studies, conducted during static and dynamic activities, such as standing, walking, jogging, running, jumping, and cycling, reveal significant reductions in rearfoot eversion, knee joint forces, and lower extremity muscle forces through postings and wedging in FOs. Changes in stiffness impact rearfoot kinematics, plantar pressure distribution, and ankle–foot power distribution. Conversely, surface texture and arch variations demonstrate limited significance. FOs and shoe inserts, characterized by geometric, material, location, size, and fabrication features, effectively regulate forces and moments on the lower extremity. This control promotes uniform plantar pressure distribution and enhances comfort during various activities. These insights benefit manufacturers, clinicians, and stakeholders, providing a deeper understanding of the positive benefits of FOs and shoe inserts. However, further well‐designed studies on clinical populations are necessary to validate these findings and establish their clinical efficacy, as the current focus remains on healthy subjects.

Effects of 4 weeks of foot exercise on subjective outcome and foot plantar pressure in elite adolescent dancers with hallux valgus: a pilot study

BackgroundDancers have a higher prevalence of hallux valgus (HV) than the general population. However, no reports specifically addressing treatment strategies for HV in dancers, or their effectiveness have been published. This study aimed to determine the effects of 4 weeks of foot exercises on subjective clinical outcomes, the HV angle, and change of foot plantar pressure during specific dance techniques.MethodsThirteen female elite adolescent dancesport athletes (age: 16.4 ± 3.3 years) completed the program. The HV angle was measured based on foot photographs. Clinical assessments were performed using the visual analog scale for first metatarsophalangeal (1st MTP) joint pain, and the Foot and Ankle Outcome Score. The changes in plantar pressure during two dance techniques (demi-pointe and plié) were measured. The plantar pressure was measured in six areas of the foot. All of these parameters were compared before and after the intervention by using chi-square tests and Student’s paired t-test (statistical significance: p < 0.05).ResultsThe HV angle was significantly reduced from 20.1° to 15.4° after the intervention. Participants reported an average subjective completion rate of 70.3% ± 14.6% over 3 weeks, exhibiting no significant differences despite an apparent trend toward improvement. Significant changes were noted in 1st MTP joint pain and subjective outcomes, and toe function significantly improved in the “paper” movement. The foot-exercise program changed plantar pressure distribution during the demi-pointe and plié techniques, with increased hallux pressure and decreased 2nd-5th MTP joint pressure.ConclusionsIn elite adolescent dancesport athletes, 4 weeks of foot-exercise rehabilitation reduced the HV angle and improved in subjective outcome and function during the two dance techniques. Coaches should consider utilizing foot-exercise training programs in a dancer training program for HV.

Efficacy and long-term effects of the intervention of Zhan Zhuang Qigong on Pisa syndrome in Parkinson's disease: the study protocol for a randomised control trial.

Pisa syndrome (PS) is a postural abnormality that frequently manifests in various neurological disorders. In recent years, the dangers associated with Parkinson's disease (PD) and PS have been increasingly acknowledged, leading to heightened research efforts directed toward the treatment of PS. Nevertheless, the underlying causes of PS remain complex, and no clinically effective treatments have been established. While several studies have demonstrated the significant effects of Qigong in treating PD, there is currently no evidence to support the efficacy of Qigong in the treatment of PS. To assess the immediate and long-term effects of Zhan Zhuang Qigong on PS in participants with PD using a rigorous randomised, parallel-control design with assignment concealment and evaluator-blinding methodologies. 60 PD participants meeting the inclusion criteria will be recruited and randomly assigned to one of two groups: conventional treatment (n=30) or Zhan Zhuang Qigong (n=30). The conventional treatment group will receive standard medications and physical therapy. The Zhan Zhuang Qigong group will receive conventional medicine plus 30 min of Zhan Zhuang Qigong practiced five times per week. The long-term effects of Qigong on PS will be evaluated after 6 months and 1 year of follow-up. Assessment tools will include the NeuroPostureApp, the B-PHY(A model of a balance testing system) balance check training system, the Unified Parkinson's Disease Rating Scale and the Parkinson's Disease Quality of Life Questionnaire, which will measure total camptocormia, upper hump degree, Pisa angles, plantar pressure distribution, motor function and quality of life in participants with PD. The local ethics committee approved this study (approval number: 2023-K068). The committee will oversee the study throughout its duration and will be notified of any protocol modifications. The results of the study will be disseminated through publication in an international journal or presentation at a conference. ChiCTR2400079696.

Exploring plantar pressure distribution in patients with newly diagnosed diabetes: Implications for foot ulcer prevention in an overweight Mexican population

IntroductionElevated plantar pressure (PP) constitutes a risk factor for developing foot ulcers. Once present, elevated PP increases morbidity and mortality in patients with diabetes. Given the high prevalence of overweight and obesity in the Mexican population, this study aimed to describe the magnitudes and the distribution of the PP observed in a sample of newly diagnosed patients with diabetes, adjusting for body mass index (BMI) groups (normal weight, overweight, grade I obesity, and grade II and III obesity). Materials and methodsA total of 250 volunteers attending a comprehensive care program for the management of type 2 diabetes received foot assessments that included vascular and neurological evaluation, the identification of musculoskeletal changes, and measurements of PP. ResultsDiabetic neuropathy and peripheral arterial disease were present in 21.6% and 11.2% of all participants. Musculoskeletal alterations were present in 70.8% of participants. A positive and significant correlation (p<0.001) was observed between BMI and the peak PP of all anatomical regions assessed. After adjusting for BMI, significant differences (p<0.001) were seen between groups. The metatarsal region, particularly under the third metatarsal head, denoted the highest magnitudes across all BMI. ConclusionsPeriodic PP assessment is recommended to identify the distribution of high-pressure points along the plantar surface. However, as a preventive measure, it is suggested to encourage patients with diabetes and overweight or obesity to wear appropriate footwear and pressure-relief insoles to relieve high-pressure areas – often seen in these populations – to help prevent foot complications.

Research on the Fabrication and Parameters of a Flexible Fiber Optic Pressure Sensor with High Sensitivity

In recent years, flexible pressure sensors have garnered significant attention. However, the development of large-area, low-cost, and easily fabricated flexible pressure sensors remains challenging. We designed a flexible fiber optic pressure sensor for contact force detection based on the principle of backward Rayleigh scattering using a single-mode optical fiber as the sensing element and polymer PDMS as the encapsulation material. To enhance the sensor’s sensitivity and stability, we optimized its structural design, parameters, and fabrication process and measured the fiber strain using an optical frequency domain reflectometer (OFDR). The results showed that the sensor achieved a high sensitivity of 6.93247 με/kPa with a PDMS concentration ratio of 10:1, a curing time of 2 h, and a substrate thickness of 5 mm. The sensor demonstrated excellent linearity and repeatability in static performance tests and was successfully used to monitor the plantar pressure distribution in real time. This flexible fiber optic pressure sensor can be developed via a simple fabrication process, has a low cost, and has high sensitivity, highlighting its potential applications in smart wearables and medical diagnostics.

Plantar Pressure Characteristics with Foot Postures and Balance Abilities in Indigenous Taiwanese: A Preliminary Exploration.

BACKGROUND Although Indigenous Taiwanese are generally known for having excellent athleticism and balance abilities, the correlation between foot characteristics and balance abilities has rarely been discussed. This study aimed to explore the characteristics of plantar pressure profiles associated with foot posture and balance abilities among Indigenous Taiwanese. MATERIAL AND METHODS We recruited 165 Indigenous college students and 183 healthy age-matched students. Bipedal static plantar pressure distributions (PPDs) with arch index (AI) and centers of gravity balance were examined using the JC Mat. Foot posture was determined by estimating the rearfoot postural alignment. RESULTS Indigenous Taiwanese in the study generally had low-arched feet with increased plantar loads at the medial (left: 1.21±0.43%; right: 1.20±0.46%) and lateral longitudinal arches (left: 24.51±5.26%; right: 24.45±6.64) (P<0.01) and the medial metatarsals (left: 21.78±3.81%; right: 22.19±3.91) (P<0.01). Footprint images illustrated pronounced cuboid and navicular collapses. Performances of balance abilities (left: 49.53±4.38%; right: 50.47±4.38) (P<0.01) and rearfoot postural angles (left: 1.37±1.25°; right: 1.32±1.17°) (P<0.05) were better than those of controls. CONCLUSIONS The feet in Indigenous Taiwanese had low arches and higher plantar loads at the medial and lateral longitudinal arches and medial metatarsals, while their centers of gravity were symmetrical and rearfoot posture was normal. These results may facilitate further studies on the relationship between foot characteristics, potential athleticism, and musculoskeletal injuries in Indigenous Taiwanese.

In-plane density gradation of shoe midsoles for optimal energy absorption performance

Midsoles are important components in footwear as they provide shock absorption and stability, thereby improving comfort and effectively preventing certain foot injuries. A strategically engineered midsole designed to mitigate plantar pressure can enhance athletic performance and comfort levels. Despite the importance of midsole design, the potential of using in-plane density gradation (deliberate variation of material density across the horizontal plane) in midsoles has been rarely explored. The present work investigated the effectiveness of in-plane density gradation in shoe midsoles using novel polyurea foams as the material candidate. Different polyurea foam densities, ranging from 95 to 350 kg/m2 were examined and tested to construct density-dependent correlative mathematical relations required for optimizing the midsole design for enhanced cushioning and reduced weight. This study combined mechanical testing and plantar pressure measurements to validate the efficacy of density-graded midsoles. The methodology introduced here is relevant to realistic walking conditions, ensured by biomechanical tests supplemented by digital image correlation analyses. An optimization framework was then created to allocate foam densities at certain plantar zones based on the required cushioning performance constrained by the local pressure. The optimization algorithm was specifically tailored to accommodate varying local pressures experienced by different areas of the foot. The optimization strategy in this study aimed at reducing the overall weight of the midsole while ensuring there were no compromises in cushioning efficacy or distribution of plantar pressure. The approach presented herein has the potential to be applied to a wide range of gait speeds and user-specific plantar pressure patterns.

Relationship between plantar pressure distribution and sagittal spinal curvatures among handball players: A cross-sectional study

Background: Handball affects the spinal anterior–posterior curvatures and disturbs the foot plantar pressure which provides insights into alterations in an individual’s posture. However, little is known about how the mal-alignment affects the distribution of plantar pressure. Objective: To investigate the relationship between the thoracic kyphosis angle, and plantar pressure distribution among handball players. Methods: Sixty male handball players were distributed into two groups based on their thoracic kyphosis angles. Group A: 28 handball players with an angle greater than 44∘ (kyphotic group), and group B: 32 handball players with an angle equal to or less than 44∘ (normal group). The Formetric III 4D spine and DIERS Pedoscan devices were used to measure the trunk anthropometry and plantar pressure distribution. The Pearson correlation test was used to explore the relationship between the kyphosis angle and plantar pressure distribution. Results: Group A was significantly taller, had longer trunk length, greater lumbar lordosis angles, and forefoot plantar pressure (FPP), and less rearfoot plantar pressure (RPP) than group B ([Formula: see text]). They showed a highly significant positive correlation between the thoracic kyphosis angle and FPP, and a highly significant negative correlation with the RPP ([Formula: see text], [Formula: see text], respectively). There was no correlation between the lumbar lordosis angle and FPP or RPP ([Formula: see text], [Formula: see text], respectively). Conclusion: Handball players with greater thoracic kyphosis angle have greater lumbar lordosis angle. Increasing the thoracic kyphosis angle is strongly associated with increased FPP and decreased RPP. While there is no relationship between the lumbar lordosis angle and FPP or RPP.

No effects of four weeks of combined brace and Schroth therapy in moderate adolescent idiopathic scoliosis on plantar pressure distribution

BackgroundPositive effects of brace treatments in adolescent idiopathic scoliosis patients on gait were proven.AimTherefore, this study examined whether the influence of brace therapy in combination with Schroth therapy influencing the plantar pressure distribution, pre and post intensive rehabilitative inpatient treatment.DesignProspective cohort study, longitudinal.SettingScoliosis rehabilitation clinic “Asklepios Katharina-Schroth-Klinik” (Bad Sobernheim, Germany).PopulationTwenty (14f/6m) patients (12–16 years) had a medically diagnosed moderate idiopathic scoliosis (Cobb angle 20–50°, Median 30°) and an indication for combined brace and Schroth therapy with an inpatient stay (4 weeks) at the Asklepios Katharina Schroth Clinic (Germany).MethodsAt the beginning (T1) and at the end of the stay (T2), the plantar pressure distribution with (A) and without wearing a brace (B) was recorded (walking distance 10 m).ResultsNo significant differences between the left and right foot were found at baseline (T1). The T1 - T2 comparison of one foot revealed significant differences (p ≤ 0.05 − 0.001, respectively) for (A): mean pressure right midfoot, loaded area total left foot, left midfoot, left inner ball of foot, right midfoot, impulse total right foot, right midfoot and for (B): mean pressure right midfoot, right outer ball of foot, loaded area total right foot, right heel, right midfoot, impulse right heel, right midfoot, right outer ball of foot.ConclusionsA combined brace and Schroth therapy maintains the initial symmetrical plantar pressure distribution over the duration of four weeks since the significant differences fall within the range of measurement error.Clinical rehabilitation impactThe insole measuring system can be used to objectively support therapeutic gait training as part of rehabilitation and to assess insole fitting based on foot shape. Due to its convenient handling and rapid data acquisition, it may be a suitable method for interim or follow-up diagnostics in the treatment of idiopathic scoliosis.

Biomechanical model of minimally invasive hallux valgus surgery

Hallux valgus is a common foot deformity characterized by outward tilting and twisting of the big toe, often accompanied by a medial prominence at the base. Minimally invasive surgical techniques are widely utilized for treating metatarsus adductus due to their advantages of smaller incisions, faster recovery, and early weight-bearing. However, due to individual variations and limited sample size, the biomechanical effects of different Kirschner wire fixation methods and the underlying mechanisms of postoperative metatarsalgia remain unclear. In this study, a finite element method was employed to develop a biomechanical model of metatarsus adductus. The influence of various Kirschner wire entry points and angles on foot loading characteristics was investigated. Six different Kirschner wire fixation models, including two entry methods (along the adjacent fracture line and proximal-biased entry at the midshaft of the metatarsal) with different entry angles, were analyzed. Mechanical parameters such as metatarsal stress distribution, plantar pressure distribution, and displacement of the first metatarsal osteotomy plane were assessed. This research aims to enhance understanding of minimally invasive surgery and its fixation methods for metatarsus adductus. By providing scientific support and reliable evidence, it seeks to contribute to the development of minimally invasive surgical techniques and the improvement of clinical practice in metatarsus adductus surgery. Ultimately, the goal is to reduce complications, increase surgical success rates, and enhance patient satisfaction.

Designing a Low-Cost Force Plate for Postural Assessment

The purpose of this study was to develop a pair of single-pedestal types with a low-cost and user-friendly force plate for assessing ground reaction force (GRF), center of pressure (COP), and plantar pressure distribution (PPD). These parameters are crucial for assessing human movement and maintaining body balance. The load cells were tested with standard weights of 5, 10, 15, and 20 kg. Using linear regression, the analysis showed a strong linear relationship between the load cell output and the standard weight, with an R-squared value of 0.99. Furthermore, the error margin was determined to be less than +/- 5%. In the initial equipment assessment, a healthy female was evaluated the posture under both eye-open and eye-closed conditions through three sets of measurements. The results showed about a two-fold change in the COP parameter, possibly due to swaying when the eyes were closed. Additionally, the PPD parameter revealed varying foot weight distribution levels, even though the GRF values were almost the same. The equipment's graphic user interface (GUI) provides real-time graphical representations for GRF, COP, and PPD, aiding in training effectiveness for enhancing postural assessment under professional guidance. In future studies, we plan to use the developed equipment to observe its effectiveness by measuring a larger and more diverse population.

Levitating Magnetic Insoles: A Novel Approach to Alleviating Plantar Fasciitis Through the Reduction and Redistribution of Plantar Pressures

Plantar fasciitis, a leading cause of foot pain, affects a significant portion of the population, with an estimated prevalence of 10% during an individual’s lifetime. This debilitating condition can result in substantial healthcare costs and decreased quality of life. The pain is attributed to the inflammation of the plantar fascia, which is crucial for supporting the foot's arch. Risk factors for plantar fasciitis include obesity, sedentary lifestyles, improper footwear, and biomechanical abnormalities. Current treatment options are primarily conservative, with varying levels of success. In response, an affordable, lightweight, and soft, magnetic insole was developed as a novel approach to alleviate plantar fasciitis by reducing and redistributing plantar pressures with neodymium magnets. The final prototype achieves a magnetic repulsion force of approximately 84.57 lbs. and incorporates sensor modules to monitor data. The device also facilitates real-time data visualization between Arduino and personal devices, providing valuable insights into plantar pressure and walking characteristics for various patients. Data analysis and structural optimization are further enhanced through the use of MATLAB and Excel, which generate heatmaps to visualize plantar pressure distribution. Future research should focus on increasing the magnetic intensity to improve pain relief effectiveness and incorporating personalized disease-specific adjustments to optimize the magnet placement within the sole. By addressing the prevalent issue of foot pain and offering a potential solution for plantar fasciitis, our levitating magnetic insoles demonstrate significant potential for enhancing the quality of life for a large portion of the population.

The effect of cognitive functional therapy on the plantar pressure distribution symmetry in patients with chronic non-specific low back pain: A randomized controlled trial

ObjectiveThis study aimed to evaluate the effect of Cognitive functional therapy (CFT) on plantar pressure distribution symmetry in chronic non-specific low back pain (CNSLBP) patients. Methodforty females with NSCLBP (age range 30–50 years) were recruited for clinical trials. They were randomly divided into experimental and control groups (Each group had 20 patients). The patients in the experimental group received CFT for 8 weeks. The primary outcome was psychological variables inclusive of pain, kinesiophobia and disability. The secondary outcome was plantar pressure distribution symmetry which assessment in standing condition. The Covariance statistical method was used for data analysis. ResultsThe results of covariance analysis for primary outcome showed a significant difference (p < 0.05) with a reduction of 52 % in pain (p = 0.001), 12 % in kinesiophobia (p = 0.001) and 41% in disability (p = 0.001). Also, the results of covariance analysis for secondary outcome showed a significant difference in plantar pressure distribution symmetry of inter-limbs foot (p = 0.007), forward and backward in the right foot (p = 0.002) and forward and backward in the left foot (p = 0.001). ConclusionCFT reduces of pain, kinesiophobia and disability. In addition significant difference in the plantar pressure distribution symmetry was observed, which it is argued the plantar pressure asymmetric can be influenced by psychological factors.

Evaluation of foot support characteristics in young and elderly adults by plantar measurements based on a three-partition distributed force platform

A three-partition distributed force platform (3P-DFP) is proposed to measure the plantar pressure distribution, and foot support characteristics are evaluated with the obtained pressure distribution information. Twenty-seven young adults and 40 elderly adults were randomly recruited to perform the test in three phases: double-leg stance with eyes closed, double-leg stance with eyes opened, and single-leg stance with eyes opened. The evaluation parameters of foot support surface characteristics and support point characteristics were calculated based on the average position information of the center of pressure in the lateral of sole, media of sole, posterior of heel, and entire pelma. The results showed that the support width of the foot sole was significantly greater in the elderly group (p <0.01), but the overall support area showed a decreasing trend. The CoP excursion in the media-lateral direction was significantly higher in the elderly group from double-leg stance to single-leg stance (p <0.01). The CoP trajectory in the elderly group tends to shift in a medial direction with increasing age or postural difficulty.