Do commonly used postoperative orthopaedic shoes help off-load the forefoot?

• Autorzy: Stawińska Magdalena , Kołodziejski Paweł , Wiszomirska Ida , Baran Mateusz , Wit Andrzej

Identyfikatory

DOI

10.37190/ABB-01784-2021-01

• Języki publikacji: EN

Abstrakty

EN

Purpose: The aim of the experiment presented in this study was to determine the pressure distribution within the forefoot depending on the type of orthopaedic footwear used. Methods: The study included 27 women aged 20 to 25. The Zebris FDM-2 dynamographic platform was used in foot pressure measurements. The load distribution was measured in three types of orthopaedic footwear: MedSurg, MedSurgPro and OrthoWedge. The full gait cycle was recorded. The Cavanagh masks were applied to the load distribution results processed into a graphic form. The data were analysed using Statistica v.13.1. Results: In the forefoot area, i.e. the metatarsal bones and toes 1–5, the lowest loads were reported in the shoes that off-load the forefoot (0.2 N/cm2, p < 0.001). In the area of the first to fifth metatarsal bones and the hallux, the highest load was observed in the rocker shoe, accounting for 19.7 N/cm2 (p < 0.001). For comparison, high pressure in the flat shoe was found in the area of toes 2 to 5 (p < 0.001). Conclusions: In the area of the metatarsal and toe bones, the pressure exerted was highest in the commonly used rocker shoe. The flat shoe provides an even and uniform load in all areas of the forefoot, while this type of shoe does not significantly reduce the pressure forces on the forefoot. The shoe that was the most effective in off-loading was the forefoot off-loading shoe (OrthoWedge). Barefoot walking puts less load on the forefoot compared to the flat and rocker shoes used after orthopaedic procedures.

Słowa kluczowe

EN

orthopaedic shoes; foot pressure; Cavanagh mask

PL

buty ortopedyczne; ucisk stopy; maska Cavanagh

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2021
• Tom: Vol. 23, no. 2
• Strony: 115--122
• Opis fizyczny: Bibliogr. 32 poz., rys.

Twórcy

autor

Stawińska Magdalena

• Józef Piłsudski University of Physical Education in Warsaw

autor

Kołodziejski Paweł

• CM Medicum – Poradnia Chorób Stopy

autor

Wiszomirska Ida

• Józef Piłsudski University of Physical Education in Warsaw

autor

Baran Mateusz

• CM Medicum – Poradnia Chorób Stopy

autor

Wit Andrzej

• Józef Piłsudski University of Physical Education in Warsaw

Bibliografia

• [1] BRAND I.K.A., WACKERLE H., MÜßIG J., Gait analysis – Available platforms for outcome assessment, Injury, 2020, 15, 20–27.
• [2] BROWN D., WERTSCH J.J., HARRIS G.F., KLEIN J., JANISSE D., Effect of rocker soles on plantar pressures, Arch. Phys. Med. Rehab., 2004, 85, 81–86.
• [3] BUS A.S., MAAS J.C, OTTERMAN N.M., Lower-extremity dynamics of walking in neuropathic diabetic patients who wear a forefoot-offloading shoe, Clin. Biomech., 2017, 50, 21–26.
• [4] BUS S., HASPELS R., VAN SCHIE C., Biomechanical optimization of orthopedic footwear for diabetic patients using in-shoe plantar pressure measurement, Gait & Posture, 2006, 24, 7–97.
• [5] BUS S.A., VAN DEURSEN R.W., KANADE R.V., WISSINK M., MANNING E.A., BAAL VAN G.F., HARDING K.G., Plantar pressure relief in the diabetic foot using forefoot offloading shoes, Gait and Posture, 2009, 29, 618–622.
• [6] CARAVAGGI P., GIANGRANDE A., BERTI L., LULLINI G., LEARDINI A., Pedobarographic and kinematic analysis in the functional evaluation of two post-operative forefoot offloading shoes, J. Foot Ankle Surg., 2015, 8, 59.
• [7] CARL H.D., PFANDER D., SWOBODA B., Assessment of plantar pressure in forefoot relief shoes of different designs, Foot and Ankle International, 2006, 27, 117–120.
• [8] CAVANAGH P.R., HEWITT F.G., PERRY J.E., In-shoe plantar pressure measurement: a review, The foot, 1992, 2, 185–194.
• [9] DELEU P.A., LEEMRIJSE T., VANDELEENE B., MALDAGUE P., BEVERNAGE D.B., Plantar pressure relief using a forefoot offloading shoe, J. Foot Ankle Surg., 2010, 16, 178–182.
• [10] Darco. Internet access: http://www.darcointernational.com/ medsurg/, on April 13, 2020 (in Polish).
• [11] FULLER E., SCHROEDER S., EDWARDS J., Reduction of peak pressure on the forefoot with a rigid rocker-bottom postoperative shoe, J. Am. Podiatr. Assoc., 2001, 91 (50), 1–7.
• [12] GIACOMOZZI C., Appropriateness of plantar pressure measurement devices: A comparative technical assessment, Gait and Posture, 2010, 32, 141–144.
• [13] GLOD D.J, FETTINGER P., GIBBONS R.W., A comparison of weightbearing pressures in various postoperative devices, J. Foot Ankle Surg., 1996, 35, 149–154.
• [14] HEALY A., NAEMI R., CHOCKALINGAM N., The effectiveness of footwear as an intervention to prevent or to reduce biomechanical risk factors associated with diabetic foot ulceration: A systematic review, J. Diab. Comp., 2013, 27, 391–400.
• [15] HESSERT M., VYAS M., LEACH J., HU K., LIPSITZ L.A., NOVAK V., Foot pressure distribution during walking in young and old adults, BMC Geriatrics, 2005, 5 (8).
• [16] HIS W.I., CHAI H.M., LAI J.S., Evaluation of rocker sole by pressure time curves in insensate forefoot during gait, Am. J. Phys. Med. Rehabil., 2004, 83 (7), 500–5006.
• [17] HUTCHINS S., BOWKER P., GEARY N., RICHARDS J., The biomechanics and clinical efficacy of footwear adapted with rocker profiles – Evidence in the literature, The Foot, 2009, 19, 165–170.
• [18] KAVROS S.J., VAN STRAATEN M.G., WOOD K., KAUFMAN K.R., Forefoot plantar pressure reduction of off-the-shelf rocker bottom provisional footwear, Clin. Biomech., 2011, 26, 778–782.
• [19] LOREI T., KLAMER H., ROSENBAUM D., Influence of postoperative shoes on plantar pressure patterns, Z. Orthop. Ihre Grenzgeb., 2006, 144, 153–157.
• [20] LOW D.C., DIXON S.J., Footscan pressure insoles: Accuracy and reliability of force and pressure measurements in running, Gait and Posture, 2010, 32, 664–666.
• [21] MICHALIK R., SIEBERS H., CLAßEN T., GATZ M., ROFOLF B., ESCHWEILER J., QUACK V., BETSCH M., Comparison of two different designs of forefoot off-loader shoes and their influence on gait and spinal posture, Gait and Posture, 2019, 69, 202–208.
• [22] MORIO C., GUEGUEN N., LAKE M.J., The influence of footwear on foot motion during walking and running, J. Biomech., 2009, 42, 2081–2088.
• [23] NARAIN F.H.M., ZWIETEN K.J., LIPPENS P.L., Foot inversion and eversion movements in stance and swing- some comparative- anatomical and functional morphological aspects, Materials of conference: Fourth all Russian scientific-practical conference with international participants, 2009.
• [24] NAVARRO-CANO E., GUEVARA-NORIEGA A.K., LUCAR--LOPEZA G., REINA F., CARRERA A., A comparison of two designs of postoperative shoe for hallux valgus surgery: A biomechanical study in a cadaveric model, J. Foot Ankle Surg., 2014.
• [25] NIX S.E., VICENZINO B.T., COLLINS N.J., SMITH M.D., Characteristics of foot structure and footwear associated with hallux valgus: a systematic review, Osteoarthritis and Cartilage, 2012, 20, 1059–1074.
• [26] PALMANOVICH E., AYALONC M., SIRAC B.D., NYSKA B., HETSRONI I., The effect of eliminating leg length difference on plantar foot pressure distribution in patients wearing forefoot offloading shoe, The Foot, 2017, 33, 39–43.
• [27] PIROZZI K., MCGUIRE J., MEYR J.A., Effect of Variable Body Mass on Plantar Foot Pressure and Off-Loading Device Efficacy, J. Foot Ankle Surg., 2014, 53, 588–597.
• [28] REINTS R., HIJMANS J.M., BURGERHOF J., POSTEMA K., VERKERKE J.G., Effects of flexible and rigid rocker profiles on in-shoe pressure, Gait & Posture, 2017, 58, 287–293.
• [29] ROSENBAUM D., BECKER H.P., Plantar pressure distribution measurements. Technical background and clinical applications, Foot and Ankle Surgery, 1997, 3, 1–14.
• [30] SCHUH R., TRNKA H.J., SABO A., REICHEL M., KRISTEN K.H., Biomechanics of postoperative shoes: plantar pressure distribution, wearing characteristics and design criteria: a preliminary study, Arch. Orthop. Trauma Surg., 2011, 131, 197–203.
• [31] WESTPHAL E., CARL H.D., KRINNER S., GRIM C., SWOBODA B., HOTFIEL T., Plantar force deviations in dynamic pedobarography – The role of insole and platform based systems as influencing factors, Sports Orthop. Traumatol., 2016, 32, 380–386.
• [32] WESTRA M., VAN NETTEN J.J., MANNINGA A.H., VAN BAAL J.G., BUS S.A., Effect of different casting design characteristics on offloading the diabetic foot, Gait & Posture, 2018, 64, 90–94.

Uwagi

Opracowanie rekordu ze środków MNiSW, umowa nr SONP/SP/546092/2022 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2024).