Plantar pressure distribution offers insights into foot function, gait mechanics, and foot-related issues. This systematic review presents an analysis of the use of artificial neural network techniques in the context of plantar pressure analysis. 60 studies were included in the review. Sample size, pathology, pressure sensor number, data collection device, utilization of other sensor devices, ground-truth methods, pre-processing dataset, neural network type, and evaluation metrics were evaluated. Utilization of customized wearable footwear devices for the acquisition of data was common amongst both healthy participants and patients. Inertial measurement units emerged as an effective compensatory measure to address the limitations associated with the distribution of plantar pressure. Ground truth methods predominantly relied on the usage of both annotations and reference devices. Multilayer perceptron, convolutional neural networks, and recurrent neural networks were identified as the most frequently employed artificial neural network algorithms across the reviewed studies. Finally, the evaluation of performance largely drew upon statistical descriptions and other machine learning methods. This review provides a comprehensive understanding of the use of artificial neural network techniques in plantar pressure analysis, highlighting opportunities for future research.
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