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Effect of arch type and Body Mass Index on plantar pressure distribution during stance phase of gait

Obrien D. L., Tyndyk M.

Acta of Bioengineering and Biomechanics

2014

Vol. 16, no. 2

131--135

Several factors have been associated with the presence of abnormally high plantar foot pressure including: (i) increased body weight, (ii) foot structure and (iii) walking strategy. It is predicted that the biomechanics of the foot is influenced by the structure of the foot, primarily the Medial Longitudinal Arch. The objective of this study was to examine if Body Mass Index and the foot arch have a direct effect on dynamic peak plantar pressure for healthy subjects. Following a clinical lower limb examination, the Tekscan HR mat was utilised for this study, plantar pressure was profiled at specific events during stance phase of gait including heel strike, midstance and toe off. Results indicated to the preferable normal arch as this produced a low plantar pressure distribution in all cases. The 2nd and 3rd metatarsal head region recorded the highest pressure for all arch types during dynamic analysis. The lowest pressure for the normal and overweight BMI was at toe-off. While the obese BMI group showed highest pressure during toe-off. The obese BMI flat arch subcategory indicated to functional ambulation differences. Future work involves comparing this healthy database to a demographically matched diabetic group.

Does B.I.R.D foot control supply sensitivity disturbance induced by EMLA cream anaesthesia

Descatoire A., Moretto P.

Journal of Medical Informatics & Technologies

2008

Vol. 12

123--127

Numerous studies on the development of new biofeedback device conception have already been undertaken. Patients with loss of protective pain sensation are unable to modify their gait when abnormal and excessive plantar pressure occurs. For this reason, we have developed and tested a portable baropodometric biofeedback, on healthy subjects, to prevent injuries by informing the subject when local pressure exceeds a determined threshold. Anaesthesia cream enables us to determine the ability to use our device with a perturbation of the plantar sensory inputs. Results showed 58.2% of success steps in the EMLA condition while the placebo condition showed 57.5% of success steps.

Baro-paedometric biofeedback for foot unloading procedures investigation

Descatoire A., Moretto P.

Journal of Medical Informatics & Technologies

2007

Vol. 11

41--45

Numerous studies on new biofeedback devices conception development were undertaken. They are used for some compensation methods of the data lost on sensors set. The aim of the study was carried out for introducing several approaches of investigations and testing of the biofeedback devices that support a plantar pressure analysis, for foot unloading processes implementation. The healthy man is walking in normal conditions first; on a walkway. The recorded load on 6 sensors has to be reduced next in a specified area. The pressure was considered at the beginning on metatarsal head, in time of 100 steps. The visual and auditory signals were then adjusted to a specific plantar pressure threshold setting. The peak pressure was evaluated for various walking condition. The introduced device enables us reducing the peak plantar pressure within the appointed risk-regions.