Based on the findings of this study, using orthoses with different mechanisms such as proprioceptive intervention might be a useful method in orthotic treatment. Assessing plantar pressure can also be an efficient quantitative outcome measure for clinicians in evidence-based foot orthosis prescription.
Introduction and Objectives. The trajectory of center of pressure (COP) during the stance phase of gait is considered as an important parameter in assessing of dynamic balance, foot and ankle function and effectiveness of shoe and orthotics. The aim of this study was to determine the COP trajectory during stance phase of gait in healthy males and females, by means of Pedar-X plantar pressure measurement apparatus.Methods: 15 healthy adult females who didn't have any history of injury that altered their normal gait pattern and trajectory of COP, participated in this study. The coordinate of COP in transverse (X) and vertical (Y) axes were measured using Pedar-X system. The stance phase of gait divided into the four sections by key points of acceleration vector in Y direction and then position, velocity and acceleration of COP at these portions were computed. To statically analysis, Descriptive statistic (Mean and standard deviation), Pearson correlation coefficient and ICC coefficient were used (P≤0.05). Results and Discussion: The results indicated that during stance phase of gait, COP moves forward and medial in Y and X axes, respectively. Significant, strong but negative correlation seen between COP coordinates in X and Y axes. High Inter Class Correlation also showed between trials reliability for Pedar-X system in estimation of COP coordinates. Conclusion: The results of this study could be used as a standard norm of trajectory of COP in healthy adult subjects.
The purpose of this review study is to review the studies that have assessed the interaction between surface stiffness and lower limb stiffness. There is a general hypothesis that with the increase of surface stiffness, the lower limb stiffness decreases or vice versa. These interactions take place with the aim of maintaining the dynamics of the center of mass and reducing the energy consumption during movement. One of the mechanisms for these interactions is the change in joint stiffness and leg geometry. Some studies suggested that the stretch reflex has no role in changing the lower limb stiffness. Although interactions between lower limb stiffness and surface stiffness has been recognized, there is little evidence about neuromuscular mechanism of these interactions. More studies is needed in this filed.
Background and Aims: The Body Mass Index (BMI) is considered one of the most common indexes for examining the health. The purpose of this study was the design and validation of the equations for the accuracy of BMI. Methods: In the current 419 athletic and non-athletic subjects participated in this study. Anthropometrical measurement was performed using International Standard for Anthropometry and Kinanthropometry (ISAK) protocol, and mesomorphic and endomorphic calculated based on the Heath-Carter methods. The Spearman correlation coefficient was used to determine the relationship between BMI and body fat percent, mesomorphic and endomorphic values. Multiple regressions were used to predict BMI. Results: There is a high correlation between BMI with mesomorphic and endomorphic values (P<0.01), but the correlation of BMI with mesomorphic in athletic men was higher than endomorphic (0.77 vs. 0.63). Multiple regression produces some equations for predicting mesomorphic and endomorphic, and bland Altman believes that all equations predict fatness. Conclusion: According to the results, the Equations proposed in this study could appropriately turn BMI to predict body composition so that this equation could determine higher BMI because of the higher muscular mass.
Introduction: This study aimed to compare plantar pressure distribution and vertical ground reaction force between middle-aged adults with Leg Length Discrepancy (LLD) and healthy subjects. Materials and Methods: This quasi-experimental study was conducted on 21 middle-aged adults with leg length discrepancy (1.5 to 3 cm), and 10 healthy subjects participated. The plantar pressure distribution of subjects was measured using five steps with an emed platform. The data were analyzed with paired t-test, 1-way ANOVA, and symmetry index (P≤0.05). Results: While the symmetry index did not show much asymmetry in healthy subjects, in LLD subjects, it showed lower contact time in the heel region of short limb, lower pressure, and force of the middle region of short limb, the higher pressure of forefoot region of short limb and higher pressure and force of long limb. Conclusion: It seems that the primary contact time and weight acceptance of short limb reduced that results in higher pressure of forefoot region of the foot before push-off phase. Therefore, to dispel this problem, the LLD subjects could use orthotics to make reasonable height to the heel region and thus increase the contact time.
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