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In this study, we investigated the relationship between toe-area activity and stumbling experiences utilizing our developed sensing system, in order to assess toe-area activity in elderly people with stumbling experiences. The sensing system enables the visualization of the plantar aspect while walking on any surface and under any condition. An image of the plantar aspect is received at a reflecting surface and captured by a camera attached to a clog. The toe-area activity was evaluated by comparing the difference between the toe contact areas at heel-strike and push-off. Thirteen young individuals (nine men and four women, age 22.4 ± 2 years) and nine elderly individuals (five men and four women, age 65.3 ± 2 years) participated in the experiment by walking along a straight line wearing the plantar sensing system on their feet. The analysis found that a low value of the mean toe activity for multiple walking cycles was associated with high stumbling risk, irrespective of age, whereas large variations in toe activity was associated with aging. These results indicate that toe activity can predict stumbling risk irrespective of age. We also found that a large value of the maximum toe activity during multiple walking cycles indicates aging, whereas a low value is associated with high stumbling risk.

This study investigates the effects of fatigue on the process of walking in young adults using the developed clog-integrated sensor system. The developed sensor can simultaneously measure the forefoot activity (FA) and minimum toe clearance (MTC). The FA was evaluated through the change in the contact area captured by a camera using a method based on a light conductive plate. The MTC was derived from the distance between the bottom surface of the clog and ground obtained using a time of flight (TOF) sensor, and the clog posture was obtained using an acceleration sensor. The induced fatigue was achieved by walking on a treadmill at the fastest walking speed. We evaluated the FA and MTC before and after fatigue in both feet for 14 participants. The effects of fatigue manifested in either the FA or MTC of either foot when the results were evaluated by considering the participants individually, although individual variances in the effects of fatigue were observed. In the dominant foot, a significant increase in either the FA or MTC was observed in 13 of the 14 participants. The mean MTC in the dominant foot increased significantly (p = 0.038) when the results were evaluated by considering the participants as a group.

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