Development of healthy children's feet—Nine-year results of a longitudinal investigation of plantar loading patterns

Bosch, Kerstin; Gerß, Joachim; Rosenbaum, Dieter

doi:10.1016/j.gaitpost.2010.08.003

Cited by 107 publications

(150 citation statements)

References 27 publications

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“…Bosch et al [6] indicated that pressure under midfoot was attenuated as the foot arch formed at the age of six for TD group. Moreover, regarding TD with foot valgus, outcomes of Yi and Wang [11] suggested that significant differences were found between the valgus and normal ones in terms of relative contact area of each region, relative contact time and relative impulse.…”

Section: Discuþii I N T E R M S O F S D C P O U T C O M E S O F F I V Ementioning

confidence: 99%

“…Nevertheless, the values of PP of SDCP in all three regions were significantly lower than those of TD; this could be explained by the fact that spastic muscles have led to an abnormal gait and made the feet in a lifted strike [15,16], which indicated that not all body weight was loaded on the Bosch ºi colab. [6] au indicat cã presiunea în zona medianã s-a atenuat pe mãsurã ce s-a format bolta piciorului, pânã la vârsta de ºase ani pentru grupa TD. Mai mult decât atât, în ceea ce priveºte subiecþii TD cu deformare de tip valgus, rezultatele lui Yi ºi Wang [11] au sugerat existenþa unor diferenþe semnificative între cei cu deformare de tip valgus ºi cei cu picioare normale în ceea ce priveºte zona de contact relativã în fiecare regiune, timpul de contact relativ ºi impulsul relativ.…”

Section: Discuþii I N T E R M S O F S D C P O U T C O M E S O F F I V Eunclassified

“…În prezent, literatura de specialitate raporteazã multe studii în domeniul biomecanicii piciorului la copiii sãnãtoºi, ale cãror rezultate aratã cã existenþa unui strat de grãsime la copiii mici care a atenuat presiunea maximã ºi a contribuit la siguranþa piciorului [4]; pe mãsurã ce se formeazã bolta piciorului, în jurul vârstei de ºase ani, presiunea se deplaseazã în direcþiile anterioarã ºi posterioarã ºi se constatã o creºtere bruscã a presiunii plantare mai ales la antepicior ºi la retropicior [5]; mai mult, odatã cu înaintarea în vârstã, stabilitatea mersului se îmbunãtãþeºte dramatic ºi se observã o curbã bimodalã tipicã a presiunii [6]; în cele din urmã greutatea corporalã, precum ºi caracteristicile distribuþiei presiunii au fost similare celor ale adulþilor. Spre deosebire de copiii cu dezvoltare normalã (TD), cei cu PC au prezentat un control redus al miºcãrii [7] ºi un tipar aleatoriu de mers.…”

Section: Introductionunclassified

“…C u r r e n t l y, l i t e ra t u r e c o n c e r n i n g fo o t biomechanics of healthy children is widely reported and outcomes show that fat pad existed in the early age of toddlers and this structure alleviated the peak pressure and protected the safety of feet [4]; while, as the foot arch formed around the age of six, loading was shifting anterior and posterior and a sharp increase of plantar pressure was primarily found at fore and hind foot [5]; further, with the age increasing, walking stability improved dramatically and a typical bimodal [6] pressure curve was observed [6]; finally, body weight, as well as characteristics of pressure distribution were similar with those of adults. In contrast with typical developed children (TD), those with CP usually exhibit poor motion control [7] and a random gait pattern.…”

Section: Introductionmentioning

confidence: 99%

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Features of Plantar Pressure Distribution of Children with Spastic Diplegia

Zhang¹,

Xu²,

Zhou³

et al. 2016

LFJ

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ABSTRACT. The aim of this study was to investigate the features of plantar pressure distribution of children with spastic diplegia. Totally, 18 spastic diplegia children (SDCP) and 36 typical developed counterparts (TD) with matching age, height and weight were recruited. Their plantar pressure distributions were measured and analyzed. Three-masks model was first used to divide the foot regions: forefoot, midfoot and hindfoot, then the relative contact time (CTrel) (%), peak pressure (PP) 2 (N/cm ), relative pressure time integral (PTIrel) (%) and relative contact area (CA) (%) were calculated. Our outcomes show that pressure variables were significantly higher than those of TD in most regions, with the exception of PP; further, a prolonged first PP curve was obtained for SDCP in the double support phase. At last, all data of SDCP were moderate for the most of variables and regions. Thereby, features of SDCP children are shown below: no bimodal pressure curve was obtained and they usually performed with valgus deformities, so that midfoot was used as a major loading area. KEY WORDS: plantar pressure distribution, spastic diplegia, cerebral palsy, typical developed children CARACTERISTICILE DISTRIBUÞIEI PRESIUNII PLANTARE LA COPIII CU DIPLEGIE SPASTICÃ REZUMAT. Scopul acestui studiu a fost de a investiga caracteristicile distribuþiei presiunii plantare la copiii cu diplegie spasticã. S-au recrutat în total 18 copii cu diplegie spasticã (PC) ºi 36 copii cu dezvoltare normalã (TD), cu vârstã, înãlþime ºi greutate similare. S-a mãsurat ºi analizat distribuþia presiunii plantare. Mai întâi s-a utilizat modelul cu trei zone de analizã pentru a împãrþi regiunile piciorului în: antepicior, zona centralã ºi retropicior, apoi s-au calculat timpul de contact relativ 2 (CTrel) (%), presiunea maximã (PP) (N/cm ), integrala relativã presiune-timp (PTIrel) (%) ºi zona de contact relativã (CA) (%). Rezultatele aratã cã variabilele de presiune au fost semnificativ mai mari decât cele ale grupei TD în majoritatea regiunilor, cu excepþia PP; mai mult, s-a obþinut o primã curbã PP prelungitã pentru grupa PC în faza de sprijin dublu. În cele din urmã, toate datele obþinute pentru grupa PC au fost moderate pentru majoritatea variabilelor ºi regiunilor. Astfel, caracteristicile subiecþilor cu PC sunt urmãtoarele: la copiii cu PC nu s-a obþinut o curbã de presiune bimodalã ºi, în general, aceºtia au prezentat deformãri de tip valgus, astfel încât cea mai mare presiune s-a constatat în regiunea MF. CUVINTE CHEIE: distribuþia presiunii plantare, diplegie spasticã, paralizie cerebralã, copii cu dezvoltare normalã LES CARACTÉRISTIQUES DE RÉPARTITION DE LA PRESSION PLANTAIRE CHEZ LES ENFANTS AVEC DIPLÉGIE SPASTIQUERÉSUMÉ. Le but de cette étude a été d'étudier les caractéristiques de la répartition des pressions plantaires chez les enfants avec diplégie spastique. On a sélectionné 18 enfants avec diplégie spastique (SDCP) et 36 enfants développés normalement (TD) avec l'âge, le poids et la taille similaires. On a mesuré et analysé la réparti...

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Section: Discuþii I N T E R M S O F S D C P O U T C O M E S O F F I V Ementioning

confidence: 99%

Section: Discuþii I N T E R M S O F S D C P O U T C O M E S O F F I V Eunclassified

Section: Introductionunclassified

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Features of Plantar Pressure Distribution of Children with Spastic Diplegia

Zhang¹,

Xu²,

Zhou³

et al. 2016

LFJ

View full text Add to dashboard Cite

show abstract

“…The arch of the foot should provide for an elastic, springy connection between the regions of the foot. 6,8,9,22,43,50 This relationship allows for normalized weight bearing and the dissipation of ground reaction forces before they are transmitted to the leg and thigh. 6,8,9,22,43,50 It is also known that foot arch posture changes over time because of factors such as growth, aging, and disease-dependent degenerative processes during life.…”

Section: Distribution Of Foot Arch Posture and Surgerymentioning

confidence: 99%