Shoe Inserts Alter Plantar Loading and Function in Patients With Midfoot Arthritis

Rao, Smita; Baumhauer, Judith F.; Becica, Laura; Nawoczenski, Deborah A.

doi:10.2519/jospt.2009.2900

Cited by 56 publications

(57 citation statements)

References 43 publications

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“…The tactile pressure input from the soles is attenuated and may vary significantly with body unloading (Flynn, Canavan, Chiang, & Cavanagh, 1997;Ivanenko et al, 2002) or when using gait machines enabling the repetitive foot motion (Dietz & Colombo, 2004;Hesse, Schmidt, & Werner, 2006). Several techniques have been previously proposed to increase or modify an input from the foot (Hijmans, Geertzen, Schokker, & Postema, 2007;Priplata, Niemi, Harry, Lipsitz, & Collins, 2003) such as step-synchronized vibration stimulation of soles (Novak & Novak, 2006;Priplata et al, 2006), ankle-foot orthosis (Gordon, Wu, Kahn, Dhaher, & Schmit, 2009), redistributing plantar pressure footwear (Bus, Waaijman, Arts, & Manning, 2009;Duranti, Galletti, & Pantaleo, 1985;Rao, Baumhauer, Becica, & Nawoczenski, 2009), mechanical support stimulation imitating walking in conditions of microgravity or prolonged hypokinesia (Chernikova, Umarova, Saenko, & Kozlovskaya, 2007;Sayenko, Miller, Ivanov, Galanov, & Guekht, 2005) or electrical stimulation of distal nerves. The latter approach has been typically used to test cutaneous reflexes rather than to imitate or restore the sensory input from the foot.…”

Section: Introductionmentioning

confidence: 99%

A novel approach to mechanical foot stimulation during human locomotion under body weight support

Gravano

Ivanenko

Maccioni

et al. 2011

Human Movement Science

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a b s t r a c tInput from the foot plays an essential part in perceiving support surfaces and determining kinematic events in human walking. To simulate adequate tactile pressure inputs under body weight support (BWS) conditions that represent an effective form of locomotion training, we here developed a new method of phasic mechanical foot stimulation using light-weight pneumatic insoles placed inside the shoes (under the heel and metatarsus). To test the system, we asked healthy participants to walk on a treadmill with different levels of BWS. The pressure under the stimulated areas of the feet and subjective sensations were higher at high levels of BWS and when applied to the ball and toes rather than heels. Foot stimulation did not disturb significantly the normal motor pattern, and in all participants we evoked a reliable step-synchronized triggering of stimuli for each leg separately. This approach has been performed in a general framework looking for ''afferent templates" of human locomotion that could be used for functional sensory stimulation. The proposed technique can be used to imitate or partially restore surrogate contact forces under body weight support conditions.

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Section: Introductionmentioning

confidence: 99%

A novel approach to mechanical foot stimulation during human locomotion under body weight support

Gravano

Ivanenko

Maccioni

et al. 2011

Human Movement Science

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“…The pressure distributed over the mid foot with both a full length and quarter length custom shoe insert changed the pressure in the mid foot by 20% [9]. This finding suggests that an insert can help to distribute pressure more evenly under the foot and it can provide relief in problem areas.…”

Section: Discussionmentioning

confidence: 61%

“…Arthritis, due to age, is another leading cause of foot dysfunction [9]. Arthritis of the tarsometatarsal joint in the elderly has increased tremendously.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Potential of Color Doppler Ultrasound Efficiency in Monitoring Diabetic Nonulcerated Neuroarthropathic (Charcot) Foot

Perciun¹

2015

Clin Res Foot Ankle

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Objective: Potential pain relief from foot pain can come from a shoe insert foot orthotic. This study assessed foot pressure distribution and balance in off the shelf foot orthotics versus a custom made foot orthotic compared to no orthotic. Methods:The subjects (8) were both men and women. The average age was 25.1 ± 2.8 years, the average weight was 68.8 ± 13.7 kg, and BMI 24.5 ± 6.4. Each patient was fit for both off the shelf and custom shoe insert foot orthotics and needed orthotics to reduce pain. Once fit, they were evaluated by standing and then walking 12 meters on a level surface while being monitored by a Tactilus Pressure Mapping system. Balance was also evaluated with a pressure platform during 8 balance tests. Results:With the subjects accomplishing quiet standing, the average pressure and peak pressure was shifted from the hind foot and forefoot to the mid foot when wearing foot inserts (p<0.05). During walking, the average pressure was significantly shifted from the forefoot and hind foot to the mid foot in both orthotic groups with the greatest reduction in forefoot pressure in the off the shelf orthotic group (p<0.05). This is especially seen when measuring the peak pressures on the foot, where, during standing the peak pressures on the fore foot were 20% higher with no orthotic than seen for the 2 orthotics tested here. Balance was best in the custom orthotic group while both orthotic groups had better balance than the no orthotic studies for the most difficult balance tests. Conclusion: At least in this small group of subjects, off the shelf foot orthotics help gait or balance but custom orthotics are better.

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“…Different types of custom orthoses are available, including semiflexible or rigid carbon varieties [14]. Custom orthotics are often used in treatment to lower the risk of stress fractures through a reduction in the plantar load beneath the base of the 5th metatarsal [15].…”

Section: Introductionmentioning

confidence: 99%

Plantar loading during jumping while wearing a rigid carbon graphite footplate

et al. 2014

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This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research and education use, including for instruction at the authors institution and sharing with colleagues.Other uses, including reproduction and distribution, or selling or licensing copies, or posting to personal, institutional or third party websites are prohibited.

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Shoe Inserts Alter Plantar Loading and Function in Patients With Midfoot Arthritis

Abstract: *Use of the full-length (FL) insert was accompanied by decreased duration of loading in the midfoot (P .05) and equivocal changes in duration of loading at the heel and forefoot. Error bars indicate standard deviation.

Cited by 56 publications

References 43 publications

A novel approach to mechanical foot stimulation during human locomotion under body weight support

A novel approach to mechanical foot stimulation during human locomotion under body weight support

The Potential of Color Doppler Ultrasound Efficiency in Monitoring Diabetic Nonulcerated Neuroarthropathic (Charcot) Foot

Plantar loading during jumping while wearing a rigid carbon graphite footplate

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