Plantar pressure analysis of accommodative insole in older people with metatarsalgia

Chang, Bao Chi; Liu, Ding Hao; Chang, Jeffrey Liao; Lee, Si Huei

doi:10.1016/j.gaitpost.2013.08.027

Cited by 23 publications

(12 citation statements)

References 29 publications

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“…Over a 2-week period, significant reductions in peak pressure and foot pain were observed, with the reduction in pain being significantly correlated with the degree of pressure reduction. More recently, Chang et al [59] found that a full-length insole resulted in a 47% reduction in forefoot peak pressure and an 86% reduction in forefoot pain in people aged 65-84 years after 4 weeks. These early findings are promising, and demonstrate the valuable insights provided by pressure measurement technology.…”

Section: The Role Of Plantar Pressure Technology In the Assessment Anmentioning

confidence: 99%

Biomechanics of the Ageing Foot and Ankle: A Mini-Review

Menz

2014

Gerontology

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Foot pain is highly prevalent in older people and has a significant detrimental impact on mobility and quality of life. In recent years, there has been increased interest in exploring the biomechanical factors that may contribute to the development of foot disorders and the associated impairment of mobility in this age group. Studies have shown that with advancing age, there is a general tendency for the foot to exhibit increased soft tissue stiffness, a decreased range of motion, decreased strength and a more pronated posture as well as to function in a more pronated position with reduced joint mobility and less efficient propulsion when walking. These changes may contribute to the development of foot pain, impair performance in functional weight-bearing activities and increase the risk of falls. However, plantar pressure analysis technology has considerable potential to assist in optimising the design of interventions to redistribute load away from high-pressure areas, thereby alleviating foot symptoms and improving mobility in older people.

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Section: The Role Of Plantar Pressure Technology In the Assessment Anmentioning

confidence: 99%

Biomechanics of the Ageing Foot and Ankle: A Mini-Review

Menz

2014

Gerontology

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“…In addition, it is imperative to keep the patient in touch with the maintenance of his nervous system through giving recommendations such as getting enough sleep and Open Journal of Therapy and Rehabilitation working to reduce their stress levels. These factors have negative effects on the human body; they have a significant negative relationship in individuals with chronic pain due to the alteration of the chemicals in the brain and the hormones that cause mood alterations and anxiety [30]. There was continuous contact with the patient through social media by using some contact applications.…”

Section: Discussionmentioning

confidence: 99%

The Effects of Pain Neuroscience Education with Conventional Physical Therapy on Chronic Plantar Fasciitis: A Case Study

Alfaifi¹,

Webb²

2021

OJTR

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Background and Purpose: Plantar Fasciitis (PF) is a condition that affects the foot and causes complaints such as pain and stiffness. The most common symptom of this condition is pain. There are many treatment options to deal with this condition, such as conservative therapy, medications, and surgical interventions in rare cases. This case study aims to investigate the potential impact of pain neuroscience education (PNE), combined with a conventional Physical Therapy (PT) program on a 37-year-old-patient with chronic plantar fasciitis. Case description: A 37-year-old male health care professional presented to an outpatient physical therapy clinic with a diagnosis of chronic PF for around two years. The participant had tried several treatment options with no improvement of his symptoms. After undergoing a physical therapy evaluation, he was given a plan of care for twelve sessions by a skilled physical therapist for a six-week period, with each session consisting of 30 minutes of conventional PT, followed by 5 to 15 minutes of PNE. Results: After completing the prescribed plan of care, the patient reported a reduction in subjective symptoms via the Visual Analog Scale (VAS). He also reported improvement with symptoms and functional independence via the Foot Function Index (FFI). The patient reported no change in the quality of sleep via Pittsburg Sleep Quality Index (PSQI). Lastly, he demonstrated no objective improvement in foot pressure with the Navicular Drop Test. Discussion: This case report indicates that PNE, combined with conventional PT for PF can have a positive impact on subjective pain and foot function. PNE should involve many topics about the physiology of pain and the nervous system and should be administered by a certified therapeutic pain specialist. Further studies are recommended to investigate the impact of this intervention in combination with traditional PT for PF in larger populations.

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“…Ibrahim et al (2013) noted that in the treatment of people with diabetes, orthotic insoles and pressure-relief shoes reduce plantar pressure loading. Meanwhile, Chang, Liu, Chang, Lee, and Wang (2014) revealed that accommodative insoles significantly reduce the peak pressure, pressure-time integral on the MPJs, and maximal force in older people with metatarsalgia. To the best of our knowledge, not many studies attempt to offload pressures in order to reduce the risk of overuse injuries in race walking even though the strong association between high underfoot pressure and overuse injuries has already been proven (Person & Whitaker, 2012).…”

Section: Discussionmentioning

confidence: 99%

Could Insoles Offload Pressure? An Evaluation of the Effects of Arch-supported Functional Insoles on Plantar Pressure Distribution during Race Walking

Song

et al. 2015

Research in Sports Medicine

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This study investigated the effectiveness of functional insoles on plantar pressure distribution during race walking so as to reduce the high plantar pressure and force on race walkers, who tend to suffer from overuse injury. A total of 20 male race walkers aged 21.19 ± 3.66 years and with a mean height of 178.85 ± 14.07 cm were recruited as participants. Each participant completed a race walking with functional or normal insoles. Plantar pressure insoles were used to collect vertical plantar pressure data. A two-way analysis of variance with a mixed design was used to determine the difference between the two conditions. Results showed that the use of functional insoles reduces the peak pressure and the impulse in the metatarsophalangeal joints and heels and thus suggest that functional insoles reduce the overuse injury risks of these parts. The first ground reaction force peak also decreased. This result suggested that functional insoles reduce the risks of foot and leg injuries.

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Plantar pressure analysis of accommodative insole in older people with metatarsalgia

Cited by 23 publications

References 29 publications

Biomechanics of the Ageing Foot and Ankle: A Mini-Review

Biomechanics of the Ageing Foot and Ankle: A Mini-Review

The Effects of Pain Neuroscience Education with Conventional Physical Therapy on Chronic Plantar Fasciitis: A Case Study

Could Insoles Offload Pressure? An Evaluation of the Effects of Arch-supported Functional Insoles on Plantar Pressure Distribution during Race Walking

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