The effect of changes in foot sensation on plantar pressure and muscle activity

Nurse, Matthew A.; Nigg, Benno M.

doi:10.1016/s0268-0033(01)00090-0

Cited by 237 publications

(153 citation statements)

References 26 publications

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“…The reduction of joint excursion may also be ascribed to neuropathy. Previous studies [47,48] have suggested that the absence of cutaneous feedback results in the adoption of a more conservative walking strategy. Reductions in forefoot motion may be due to lack of eversion of the subtalar joint but could also be due to factors intrinsic to the transverse tarsal joint, such as stiffness of talonavicular and calcaneocuboid joints.…”

Section: Discussionmentioning

confidence: 98%

Segmental foot mobility in individuals with and without diabetes and neuropathy

Rao

Saltzman

Yack

2007

Clinical Biomechanics

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Section: Discussionmentioning

confidence: 98%

Segmental foot mobility in individuals with and without diabetes and neuropathy

Rao

Saltzman

Yack

2007

Clinical Biomechanics

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“…Previous studies have demonstrated effects of local anesthesia on roll-over during gait, e. g. the increase of metatarsal head loading in plantar pressure data after applying ice to the plantar surface of the foot [2]. Furthermore, the mechanical intervention of protruding pins anchored to the bone might interfere with the motion of tendons, ligaments, skin and other pins applied in close proximity.…”

Section: Introductionmentioning

confidence: 99%

The effect of intracortical bone pin application on kinetics and tibiocalcaneal kinematics of walking gait

et al. 2017

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Bone anchored markers using intracortical bone pins are one of the few available methods for analyzing skeletal motion during human gait in-vivo without errors induced by soft tissue artifacts.However, bone anchored markers require local anesthesia and may alter the motor control and motor output during gait. The purpose of this study was to examine the effect of local anesthesia and the use of bone anchored markers on typical gait analysis variables. Five subjects were analyzed in two different gait analysis sessions. In the first session, a protocol with skin markers was used. In the second session, bone anchored markers were added after local anesthesia was applied. For both sessions, three dimensional infrared kinematics of the calcaneus and tibia segments, ground reaction forces, and plantar pressure data were collected. 95% confidence intervals and boxplots were used to compare protocols and assess the data distribution and data variability for each subject. Although considerable variation was found between subjects, withinsubject comparison of the two protocols revealed non-systematic effects on the target variables.Two of the five subjects walked at reduced gait speed during the bone pin session, which explained the between-session differences found in kinetic and kinematic variables. The remaining three subjects did not systematically alter their gait pattern between the two sessions. Results support the hypothesis that local anesthesia and the presence of bone pins still allow a valid gait pattern to be analyzed.

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“…Their administration or prescription has been and is done for many different reasons, including reducing the frequency of movement related injuries (10), aligning the skeleton properly (11,16), providing improved cushioning (11), improving comfort (26), improving the sensory feedback (25,27), reducing muscle activity (18), correcting the center of the path of the pressure (COP) (15), and/or reducing the knee joint moments (32). This paper concentrates on the effects of shoe inserts on the alignment of the lower extremities, the correction of the path of the COP, and the reduction of ankle and knee joint moments.…”

mentioning

confidence: 99%

Effect of Shoe Inserts on Kinematics, Center of Pressure, and Leg Joint Moments during Running

Nigg

Stergiou

Cole

et al. 2003

Medicine & Science in Sports & Exercise

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126

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. Purpose: The purposes of this project were to assess the effect of four different shoe inserts on the path of the center of pressure (COP), to quantify the effect of these inserts on selected knee joint moments during running, and to assess the potential of COP data to predict the effects of inserts/orthotics on knee joint moments. Methods: Kinematics for the lower extremities, resultant ankle and knee joint moments, and the path of the COP were collected from the right foot of 15 male subjects while running heel-toe with five different shoe inserts (full or half with 4.5-mm postings). Results: Individual movement changes with respect to the neutral insert condition were typically small and not systematic. Significant changes for the path of the COP were registered only for the full lateral insert condition with an average shift toward the lateral side. The mediolateral shift of the COP was not consistent for the full medial and the two half-shoe inserts. The subject-specific reactions to the inserts' intervention in the corresponding knee joint moments were typically not consistent. Compared with the neutral insert condition, subjects showed increases or decreases of the knee joint moments. The correlation between the individual COP shifts and the resultant knee joint moment was generally small. Conclusion: The results of this study showed that subject-specific reactions to the tested inserts were often not as expected. Additionally, reactions were not consistent between the subjects. This result suggests that the prescription of inserts and/or orthotics is a difficult task and that methods must be developed to test and assess these effects. Such methods, however, are not currently available.

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The effect of changes in foot sensation on plantar pressure and muscle activity

Cited by 237 publications

References 26 publications

Segmental foot mobility in individuals with and without diabetes and neuropathy

Segmental foot mobility in individuals with and without diabetes and neuropathy

The effect of intracortical bone pin application on kinetics and tibiocalcaneal kinematics of walking gait

Effect of Shoe Inserts on Kinematics, Center of Pressure, and Leg Joint Moments during Running

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