The Use of Pedobarographic Examination to Biomechanical Evaluation of Foot and Ankle Joint in Adult - Own Experience

Abstract

Za sto so wa nie ba da nia pe do ba ro gra ficz ne go do oce ny bio me cha ni ki sto py i sta wu sko ko wo -go le nio we go u osób do ro słych -do świad cze nia wła sne STRESZ CZE NIEPe do ba ro gra fia jest nie in wa zyj ną me to dą, uży wa ną do opi su roz kła du na ci sków na po de szwo wej stro nie sto py pod czas sta nia i cho du, a więc uła twia ją cą oce nę bio me cha ni ki głów nie sto py i sta wu sko ko wo-go le niowe go. Znaj du je ona za sto so wa nie w dia gno sty ce scho rzeń na rzą du ru chu i w oce nie ich pro gre sji, mo ni to ro waniu prze bie gu le cze nia re ha bi li ta cyj ne go, a ta kże w oce nie sku tecz no ści le cze nia ope ra cyj ne go. W pra cy tej przed sta wio no wy bra ne za gad nie nia do ty czą ce za sto so wa nia pe do ba ro gra fii w dia gno sty ce i le cze niu scho rzeń stóp i sta wu sko ko wo-go le nio we go u osób do ro słych w opar ciu o do świad cze nia wła sne (ok. 10 ty się cy wy ko nanych ba dań pe do ba ro gra ficz nych) i prze gląd li te ra tu ry. W na szej oce nie, pe do ba ro gra fia po win na zna leźć powszech niej sze, ani że li do tych czas, za sto so wa nie w dia gno sty ce i le cze niu stóp oraz sta wu sko ko wo -go le nio we go.Sło wa klu czo we: na rząd ru chu, dia gno sty ka, na ci ski, chód SUMMARY A non -in va si ve me thod, that can be used to de scri be the un der fo ot pres su re di stri bu tion du ring stan ce and ga it, is pe do ba ro gra phy. This exa mi na tion helps to de scri be bio me cha nics of fo ot and an kle. It has be en used to dia gno se fo ot di sor ders, as sess the di se ase pro gres sion, mo ni tor the pro gress of re ha bi li ta tion and al so evalu ate the ef fec ti vness of un der go ne sur gi cal tre at ment. In this ar tic le we de scri be cho sen is su es of pe do ba ro graphic exa mi na tion in dia gno stics and tre at ment of fo ot and an kle in adults. We ba se on our own expe rien ce (about 10 tho usand exa mi na tions) and re view of li te ra tu re. In our opi nion, pe do ba ro gra phy sho uld be used in diagno stics and tre at ment of fo ot and an kle mo re often and wi de ly than now.

Quantitative Analysis of Foot Plantar Pressure During Walking

“…At the same time, new methods based on pedobarography were developed. The use of piezoelectric sensors by Schwartz, a novelty at that time, enabled the development of modern techniques in foot loading analysis [8–11]. Accuracy of measurements has improved, particularly with the introduction of a specialized software allowing automatization of the process.…”

“…At present, over 50 different devices are used for foot loading analysis [11]. Some systems require specialized laboratories, others require relatively expensive and delicate insoles with pressure sensors [12].…”

Body weight-dependent foot loads, assessed in terms of BMI and adiposity, in school-aged children: a cross sectional study

“…Regular monitoring of feet loading is therefore believed to appreciably gain in diagnostic significance, as well as in terms of effective prevention. A stabilometric platform was used as a research tool of choice for assessing the distribution of foot loads in the plantar part of the foot 13 .…”

Plantar pressure sensors indicate women to have a significantly higher peak pressure on the hallux, toes, forefoot, and medial of the foot compared to men

“…Various foot pressure evaluation devices have been developed, and the currently available systems are categorized into the plantar platform system and the in-shoe system. At present, over 50 different devices are used for foot loading analysis [5]. Some systems require specialized laboratories, whereas others require relatively expensive and delicate insoles with pressure sensors [6].…”