The assessment of plantar pressure distribution in plantar fasciitis and its relationship with treatment success and fascial thickness (original) (raw)
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Current Concepts in Rehabilitation of Plantar Fasciitis
ACTA SCIENTIFIC ORTHOPAEDICS (ASOR)(ISSN: 2581-8635), 2021
Plantar Fasciitis is the most common cause of heel pain treated mostly conservatively and physical therapy significantly contributes to alleviate the symptoms using both exercise therapy and electrotherapeutic modalities. attributes to 8% of all running related sports injuries, 15% of all reported foot complaints and 7% of all the reported complaints of tenderness of heel in patients above 65 years. An understanding of the fasciitis' pathomechanics and a comprehensive knowledge of these modalities, their mechanism of action, and the evidence of their efficacy can help in swift and accurate clinical decision making, helping the patients and the healthcare system alike.
Contralateral Peak Plantar Pressures with a Postoperative Boot
Journal of the American Podiatric Medical Association, 2011
Background: Frequent use of walking boots in podiatric medicine often elicits patient complaints and sequelae from the imposed limb-length discrepancy. This study was designed primarily to determine whether peak plantar pressures are decreased in the contralateral foot when a moderately worn athletic shoe is worn opposite a high-calf walking boot and, if so, secondarily to determine whether a specialized surgical shoe worn on the contralateral foot can also effectively reduce this pressure. The pressure reductions were then compared to determine whether significantly greater plantar pressure reduction was provided by either the athletic shoe or the surgical shoe. Methods: Participants without a foot abnormality walked on a treadmill in four footwear combinations: barefoot bilaterally, high-calf rocker-bottom sole (HCRB) walking boot/ barefoot, HCRB walking boot/athletic shoe, and HCRB walking boot/modified walking boot shoe. Measurements were taken with the participants wearing sock...
The study of plantar pressure distribution in normal and pathological foot
Polish Journal of Medical Physics and …, 2006
The distribution and magnitudes of plantar pressure have been measured to identify the functional manifestations of foot disorders. Pedobarograph measurements of normal and abnormal foot were monitored during walking using computer assisted optical pedobarograph. Results showed that the peak pressures and their duration varied significantly in normal and pathological subjects. Peak pressures were also correlated with pathological conditions. The percentage contact time of heel, forefoot and toe was 59±10, 79±13, 68±20 and 39±29, 76±22, 45±43 in normal and pathological foot respectively. It was found that dynamic plantar pressure provides important information about the human gait. The data could be useful in understanding the variations in walking and orthopaedic disorders related to foot.
The influence of walking speed and footwear on plantar pressures in older adults
Clinical Biomechanics, 2004
Objective. To identify the influence of walking velocity and footwear condition on plantar pressure variables in healthy older adults. Design. Single session data collection during varying speed and footwear conditions. Background. Elevated plantar pressures are concerning due to the risk of tissue injury, ulceration, and pain. In young adults, increases in plantar pressure have been documented with faster walking speeds and when walking barefoot compared to wearing shoes. These relationships have not been systematically explored in older adults. Methods. Key plantar pressure factors were recorded as subjects walked barefoot and in comfortable walking shoes across a 10 m walkway at three predetermined velocities (57, 80, 97 m/min). Separate 3 • 2 analyses of variance with repeated measures identified significant differences in pressure, force, and contact area in eight anatomically defined foot regions across walking speeds and between footwear conditions. Results. Faster walking resulted in higher pressures under all foot regions except for the arch and lateral metatarsal (P 6 0:001), due primarily to greater forces under the heel, medial metatarsal and toes (P 6 0:001). Compared to wearing shoes, barefoot heel pressure was elevated (P 6 0:001) due to reduced heel contact area (P < 0:001); pressure under the central metatarsals was higher (P 6 0:001) owing to greater central metatarsals force (P < 0:001). Conclusions. Two conditions were associated with higher plantar pressures in the older adults studied: faster speeds and barefoot walking. Relevance In the presence of plantar pain and/or pathology, wearing supportive, well-fit shoes and avoiding faster walking speeds may reduce pressures. These strategies may also be useful for decreasing the risk of tissue injury and ulceration in persons with peripheral neuropathy.
Journal of the American Podiatric Medical Association, 2016
We investigated the effectiveness and durability of two types of plantar padding, the plantar metatarsal pad and the single wing plantar cover, which are commonly used for reducing forefoot plantar pressures. Mean peak plantar pressure and impulse at the hallux and at the first, second, third, and fourth metatarsophalangeal joints across both feet were recorded using the two-step method in 18 individuals with normal asymptomatic feet. Plantar paddings were retained for 5 days, and their durability and effectiveness were assessed by repeating the foot plantar measurement at baseline and after 3 and 5 days. The single wing plantar cover devised from 5-mm felt adhesive padding was effective and durable in reducing peak plantar pressure and impulse at the first metatarsophalangeal joint (P = .001 and P = .015, respectively); however, it was not found to be effective in reducing peak plantar pressure and impulse at the hallux (P = .782 and P = .845, respectively). The plantar metatarsal ...
Bangladesh Journal of Medical Science, 2014
Plantar fasciitis is one of the most common causes of inferior heel pain managed by many physical therapists in variety of clinical settings and wildly treated conservatively. It is usually caused by a biomechanical imbalance resulting in tension along the plantar fascia. It is estimated that 11% to 15% of all foot complaints requiring medical attention can be attributed to this condition. The patient typically presents with inferior heel pain on weight bearing. Pain associated with plantar fasciitis may be throbbing, searing, or piercing, especially with the first few steps in the morning or after periods of inactivity. This article present on overview of the current knowledge on plantar fasciitis and focuses on biomechanics, etiology, diagnosis and treatment strategies, conservative treatment including the physical therapy management are discussed. This information should assist health care practitioners who treat patients with this disorder DOI: http://dx.doi.org/10.3329/bjms.v14...