Biomechanical Parameters of Foot Function Measured in the Office of a Specialist in Orthopedics and Traumatology

Keywords: Force, center of force, biomechanics, gait analysis, force trajectory, ground reaction force

Abstract

Introduction: Dynamic studies of foot function are usually carried out in highly complex gait analysis laboratories. The objective of this study was to analyze functional parameters using a force platform in a series of asymptomatic patients evaluated in an outpatient clinic. Materials and Methods: Cross-sectional study, which included a consecutive series of volunteer asymptomatic patients who underwent a force platform measurement (TekScanMatScan®, Boston, MA, USA) between 2014 and 2020, in the City of Buenos Aires, Argentina. Results: 316 records were included, corresponding to 158 individuals with bilateral measurements.Most were women (66.5%), with a mean age of 47 years (SD 16.1). Fourteen variables were evaluated, corresponding to parameters of force, trajectory, and contact time. The total contact time was 0.79 seconds (SD 0.09), and the COF time according to the region of the foot was 20% in the heel, 26% in the midfoot, and 46% in the forefoot. The CPEI (Center of Pressure Excursion Index) value was 16.55% (SD 7.14). Conclusion: Foot functional parameters in asymptomatic patients are presented. The contact time of the foot on the ground, the force in the heel, midfoot, and forefoot, and the force trajectory were measured. No ionizing radiation was used. These findings could be used as reference values to detect pathological gaits. Level of Evidence: II

Downloads

Download data is not yet available.

Author Biography

Jorge Castellini, Práctica privada, Ciudad Autónoma de Buenos Aires, Argentina
Práctica privada, Ciudad Autónoma de Buenos Aires, Argentina Miembro Titular de la AAOT

References

Elftman H. Dynamic structure of the human foot. Artif Limbs 1969;13(1):49-58. PMID: 5363263

Menz HB. Alternative techniques for the clinical assessment of foot pronation. J Am Podiatr Med Assoc

;88(3):119-29. https://doi.org/10.7547/87507315-88-3-119

Galica AM, Hagedorn TJ, Dufour AB, Riskowski JL, Hillstrom HJ, Casey VA, et al. Hallux valgus and plantar

pressure loading: the Framingham foot study. J Foot Ankle Res 2013;6(1):42. https://doi.org/10.1186/1757-1146-6-42

Hillstrom HJ, Song J, Kraszewski AP, Hafer JF, Mootanah R, Dufour AB, et al. Foot type biomechanics part 1:

Structure and function of the asymptomatic foot. Gait Posture 2013;37(3):445-51. https://doi.org/10.1016/j.gaitpost.2012.09.007

Mootanah R, Song J, Lenhoff MW, Hafer JF, Backus SI, Gagnon D, et al. Foot Type Biomechanics Part 2: Are

structure and anthropometrics related to function? Gait Posture 2013;37(3):452-6. https://doi.org/10.1016/j.gaitpost.2012.09.008

Ledoux WR, Shofer JB, Smith DG, Sullivan K, Hayes SG, Assal M, et al. Relationship between foot type, foot

deformity, and ulcer occurrence in the high-risk diabetic foot. J Rehabil Res Dev 2005;42(5):665-72.

https://doi.org/10.1682/jrrd.2004.11.0144

Jameson G, Anderson J, Davis R, Davids J, Christopher L. A comparison of methods for using center of pressure

progression in the classification of foot deformity. Gait Posture 2006;24:S83-4.

https://doi.org/10.1016/j.gaitpost.2006.11.059

Hagedorn TJ, Dufour AB, Golightly YM, Riskowski JL, Hillstrom HJ, Casey VA, et al. Factors affecting center of

pressure in older adults: the Framingham Foot Study. J Foot Ankle Res 2013;6(1):18.

https.//doi.org/10.1186/1757-1146-6-18

Chiu M-C, Wang M-J. The effect of gait speed and gender on perceived exertion, muscle activity, joint motion of lower extremity, ground reaction force and heart rate during normal walking. Gait Posture 2007;25(3):385-92.

https://doi.org/10.1016/j.gaitpost.2006.05.008

Liu MQ, Anderson FC, Pandy MG, Delp SL. Muscles that support the body also modulate forward progression

during walking. J Biomech 2006;39(14):2623-30. https://doi.org/10.1016/j.jbiomech.2005.08.017

Song J, Hillstrom HJ, Secord D, Levitt J. Foot type biomechanics. Comparison of planus and rectus foot types. J Am Podiatr Med Assoc 1996;86(1):16-23. https://doi.org/10.7547/87507315-86-1-16

Grundy M, Tosh PA, McLeish RD, Smidt L. An investigation of the centres of pressure under the foot while

walking. J Bone Joint Surg Br 1975;57(1):98-103. PMID: 1117028

Coda A, Carline T, Santos D. Repeatability and reproducibility of the Tekscan HR-Walkway system in healthy

children. Foot 2014;24(2):49-55. https://doi.org/10.1016/j.foot.2014.02.004

Bus SA, de Lange A. A comparison of the 1-step, 2-step, and 3-step protocols for obtaining barefoot plantar pressure data in the diabetic neuropathic foot. Clin Biomech (Bristol, Avon) 2005;20(9):892-9.

https://doi.org/10.1016/j.clinbiomech.2005.05.004

van der Leeden M, Dekker JHM, Siemonsma PC, Lek-Westerhof SS, Steultjens MPM. Reproducibility of plantar

pressure measurements in patients with chronic arthritis: a comparison of one-step, two-step, and three-step

protocols and an estimate of the number of measurements required. Foot Ankle Int 2004;25(10):739-44.

https://doi.org/10.1177/107110070402501008

Anderson FC, Pandy MG. Individual muscle contributions to support in normal walking. Gait Posture

;17(2):159-69. https://doi.org/10.1016/s0966-6362(02)00073-5

Liu MQ, Anderson FC, Schwartz MH, Delp SL. Muscle contributions to support and progression over a range of walking speeds. J Biomech 2008;41(15):3243-52. https://doi.org/10.1016/j.jbiomech.2008.07.031

Anderson FC, Pandy MG. Dynamic optimization of human walking. J Biomech Eng 2001;123(5):381-90.

https://doi.org/10.1115/1.1392310

Pandy MG, Lin Y-C, Kim HJ. Muscle coordination of mediolateral balance in normal walking. J Biomech

;43(11):2055-64. https://doi.org/10.1016/j.jbiomech.2010.04.010

Winter DA. Foot trajectory in human gait: a precise and multifactorial motor control task. Phys Ther 1992;72(1):45-53; discussion 54-6. https://doi.org/10.1093/ptj/72.1.45

Venkadesan M, Yawar A, Eng CM, Dias MA, Singh DK, Tommasini SM, et al. Stiffness of the human foot and

evolution of the transverse arch. Nature 2020;579(7797):97-100. https://doi.org/10.1038/s41586-020-2053-y

Welte L, Kelly LA, Lichtwark GA, Rainbow MJ. Influence of the windlass mechanism on arch-spring mechanics

during dynamic foot arch deformation. J R Soc Interface [Internet] 2018;15(145). Disponible en:

https://doi.org/10.1098/rsif.2018.0270

Winter DA. Knee flexion during stance as a determinant of inefficient walking. Phys Ther 1983;63(3):331-3.

https://doi.org/10.1093/ptj/63.3.331

Winter DA, Patla AE, Frank JS, Walt SE. Biomechanical walking pattern changes in the fit and healthy elderly. Phys Ther 1990;70(6):340-7. https://doi.org/10.1093/ptj/70.6.340

Hessert MJ, Vyas M, Leach J, Hu K, Lipsitz LA, Novak V. Foot pressure distribution during walking in young and

old adults. BMC Geriatr 2005;5:8. https://doi.org/10.1186/1471-2318-5-8

Published
2022-12-31
How to Cite
Castellini, J. (2022). Biomechanical Parameters of Foot Function Measured in the Office of a Specialist in Orthopedics and Traumatology. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(6), 756-764. https://doi.org/10.15417/issn.1852-7434.2022.87.6.1557
Section
Clinical Research