Plantar pressure reduction in step-to gait: A biomechanical investigation and clinical feasibility study

Clinical Biomechanics

Volumn 23, Issue 8, 2008, Pages 1073-1079

  Drerup, B ^a   Szczepaniak, A ^a   Wetz, H H ^a  

^a UNIVERSITY HOSPITAL MÜNSTER   (Germany)

Author keywords

Foot protection; Plantar pressure; Speed; Step length; Step to gait

Indexed keywords

BIOMECHANICS; DECISION MAKING; PLANNING; RESOURCE ALLOCATION; SPEED; SUGAR (SUCROSE); UNLOADING;

ASYMMETRIC DISTRIBUTION; CLINICAL APPLICATIONS; CLINICAL FEASIBILITY; FEASIBILITY STUDIES; FOOT PROTECTION; GAIT PATTERNS; HEEL STRIKE; PEAK PRESSURES; PLANTAR PRESSURE; PLANTAR PRESSURES; STEP LENGTH; STEP PATTERNS; STEP-TO GAIT;

ELECTRIC BREAKDOWN;

ADULT; AGED; ARTICLE; BIOMECHANICS; CLINICAL ARTICLE; CONTROLLED STUDY; DIABETIC NEPHROPATHY; FEASIBILITY STUDY; FEMALE; FOOT; FOREFOOT; GAIT; HEEL; HUMAN; MALE; METATARSAL BONE; PRESSURE MEASUREMENT; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; WALKING SPEED;

ADULT; AGED; BIOMECHANICS; DIABETES MELLITUS, TYPE 2; DIABETIC NEUROPATHIES; FEASIBILITY STUDIES; FEMALE; FOOT JOINTS; GAIT; HEEL; HUMANS; MALE; MIDDLE AGED; PRESSURE; WALKING; WEIGHT-BEARING;

EID: 49849096232     PISSN: 02680033     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.clinbiomech.2008.04.014     Document Type: Article

References (22)

1. Andriacchi T.P., Ogle J.A., and Galante J.O. Walking speed as a basis for normal and abnormal gait measurements. J. Biomech. 10 4 (1977) 261-268
2. Brand P.W. Repetitive stress in the development of diabetic foot ulcers. In: Levin M.E., and O'Neal L.W. (Eds). The diabetic foot. fourth ed. (1988), CV Mosby, St. Louis
3. Brown H.E., and Mueller M.J. A "step-to" gait decreases pressures on the forefoot. JOSPT 28 (1998) 139-145
4. Burnfield J.M., Few C.D., Mahamed O.S., and Perry J. The influence of walking speed and footwear on plantar pressures in older adults. Clin. Biomech. 19 (2004) 78-84
5. Crosbie W.J., and Nicol A.C. Aided gait in rheumatoid arthritis following knee arthroplasty. Arch. Phys. Med. Rehab. 71 (1990) 299-303
6. Drerup B., Hafkemeyer U., Moeller M., and Wetz H.H. Effect of walking speed on pressure distribution of orthopedic shoe technology. Orthopade 30 (2001) 169-175
7. Drerup B., Kolling Ch., Koller A., and Wetz H.H. Reduction of plantar peak pressure by limiting stride length in diabetic patients. Orthopade 33 (2004) 1013-1019
8. Georgiadou-Linkemeyer, G., 2004. Gangschulung des Step-to Ganges zur Prophylaxe plantarer Ulzerationen beim Diabetiker. Bachelor-thesis FH Osnabruck WS 04/05.
9. Grieve D.W., and Gear R.J. The relationship between length of stride, step frequency, time of swing and speed of walking for children and adults. Ergonomics 9 (1966) 379-399
10. Hayafune N., Hayafune Y., and Jacob H.A.C. Pressure and force distribution characteristics under the normal foot during the push-off phase in gait. Foot 9 (1999) 88-92
11. Koller A., Fuhner J., and Wetz H.H. Radiological and clinical aspects of diabetic-neuropathic osteoarthropathy. Orthopade 33 (2004) 972-982
12. Lavery L.A., Vela S.A., Lavery D.C., and Quebedeaux T.L. Reducing dynamic foot pressures in high-risk diabetic subjects with foot ulcerations - A comparison of treatments. Diabetes Care 19 (1996) 818-821
13. Mueller M.J., Minor S.D., Sahrmann S.A., Schaaf J.A., and Strube M.J. Differences in the gait characteristics of patients with diabetes and peripheral neuropathy compared with age-matched controls. Phys. Ther. 74 (1994) 299-308
14. Mueller M.J., Lott D.J., Hastings M.K., Commean P.K., Smith K.E., and Pilgram H.K. Efficacy and mechanism of orthotic devices to unload metatarsal heads in people with diabetes and a history of plantar ulcers. Physical Therapy 86 (2006) 833-842
15. Pedotti, A., 1977. Simple equipment used in clinical practice for the evaluation of locomotion. IEEE Transactions on biomedical Engineering BME-24, 456-461.
16. Perry J. Gait analysis - normal and pathological function (1992), Slack Inc., Thorofare, NJ
17. Rosenbaum D., Hautmann S., Gold M., and Claes L. Effects of walking speed on plantar pressure patterns and hindfoot angular motion. Gait and Posture 2 (1994) 191-197
18. Rosenrot P., Wall J.C., and Charteis J. The relationship between speed, stride time, support time and swing time during normal walking. J. Hum. Mov. Stud. 6 (1980) 323-335
19. Segal A., Rohr E., Orendurff M., Shofer J., O'Brien M., and Sangeorzan B. The effect of walking speed on peak plantar pressure. Foot Ankle Int. 25 (2004) 926-933
20. Van Deursen R.W. Mechanical loading and off-loading of the plantar surface of the diabetic foot. Clin. Infect. Dis. 39 (2004) S87-S91
21. Zhu H.S., Wertsch J.J., Harris G.F., Looftsgarden J.D., and Price M.B. Foot pressure distribution during walking and shuffling. Arch. Phys. Med. Rehab. 72 (1991) 390-397
22. Zhu H.S., Wertsch J.J., Harris G.F., and Alba H.M. Walking cadence effect on plantar pressures. Arch. Phys. Med. Rehab. 76 (1995) 1000-1005