ROLE OF DETERMINATION THE ACTIVE CONTACT AREA OF FOOT IN EVALUATION OF PES PLANUS AND DESIGN THE INSOLE

Mihnea MARIN, Michi GEAMBESA, Hisham Mohammad Othman ABU TAHA, Al Ogaili Waleed ADNAN, Alexandru CHIVARAN, Andreea UNGUREANU, Ligia RUSU

Abstract


Pes planus (flat foot) is more then 10% from the active population. The aim of the study is to research how could be make  the plantar correction using insoles in flat foot. Biomechanics evaluation consists in determination of active area contact like percent from total plantar area. The conclusions of our research open the new way for approach the flat foot in the perspective of how could be the workflow for design the insole for flat foot. Also evaluation of  morphologic indexes and correlate with plantar pressure distribution and active contact area correction limit the evolution of flat foot, the unwanted effects under the lower limb. Also, the check of insole using scanner method help to adjust the design process.  

[1] Tarniţă, D., Geonea, I., Petcu,  A.. Tarnita, D.N.. Experimental Characterization of Human Walking on Stairs Applied to Humanoid Dynamics, Advances in Robot Design and Intelligent Control, pp 293-301, 2016, Springer

[2] Berceanu, C., Tarniţă, D., Filip, D.. About an Experimental Approach Used to Determine the Kinematics of the Human Finger Movement, Solid State 7 Phenomena, Vol. 166–167, pp 45-50, 2010.

[3]Shih, Y.F., Chen, C.Y., Chen, W.Y., Hsiu-Chen, L.. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study, BMC Musculoskelet Disord,13:31, 2012.

[4] Chen, Y.C., Lou, S,Z., Huang, C,Y., Su, F.C.. Effects of foot orthoses on gait patterns of flat feet patients, Clin Biomech 25(3):265-70, Bristol, Avon, 2010.

[5] Yagerman, S.E., Cross, M.B., Positano, R., Doyle, S.M.. Evaluation and treatment of symptomatic pes planus, Curr Opin Pediatr 23(1):60-7, 2011.

[6] Moraleda, L., Mubarak, S.J.. Flexible flatfoot: differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients, J Pediatr Orthop 31(4): 421-8, 2011.

[7] Halabchi, F., Mazaheri, R., Mirshahi, M., Abbasian, L.. A.. Pediatric Flexible Flatfoot; Clinical Aspects and Algorithmic Approach, Iran J Pediatr., Jun  Vol 23 (No 3), pp: 247-260, 2013.

[8] Lucas, J., Khalaf, K., Charles, J., Leandro, J., Jelinek, H.. Automated Spatial Pattern Analysis for Identification of Foot Arch Height From 2D Foot prints, Frontiers in Physiology 1 September 2018, Volume 9, Article 1216, www.frontiersin.org

[9] Blitz, N.M.. Flat foot in the child: a focus on the use of osteotomies for correction, Foot Ankle Clin 15(2): 309-22, 2010.

[10] Bonanno, D.R., Zhang, C.Y., Farrugia, R.C., Bull, M.G., Raspovic, A.M., Bird A.R., Karl, L.. The effect of different depths of medial heel skive on plantar pressures, J Foot Ankle Res., 5:20, 2012.

[11] Telfer, S., Abbott, M., Steultjens, M., Rafferty, D., Woodburn, J.. Dose-response effects of customised foot orthoses on lower limb muscle activity and plantar pressures in pronated foot type, Gait Posture, 38(3):443–9, 2013.

[12] Telfer, S., Abbott, M., Steultjens, M., Woodburn, J..  Dose-response effects of customised foot orthoses on lower limb kinematics and kinetics in pronated foot type, J Biomech., 46(9):1489–952013.

[13] Hylton, M., Allan, J., Bonanno, D., Landorf, K.,  Murley Menz, G..  Custom-made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory, Journal of Foot and Ankle Research 10:23 DOI 10.1186/s13047-017-0204-7, 2017.

[14] Williams, A,E., Martinez-Santos, A., McAdam, J., Nester, C.J.. 'Trial and error...', '...Happy patients' and '...An old toy in the cupboard': a qualitative investigation of factors that influence practitioners in their prescription of foot orthoses, J Foot Ankle Res., 9:11, 2016.

[15] Hunt, M., Takacs, J., Krowchuk, N., Hatfield, G., Hinman, R., Chang, R.. Lateral wedges with and without custom arch support for people with medial knee osteoarthritis and pronated feet: an exploratory randomized crossover study, Journal of Foot and Ankle Research 10:20, 2017.

[16] Sachini N.K., Arachchige, K., Chander, H., Adam Knight, A.. Flatfeet: Biomechanical implications, assessment and management, The Foot 38, pp. 81–85, 2019.

[17] Buldt, A., Forghany, S., Landorf, K., Murley, G., Levinger, P., Menz, H.. Centre of pressure characteristics in normal, planus and cavus feet,  J Foot Ankle Res., 11:3, 2018.

[18] Bartlett, R., Muller, E., Raschner, C., Lindinger, S., Jordan, C.. Pressure Distributions on the Plantar Surface of the Foot during the Javelin Throw, Journal of Applied Biomechanics, vol.11, pp.163-176, 1995.

[19] Goske, S., Erdemir, A., Petre, M., Budhabhatti, S., Cavanagh, P.. Reduction of plantar heel pressures: insole design using finite element analysis, ISB XXth Congress - ASB 29th Annual Meeting, Cleveland Ohio, July 31 - August 5, 2005, Cleveland

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References


Tarniţă, D., Geonea, I., Petcu, A.. Tarnita, D.N.. Experimental Characterization of Human Walking on Stairs Applied to Humanoid Dynamics, Advances in Robot Design and Intelligent Control, pp 293-301, 2016, Springer

Berceanu, C., Tarniţă, D., Filip, D.. About an Experimental Approach Used to Determine the Kinematics of the Human Finger Movement, Solid State 7 Phenomena, Vol. 166–167, pp 45-50, 2010.

Shih, Y.F., Chen, C.Y., Chen, W.Y., Hsiu-Chen, L.. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study, BMC Musculoskelet Disord,13:31, 2012.

Chen, Y.C., Lou, S,Z., Huang, C,Y., Su, F.C.. Effects of foot orthoses on gait patterns of flat feet patients, Clin Biomech 25(3):265-70, Bristol, Avon, 2010.

Yagerman, S.E., Cross, M.B., Positano, R., Doyle, S.M.. Evaluation and treatment of symptomatic pes planus, Curr Opin Pediatr 23(1):60-7, 2011.

Moraleda, L., Mubarak, S.J.. Flexible flatfoot: differences in the relative alignment of each segment of the foot between symptomatic and asymptomatic patients, J Pediatr Orthop 31(4): 421-8, 2011.

Halabchi, F., Mazaheri, R., Mirshahi, M., Abbasian, L.. A.. Pediatric Flexible Flatfoot; Clinical Aspects and Algorithmic Approach, Iran J Pediatr., Jun Vol 23 (No 3), pp: 247-260, 2013.

Lucas, J., Khalaf, K., Charles, J., Leandro, J., Jelinek, H.. Automated Spatial Pattern Analysis for Identification of Foot Arch Height From 2D Foot prints, Frontiers in Physiology 1 September 2018, Volume 9, Article 1216, www.frontiersin.org

Blitz, N.M.. Flat foot in the child: a focus on the use of osteotomies for correction, Foot Ankle Clin 15(2): 309-22, 2010.

Bonanno, D.R., Zhang, C.Y., Farrugia, R.C., Bull, M.G., Raspovic, A.M., Bird A.R., Karl, L.. The effect of different depths of medial heel skive on plantar pressures, J Foot Ankle Res., 5:20, 2012.

Telfer, S., Abbott, M., Steultjens, M., Rafferty, D., Woodburn, J.. Dose-response effects of customised foot orthoses on lower limb muscle activity and plantar pressures in pronated foot type, Gait Posture, 38(3):443–9, 2013.

Telfer, S., Abbott, M., Steultjens, M., Woodburn, J.. Dose-response effects of customised foot orthoses on lower limb kinematics and kinetics in pronated foot type, J Biomech., 46(9):1489–952013.

Hylton, M., Allan, J., Bonanno, D., Landorf, K., Murley Menz, G.. Custom-made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory, Journal of Foot and Ankle Research 10:23 DOI 10.1186/s13047-017-0204-7, 2017.

Williams, A,E., Martinez-Santos, A., McAdam, J., Nester, C.J.. 'Trial and error...', '...Happy patients' and '...An old toy in the cupboard': a qualitative investigation of factors that influence practitioners in their prescription of foot orthoses, J Foot Ankle Res., 9:11, 2016.

Hunt, M., Takacs, J., Krowchuk, N., Hatfield, G., Hinman, R., Chang, R.. Lateral wedges with and without custom arch support for people with medial knee osteoarthritis and pronated feet: an exploratory randomized crossover study, Journal of Foot and Ankle Research 10:20, 2017.

Sachini N.K., Arachchige, K., Chander, H., Adam Knight, A.. Flatfeet: Biomechanical implications, assessment and management, The Foot 38, pp. 81–85, 2019.

Buldt, A., Forghany, S., Landorf, K., Murley, G., Levinger, P., Menz, H.. Centre of pressure characteristics in normal, planus and cavus feet, J Foot Ankle Res., 11:3, 2018.

Bartlett, R., Muller, E., Raschner, C., Lindinger, S., Jordan, C.. Pressure Distributions on the Plantar Surface of the Foot during the Javelin Throw, Journal of Applied Biomechanics, vol.11, pp.163-176, 1995.

Goske, S., Erdemir, A., Petre, M., Budhabhatti, S., Cavanagh, P.. Reduction of plantar heel pressures: insole design using finite element analysis, ISB XXth Congress - ASB 29th Annual Meeting, Cleveland Ohio, July 31 - August 5, 2005, Cleveland.


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