Abstract
Plantar pressure, ground reaction force and body-segment kinematics measurements are largely used in gait analysis to characterise normal and abnormal function of the human foot. The combination of all these data together provides a more exhaustive, detailed and accurate view of foot loading during activities than traditional measurement systems alone do. A prototype system is presented that integrates a pressure platform, a force platform and a 3D anatomical tracking system to acquire combined information about foot function and loading. A stereophotogrammetric system and an anatomically based protocol for foot segment kinematics is included in a previously devised piezo-dynamometric system that combines pressure and force measurements. Experimental validation tests are carried out to check for both spatial and time synchronisation. Misalignment of the three systems is found to be within 6.0, 5.0 and 1.5mm for the stereophotogrammetric system, force platform and pressure platform, respectively. The combination of position and pressure data allows for a more accurate selection of plantar foot subareas on the footprint. Measurements are also taken on five healthy volunteers during level walking to verify the feasibility of the overall experimental protocol. Four main subareas are defined and identified, and the relevant vertical and shear force data are computed. The integrated system is effective when there is a need for loading measurements in specific plantar foot subareas. This is attractive both in clinical assessment and in biomechanics research.
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Abuzzahab, F. S., Harris, G. F., Kidder, S. M., andJohnson, J. E. (1994): ‘A kinetic, biomechanical model of the foot and ankle’,IEEE Trans. Eng. Med. Biol., paper 687 (CD Rom support)
Alexander, I. J., Chao, E. Y., andJohnson, K. A. (1990): ‘The assessment of dynamic foot-to-ground contact forces and plantar pressure distribution: a review of the evolution of current techniques and clinical applications’,Foot & Ankle,11, pp. 152–167
Becker, H. P., Rosenbaum, D., Zeithammel, G., Gerngross, H., andClaes, L. (1994): ‘Gait patterns analysis after ankle ligament reconstruction (Modified Evans Procedure)’,Foot Ankle Int.,15, pp. 477–482
Bitzan, P., Giurea, A., andWanivenhaus, A. (1997): ‘Plantar pressure distribution after resection of the metatarsal heads in rheumatoid arthritis’,Foot Ankle Int.,18, pp. 391–397
Cappozzo, A., Catani, F., Della Croce, U., andLeardini, A. (1995): ‘Position and orientation in space of bones during movement: anatomical frame definition and determination’,Clin. Biomech.,10, pp. 171–178
Cavanagh, P. R., andRodgers, M. (1987): ‘The arch index: a useful measure from footprints’,J. Biomech.,20, pp. 547–551
Cavanagh, P. R., Simoneau, G. G., andUlbrecht, J. S. (1993): ‘Ulceration, unsteadiness, and uncertainty: the biomechanical consequences of diabetes mellitus’,J. Biomech.,26, pp. 23–40
Cavanagh, P. R., Morag, E., Boulton, A. J., Young, M. J., Deffner, K. T., andPammer, S. E. (1997): ‘The relationship of static foot structure to dynamic foot function’,J. Biomech.,30, pp. 243–250
Dereymaeker, G., Mulier, T., Stuer, P., Peeraer, L., andFabry, G. (1997): ‘Pedodynographic measurements after forefoot reconstruction in rheumatoid arthritis patients’,Foot Ankle Int.,18, pp. 270–276
Davis, B. L., Perry, J. E., Neth, D. C., andWaters, K. C. (1998): ‘A device for simultaneous measurement of pressure and shear force distribution on the plantar surface of the foot’,J. Appl. Biomech.,4, pp. 93–104
Ferris, L., Sharkey, N. A., Smith, T. S., andMatthews, D. K. (1995): ‘Influence of extrinsic plantar flexors on forefoot loading during heel rise’,Foot Ankle Int.,16, pp. 464–473
Garbalosa, J. C., Cavanagh, P. R., Wu, G., Ulbrecht, J. S., Becker, M. B., Alexander, I. J., andCampbell, J. H. (1996): ‘Foot function in diabetic patients after partial amputation’,Foot Ankle Int.,17, pp. 43–48
Giacomozzi, C., andMacellari, V. (1997): ‘Piezo-dynamometric platform for a more complete analysis of foot-to-floor interaction’,IEEE Trans. Rehab. Eng.,5, pp. 322–330
Giacomozzi, C., Macellari, V., Leardini, A., Benedetti, M. G., Carson, M., andO'Connor, J. J. (1999): ‘An integrated instrument for the kinetic and kinematic characterisation of foot-ground interaction during gait’. Proc. XVIIth ISB Congress, Calgary, Canada, 8–13 Aug. 1999, p. 755
Hennig, E. M., Staats, A., andRosenbaum, D. (1994): ‘Plantar pressure distribution patterns of young school children in comparison to adults’,Foot & Ankle,15, pp. 35–40
Huson, A. (1991a): ‘Functional anatomy of the foot’, inJahss, N. H. (Ed.) ‘Disorder of the foot and ankle’ (W. B. Saunders Company), chap. 15, pp. 409–431
Huson, A. (1991b): ‘Radiographic analysis of the foot and ankle’, inJahss, N.H. (Ed.): ‘Disorder of the foot and ankle’ (W. B. Saunders Company), chap. 5, pp. 91–98
Kepple, T. M., Stanhope, S. J., Lohmann, K. N., andRoman, N. L. (1990): ‘A video based technique for measuring ankle-subtalar motion during stance’,J. Biomech. Eng.,12, pp. 273–280
Kernozek, D. W., andLaMott, E. E. (1995): ‘Comparisons of plantar pressures between the elderly and young adults’,Gait & Posture,3, pp. 143–148
Kidder, S. M., Abuzzahab, F. S., andHarris, G. F. (1996): ‘A system for the analysis of foot and ankle kinematics during gait’,IEEE Trans. Rehab. Eng.,4, pp. 25–32
Leardini, A., Benedetti, M. G., Catani, F., Simoncini, L., andGiannini, S. (1999): ‘An anatomically-based protocol for the description of foot and ankle kinematics during gait’,Clin. Biomech.,14, pp. 528–536
Lemmon, D., Shiang, T. Y., Hashmi, A., Ulbrecht, J. S., andCavanagh, P. R. (1997): ‘The effect of insoles in therapeutic footwear-a finite element approach’,J. Biomech.,30, pp. 615–620
Liu, W., Siegler, S., Hillstrom, H., andWhitney, K. (1997): ‘Three-dimensional, six-degree-of-freedom kinematics of the human hindfoot during the stance phase of level walking’,Hum. Mov. Sci.,16, pp. 283–298
Lundeen, S., Lunquist, K., Cornwall, M. W., McPoil, T. G. (1994): ‘Plantar pressures during level walking compared with other ambulatory activities’,Foot Ankle Int.,15, pp. 324–328
Macellari, V., andGiacomozzi, C. (1996): ‘Multistep pressure platform as a stand-alone system for gait assessment’,Med. Biol. Eng. Comput.,34, pp. 299–304
Meyring, S., Diehl, R. R., Milani, T. L., Hennig, E. M., andBerlit, P. (1997): ‘Dynamic plantar pressure distribution measurements in hemiparetic patients’,Clin. Biomech.,12, pp. 60–65
Moseley, L., Smith, R., Hunt, A., andGant, R. (1996): ‘Three-dimensional kinematics of the rearfoot during stance plase of walking in normal young adult males’,Clin. Biomech.,11, pp. 39–45
Phillipson, A., Dhar, S., Linge, K., McDape, C., andKlenerman, L. (1994): ‘Forefoot Arthroplasty and changes in plantar foot pressures’,Foot Ankle Int.,15, pp. 595–598
Rodgers, M. M. (1995): ‘Dynamic foot biomechanics’,J. Orthop. Sports Phys. Therapy,21, pp. 306–316
Rosenbaum, D., Becker, H. P., Sterk, J., Gerngross, H., andClaes, L. (1997): ‘Functional evaluation of the 10-year outcome after modified evans repair for chronic ankle instability’,Foot Ankle Int.,18, pp. 765–771
Scott, S. H., andWinter, D. A. (1993): ‘Biomechanical model of the human foot: kinematics and kinetics during the stance phase of walking’,J. Biomech.,26, pp. 1091–1104
Shaw, J. E., Hsi, W-L., Ulbrecht J. S., Norkitis, A., Becker, M. B., andCavanagh, P. R. (1997): ‘The mechanism of plantar unloading in total contact casts: implications for design and clinical use’,Foot Ankle Int.,18, pp. 809–817
Shereff, M. J., Bregman, A. M., andKummer, F. J. (1985): ‘The effect of immobilization devices on the load distribution under the foot’,Clin. Orthop.,192, pp. 260–267
Siegel, K. L., Kepple, T. M., O'Connel, P. G., Gerber, L. H., andStanhope, S. J. (1995): ‘A technique to evaluate foot function during the stance phase of gait’,Foot & Ankle,16, pp. 764–770
Viale, F., Belli, A., Lacour, J. R., andFreychat, P. (1997): ‘Foot orientation and lower limb kinematics during running’,Foot Ankie Int.,18, pp. 157–162
Yamamoto, H., Muneta, T., Asahina, S., andFuruya, K. (1996): ‘Forefoot pressures during walking in feet afflicted with hallux valgus’,Clin. Orthop. Rel. Res.,323, pp. 247–253
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Giacomozzi, C., Macellari, V., Leardini, A. et al. Integrated pressure-force-kinematics measuring system for the characterisation of plantar foot loading during locomotion. Med. Biol. Eng. Comput. 38, 156–163 (2000). https://doi.org/10.1007/BF02344770
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DOI: https://doi.org/10.1007/BF02344770