RESEARCH PAPER
An insight into the plantar pressure distribution of the foot in clinical practice: Narrative review
 
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1
Human Movements and Health Research Unit, Physiotherapy Programme, School of Rehabilitation Science, Faculty of Health Science, Universiti Kebangsaan Malaysia, Malaysia
 
2
Department of Biomedical Sciences, School of Diagnostic and Applied Health Sciences, Faculty of Health Science, Universiti Kebangsaan Malaysia, Malaysia
 
3
Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai University, Chiang Mai, Thailand
 
4
Department of Orthopaedics and Traumatology, Pusat Perubatan Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur, Malaysia
 
 
Submission date: 2013-08-07
 
 
Acceptance date: 2014-03-26
 
 
Online publication date: 2014-04-26
 
 
Publication date: 2020-03-26
 
 
Corresponding author
Joseph Leonard   

Human Movements and Health Research Unit, Physiotherapy Programme, School of Rehabilitation Science, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia. Tel.: +60 19 6781935.
 
 
Pol. Ann. Med. 2014;21(1):51-56
 
KEYWORDS
ABSTRACT
Introduction:
In clinical practice and within the scope of research studies, foot pressure distribution as measured by plantar pressure analysis is widely used to diagnose foot pathologies. Although plantar pressure data have been recognized as an important element in the assessment of patients with various foot problems, an in-depth knowledge of the plantar pressure distribution of the foot is lacking in literatures.

Aim:
This article presents a review of literature on plantar pressure distribution and factors that may affect plantar pressure among patients with foot pathologies and healthy population.

Material and methods:
A literature search was conducted in Science Direct and PubMed databases for articles published from January 2000 to August 2012. Medical Subject Headings (MeSH) and other keywords for search were plantar pressure, age, body weight, gender, reliability, instrument and healthy subjects.

Results and discussion:
This paper reviews on the factors influencing plantar pressure distribution. Factors such as the gender, age, body weight, foot type and footwear proved to have a significant effect on plantar pressure distribution of the foot. The paper also reports on the plantar pressure distribution of the foot and the reliability of the measurement. Studies were excluded from this narrative review if they did not meet the above criteria.

Conclusions:
This review has added sufficient knowledge on plantar pressure distribution of the foot in clinical practice. Data obtained from a plantar pressure distribution can be used by the physical therapist in the evaluation and management of patients with a wide variety of foot and lower extremity disorders.

REFERENCES (35)
1.
Giacomozzi C. Appropriateness of plantar pressure measurement devices: a comparative technical assessment. Gait Posture. 2010;32(1):141–144. http://dx.doi.org/10.1016/j.ga....
 
2.
Monteiro M, Gabriel R, Aranha J, et al. Influence of obesity and sarcopenic obesity on plantar pressure of postmenopausal women. Clin Biomech. 2010;25(5):461–467. http://dx.doi.org/10.1016/j.cl....
 
3.
Phethean J, Nester C. The influence of body weight, body mass index and gender on plantar pressure: results of a cross-sectional study of healthy children's feet. Gait Posture. 2012;36(2):287–290. http://dx.doi.org/10.1016/j.ga....
 
4.
Hessert MJ, Vyas M, Leach J, et al. Foot pressure distribution during walking in young and old adults. BMG Geriat. 2005;5:8. http://dx.doi.org/10.1186/1471....
 
5.
Teh E, Teng LF, Acharya UR, et al. Static and frequency domain analysis of plantar pressure distribution in obese and non-obese subjects. J Bodyw Mov Ther. 2006;10(2):127–133. http://dx.doi.org/10.1016/j.jb....
 
6.
Kellis E. Plantar pressure distribution during barefoot standing, walking and landing in preschool boys. Gait Posture. 2001;14(2):92–97.
 
7.
Periyasamy R, Mishra A, Anand S, et al. Preliminary investigation of foot pressure distribution variation in men and women adults while standing. Foot. 2011;21(3):142–148. http://dx.doi.org/10.1016/j.fo....
 
8.
Ko M, Hughes L, Lewis H. Walking speed and peak plantar pressure distribution during barefoot walking in persons with diabetes. Physiother Res Int. 2012;17(1):29–35. http://dx.doi.org/10.1002/pri.....
 
9.
Drerup B, Szczepaniak A, Wetz HH. Plantar pressure reduction in step-to gait: a biomechanical investigation and clinical feasibility study. Clin Biomech. 2008;23(8):1073–1079. http://dx.doi.org/10.1016/j.cl....
 
10.
Rai DV, Aggarwal LM. The study of plantar pressure distribution in normal and pathological foot. Pol J Med Phys Eng. 2006;12(1):25–34.
 
11.
Jonely H, Brismée JM, Sizer Jr PS, et al. Relationship between clinical measures of static foot posture and plantar pressure during static standing and walking. Clin Biomech. 2011;26(8):873–879. http://dx.doi.org/10.1016/j.cl....
 
12.
Prabhu KG, Agrawal D, Patil KM, et al. Parameters for analysis of walking foot pressures at different levels of diabetic neuropathy and detection of plantar ulcers at early stages. ITBM-RBM. 2001;22(3):159–169. http://dx.doi.org/10.1016/S129....
 
13.
Rosenbaum D, Becker HP. Plantar pressure distribution measurements. Technical background and clinical applications. Foot Ankle Surg. 1997;3(1):1–14. http://dx.doi.org/10.1046/j.14....
 
14.
Deschamps K, Birch I, Mac Innes J, et al. Inter- and intraobserver reliability of masking in plantar pressure measurement analysis. Gait Posture. 2009;30(3):379–382. http://dx.doi.org/10.1016/j.ga....
 
15.
Gurney JK, Kersting UG, Rosenbaum D. Between-day reliability of repeated plantar pressure distribution measurements in a normal population. Gait Posture. 2008;27(4):706–709.
 
16.
Firth J, Turner D, Smith W, et al. The validity and reliability of PressureStatTM for measuring plantar foot pressures in patients with rheumatoid arthritis. Clin Biomech. 2007;22(5):603–606.
 
17.
Maetzler M, Bochdansky T, Abboud RJ. Normal pressure values and repeatability of the Emed® ST2 system. Gait Posture. 2010;32(3):391–394. http://dx.doi.org/10.1016/j.ga....
 
18.
Putti AB, Arnold GP, Cochrane LA, et al. Normal pressure values and repeatability of the Emed ST4 system. Gait Posture. 2008;27(3):501–505.
 
19.
Horisberger M, Hintermann B, Valderrabano V. Alterations of plantar pressure distribution in posttraumatic end-stage ankle osteoarthritis. Clin Biomech. 2009;24(3):303–307. http://dx.doi.org/10.1016/j.cl....
 
20.
Murphy DF, Beynnon BD, Michelson JD, et al. Efficacy of plantar loading parameters during gait in terms of reliability, variability, effect of gender and relationship between contact area and plantar pressure. Foot Ankle Int. 2005;26(2):171–179.
 
21.
Putti AB, Arnold GP, Abboud RJ. Foot pressure differences in men and women. Foot Ankle Surg. 2010;16(1):21–24. http://dx.doi.org/10.1016/j.fa....
 
22.
Bosch K, Nagel A, Weigend L, et al. From ‘‘first’’ to ‘‘last’’ steps in life—pressure patterns of three generations. Clin Biomech. 2009;24(8):676–681. http://dx.doi.org/10.1016/j.cl....
 
23.
Hills AP, Hennig EM, McDonald M, et al. Plantar pressure differences between obese and non-obese adults: a biomechanical analysis. Int J Obes Relat Metab Disord. 2001;25(11):1674–1679.
 
24.
Birtane M, Tuna H. The evaluation of plantar pressure distribution in obese and non-obese adults. Clin Biomech. 2004;19(10):1055–1059.
 
25.
Periyasamy R, Mishra A, Anand S, et al. Foot pressure distribution variation in pre-obese and non-obese adult subject while standing. Foot. 2012;22(4):276–282. http://dx.doi.org/10.1016/j.fo....
 
26.
Taylor AJ, Menz HB, Keenan AM. The influence of walking speed on plantar pressure measurements using the twostep gait initial protocol. Foot. 2004;14(1):49–55. http://dx.doi.org/10.1016/j.fo....
 
27.
Burnfield JM, Few CD, Mohamed OS, et al. The influence of walking speed and footwear on plantar pressures in older adults. Clin Biomech. 2004;19(1):78–84. http://dx.doi.org/10.1016/j.cl....
 
28.
Pataky TC, Caravaggi P, Savage R, et al. New insights into the plantar pressure correlates of walking speed using pedobarographic statistical parametric mapping (pSPM). J Biomech. 2008;41(9):1987–1994. http://dx.doi.org/10.1016/j.jb....
 
29.
Chuckpaiwong B, Nunley JA, Mall NA, et al. The effect of foot type on in-shoe plantar pressure during walking and running. Gait Posture. 2008;28(3):405–411. http://dx.doi.org/10.1016/j.ga....
 
30.
Syed N, Karvannan H, Maiya AG, et al. Plantar pressure distribution among asymptomatic individuals: a crosssectional study. Foot Ankle Spec. 2012;5(2):102–106. http://dx.doi.org/10.1177/1938....
 
31.
van Schie CH, Boulton AJ. The effect of arch height and bodymass on plantar pressure. Wounds. 2000;12(4):88–95 http://www.medscape.com/viewar....
 
32.
Queen RM, Abbey AN, Wiegerinck JI, et al. Effect of shoe type on plantar pressure: a gender comparison. Gait Posture. 2010;31(1):18–22. http://dx.doi.org/10.1016/j.ga....
 
33.
Wiegerinck JI, Boyd J, Yoder JC, et al. Differences in plantar loading between training shoes and racing flats at a selfselected running speed. Gait Posture. 2009;29(3):514–519. http://dx.doi.org/10.1016/j.ga....
 
34.
Orlin MN, McPoil TG. Plantar pressure assessment. Phys Ther. 2000;80(4):399–409.
 
35.
Razak AH, Zayegh A, Begg RK, et al. Foot plantar pressure measurement system: a review. Sensors. 2012;12(7):9884– 9912. http://dx.doi.org/10.3390/s120....
 
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