Effect of Metatarsal Pad Use on Spatiotemporal Gait Parameters on Forefoot Pain

Adisti Noer Sevina; Triyani; Suci Anatasia; Rizan Yuni Hanawati

doi:10.36082/jpost.v2i1.996

Authors

Adisti Noer Sevina
[email protected]
Sevina P&O Clinic
Triyani Department of Prosthetics and Orthotics, Poltekkes Kemenkes Jakarta I
Suci Anatasia Department of Prosthetics and Orthotics, Poltekkes Kemenkes Jakarta I
Rizan Yuni Hanawati Department of Prosthetics and Orthotics, Poltekkes Kemenkes Jakarta I

Keywords:

Metatarsal pads, Forefoot pain, Gait parameters, High heels, Spatiotemporal analysis

Abstract

Background: Wearing high heels (>2–2.5 cm) increases forefoot pain risk. Metatarsal pads are often used for pain relief, but their impact on gait parameters remains unclear. Purpose: To analyse the effect of metatarsal pads on spatiotemporal gait parameters in individuals with forefoot pain from high heels. Method: A one-sample pre-test post-test study was conducted with 30 participants (aged 18–20). Pain levels and gait parameters (velocity, step length, stride length, stance phase duration) were measured before and after 2 weeks of pad use. Result: Pain changes were inconsistent: 10 participants reported less pain, 9 had more pain, and 11 felt no difference, with no significant correlation (p>0.05). Gait parameters showed minor changes: increased velocity (+0.718 km/h), shorter step length (?14 mm), shorter stride length (?3 mm), and faster stance phase (?0.314 s). However, these changes were statistically insignificant (velocity: p=0.477; step length: p=0.758; stride length: p=0.489; stance phase: p=0.295). Conclusion: Metatarsal pads may reduce forefoot pain in some individuals but lack a consistent significant effect. While slight gait adjustments occurred, only velocity and stance phase duration showed potential influence, whereas step and stride length remained unaffected. Further research is needed to confirm clinical relevance.

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References

Bachus, K. N., DeMarco, A. L., Judd, K. T., Horwitz, D. S., & Brodke, D. S. (2006). Measuring contact area, force, and pressure for bioengineering applications: using Fuji Film and TekScan systems. Medical Engineering & Physics, 28(5), 483-488.

Chien, Hui-Lien, Tung-Wu Lu, and Ming-Wei Liu. "Control of the motion of the body's Center of Mass in relation to the center of pressure during highheeled gait." Gait & posture 38.3 (2013): 391-396.

D.E. Turner; P.S. Helliwell; K. Lohmann Siegel; J. Woodburn (2008). Biomechanics of the foot in rheumatoid arthritis: Identifying abnormal function and the factors associated with localised disease

Ghassemi, A., Mossayebi, A. R., Jamshidi, N., Naemi, R., & Karimi, M. T. (2015). Manufacturing and finite element assessment of a novel pressure reducing insole for Diabetic Neuropathic patients. Australasian physical & engineering sciences in medicine, 38, 63-70.

Hastario T. Dicky. (2019). Quasi-Experimental Design His J, Alex M.J, Aaron S.P, Eden K, (2011) Optimum Position of Metatarsal pad in Metatarsalgia for Pressure Relief

Kang JH, Chen MD, Chen SC, Hsi WL. Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study. BMC Musculoskelet Disord. 2006 Dec 5;7:95. doi: 10.1186/1471-2474-7-95. PMID: 17147793; PMCID: PMC1712337.

Kang Moung Jo, Park Bo Yong, Lee Min Syik, (2006). Correlations between subjective treatment responses and plantar pressure parameters of metatarsal pad treatment in metatarsalgia patients: a prospective study

Keizer, M. N., Otten, E., Beijersbergen, C. M., Brouwer, R. W., & Hijmans, J. M. (2021). Copers and noncopers use different landing techniques to limit anterior tibial translation after anterior cruciate ligament reconstruction. Orthopaedic journal of sports medicine, 9(4), 2325967121998061.

Lee, P. Y., Landorf, K. B., Bonanno, D. R., & Menz, H. B. (2014). Comparison of the pressure-relieving properties of various types of forefoot pads in older people with forefoot pain. Journal of foot and ankle research, 7(1), 1-8.

Manupibul, U., Charoensuk, W., & Kaimuk, P. (2014). Design and development of SMART insole system for plantar pressure measurement in imbalance human body and heavyactivities.

Mølgaard, C., Lundbye-Christensen, S., & Simonsen, O. (2010). High prevalence of foot problems in the Danish population: a survey of causes and associations. The foot, 20(1), 7-11.

Othmane Mejjad, Olivier Vittecoq, Sophie Pouplin, Léocadie Grassin-Delyle, Jacques Weber, Xavier Le Loët, Foot orthotics decrease pain but do not improve gait in rheumatoid arthritis patients, Joint Bone Spine, Volume 71, Issue 6, 2004, Pages 542-545

Ozdinc, S. A., & Turan, F. N. (2016). Effects of ballet training of children in Turkey on foot anthropometric measurements and medial longitudinal arc development. J. Pak. Med. Assoc, 66(7), 869-874.

Pelly, T., Holme, T., Tahir, M. A., & Kunasingam, K. (2020). Forefoot pain. bmj, 371.

Platto MJ, O'Connell PG, Hicks JE, Gerber LH. The relationship of pain and deformity of the rheumatoid foot to gait and an index of functional ambulation. The Journal of Rheumatology. 1991 Jan;18(1):38-43. PMID: 2023197.

Rizzo, L., Tedeschi, A., Fallani, E., Coppelli, A., Vallini, V., Iacopi, E., & Piaggesi, A. (2012). Custom-made orthesis and shoes in a structured follow-up program reduces the incidence of neuropathic ulcers in high-risk diabetic foot patients. The international journal of lower extremity wounds, 11(1), 59-64.

Rome, K., Survepalli, D., Sanders, A., Lobo, M., McQueen, F. M., McNair, P., & Dalbeth, N. (2011). Functional and biomechanical characteristics of foot disease in chronic gout: a case-control study. Clinical biomechanics, 26(1), 90-94.

Stewart, Sarah; Morpeth, Trish; Dalbeth, Nicola; Vandal, Alain C.; Carroll, Matthew; Davidtz, Lisa; Mawston, Grant; Otter, Simon; Rome, Keith (2016). Foot-related pain and disability and spatiotemporal parameters of gait during self-selected and fast walking speeds in people with gout: A two-arm cross sectional study. Gait & Posture, 44(), 18– 22. doi:10.1016/j.gaitpost.2015.11.004