EFFECT OF METATARSAL PAD USE ON SPATIOTEMPORAL GAIT PARAMETERS ON FOREFOOT PAIN

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

Authors

Adisti Noer Sevina
Triyani Prosthetics and Orthotics Department, Polytechnic of Health Sciences Jakarta I, Indonesia
Suci Anatasia Prosthetics and Orthotics Department, Polytechnic of Health Sciences Jakarta I, Indonesia
Rizan Yuni Hanawati Poltekkes Kemenkes Jakarta 1 Prosthetic Orthotic Department

Keywords:

forefoot, metatarsal, pad, metatarsal head, spatiotemporal gait parameter, velocity, step length, stide length, stance phase duration

Abstract

Background: Wearing high heels above 2 – 2.5 cm can have an influence on increasing the risk of pain in the palm of the front brother. The pain of the front of the palm can be given a metatarsal pad. Orthotic filling can affect the spatiotemporal gait of a person's parameters. Purpose: Knowing the effect of the use of metatarsal pads on spatiotemporal gait parameters of a person who has pain in the soles of the front feet with the height of heels. Method: The research method and design uses a one-sample pre-test post-test type. A total of 30 participants aged 18 –20 years used a metatarsal pad for 2 weeks. The measurements taken are velocity, step length, stride length, and stance phase duration. Result: There is a change in the degree of pain before and after using the metatarsal pad. A total of 10 people felt less pain, 9 people felt more pain, and 11 people felt the same pain. However, the relationship between the degree of pain of the soles of the feet before and after using the metatarsal pad is insignificant. Changes also occur in the mean of each spatiotemporal variable gait parameter before and after using the metatarsal pad. The average velocity (0.718 km/h) is faster, the step length (14 mm) and stride length (3 mm) are shorter and the stance phase duration (0.314 seconds) is faster than before use. However, the entire variable result is insignificant (p-value>0.05). Velocity (p= 0.477), step length (p= 0.758) and stride length (p= 0.489), as well as accelerating the stance (p= 0.295). Conclusion: The use of a metatarsal pad reduces the degree of pain of a person with front foot pain. However, there is no connection between the degree of pain of the soles of the feet before and after using the metatarsal pad. In other aspect, there is a change in the spatiotemporal gait parameter in the use of metatarsal pads. This study shows the influence of the use of metatarsal pads on spatiotemporal gait parameters on velocity and stance phase duration. However, not at step length and stride length.

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