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
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

DOI:

https://doi.org/10.36082/jpost.v2i1.996

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.

Downloads

Download data is not yet available.

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