The Design of Plantar Pressure Distribution Monitoring System and Preliminary Clinical Application_Journal of Biomedical Engineering

Authors：

 ZHUXianfeng ¹ , ZHAOZilei ¹ , XUDonghao ² , XUDongming ³

1. College of Precision Instrument and Opto-Electronics Engineering, Tianjin University, Tianjin 300072, China;
2. Department of Orthopedic, Tianjin First Central Hospital, Tianjin 300192, China;
3. Department of Rehabilitation, Tianjin First Central Hospital, Tianjin 300192, China;

Corresponding?author：

ZHUXianfeng, Email: zhuxianfeng@tju.edu.cn

Keywords：

plantar pressure; hallux valgus; metatarsophalangeal joint; FlexiForce sensor

DOI：

10.7507/1001-5515.20140081

Video：

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Plantar pressure distribution can reflect the force of several key points on foot while standing and walking. A comprehensive understanding of the plantar pressure distribution makes great sense in the following aspects:the understanding of the normal foot biomechanics and function, clinical diagnosis, measurement of disease extent, postoperative efficacy evaluation, and rehabilitation research. A simple plantar pressure measurement device was designed in this study. This paper uses FlexiForce flexible sensor to pickup plantar pressure signal and USB A/D board to do data acquisition. The data are transferred into a laptop and processed by a VB-based software which can display, remember and replay the data. We chose patients with hallux valgus and normal people to measure the pressure distribution and make contrast analysis of plantar pressure with this device. It can be concluded that people with hallux valgus have higher pressure on the second metatarsophalangeal joint and the distribution move outward. The plantar pressure of patients postoperative could be greatly improved compared to the preoperative. The function of this device has been confirmed.

Citation： ZHUXianfeng, ZHAOZilei, XUDonghao, XUDongming. The Design of Plantar Pressure Distribution Monitoring System and Preliminary Clinical Application. Journal of Biomedical Engineering, 2014, 31(2): 439-444. doi: 10.7507/1001-5515.20140081 Copy

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2.	GU Y D,LI J S,LAKE M J,et al.Image-based midsole insert design and the material effects on heel plantar pressure distribution during simulated walking loads[J].Comput Methods Biomech Biomed Engin,2011,14(8):747-753.
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7.	CHANG C C,LEE M Y,WANG S H.Customized foot pressure redistribution insole design using image-based rapid pressure measuring system[J].Clin Orthop Relat Res,2005,13(2):36-39.
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17.	顧湘杰,桂鑒超,馬昕,等.跖趾關系與拇外翻[J].中國矯形外科雜志,1999,6(5):325-327.
18.	KELLIS E.Plantar pressure distribution during barefoot standing,walking and landing in preschool boys[J].Gait Posture,2001,14(2):92-97.
19.	PUTTI A B,ARNOLD G P,ABBOUD R I.Foot pressure differences in men and women[J].Foot Ankle Surg,2010,16(1):21-24.
20.	RIDDIFORD-HARLAND D L,STEELE J R,BAUR L A.Medial midfoot fat pad thickness and plantar pressures:are these related in children[J].Int J Pediatr Obes,2011,6(3-4):261-266.
21.	BUS S A,HASPELS R,BUSCH-WESTBROEK T E.Evaluation and optimization of therapeutic footwear for neuropathic diabetic foot patients using in-shoe plantar pressure analysis[J].Diabetes Care,2011,34(7):1595-1600.
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23.	BOWLING F L,REEVES N D,BOULTON A J.Gait-related strategies for the prevention of plantar ulcer development in the high risk foot[J].Curr Diabetes Rev,2011,7(3):159-163.
24.	KAVROS S J,VAN STRAATEN M G,COLEMAN WOOD K A,et al.Forefoot plantar pressure reduction of off-the-shelf rocker bottom provisional footwear[J].Clin Biomech (Bristol,Avon),2011,26(7):778-782.
25.	SCHUH R,HOFSTAETTER J G,HOFSTAETTER S G,et al.Plantar pressure distribution after tibiotalar arthrodesis[J].Clin Biomech (Bristol,Avon),2011,26(6):620-625.

1. YAVUZ M,DAVIS B L.Plantar shear stress distribution in athletic individuals with frictional foot blisters[J].J Am Podiatr Med Assoc,2010,100(2):116-120.
2. GU Y D,LI J S,LAKE M J,et al.Image-based midsole insert design and the material effects on heel plantar pressure distribution during simulated walking loads[J].Comput Methods Biomech Biomed Engin,2011,14(8):747-753.
3. STOKES I A,HUTTON W C,STOTT J R,et al.Forces under the hallux valgus foot before and after surgery[J].Clin Orthop Relat Res,1979,142(142):64-72.
4. 楊慶.基于嵌入式系統的足底壓力檢測系統[D].成都:電子科技大學,2010.
5. 姚力,陳一然.利用足底壓力測量系統對同質人群足底跖區壓力情況的研究[J].警察技術,2010(1):23-25.
6. HAGMAN F.Can plantar pressure predict foot motion?[M].Eindhoven:Technische Universiteit Eindhoven,2005:335-346.
7. CHANG C C,LEE M Y,WANG S H.Customized foot pressure redistribution insole design using image-based rapid pressure measuring system[J].Clin Orthop Relat Res,2005,13(2):36-39.
8. ADACHI W,TSUJIUCHI N,KOIZUMI T,et al.Development of walking analysis system consisting of Mobile force plate and motion sensor[C]//The 33rd Annual International Conference of the IEEE EMBS.Boston:2011:285-286.
9. 李煒,邱宏,徐江,等.基于LabVIEW的足底壓力測量系統研究[J].中國醫療器械雜志,2011,35(1):19-23.
10. 蘭民國.Tekscan壓力分布測量系統[J].測控技術,2002,21(4):8-9.
11. ZHU Yuding,SHEN Liming,SONG Jie.Body pressure distribution research and zone design of pocket spring mattresses[C]//The 18th IEEE International Conference on Industrial Engineering and Engineering Management (IE&EM).Changchun:2010:1656-1659.
12. LI Li,SHEN Liming,ZHOU Min.Influence of sponge thickness on mattress comfort based on body pressure distribution[J].Journal of Northwest Forestry University,2009,24(6):150-153.
13. 李兵,俞光榮,楊云峰,等.兩種第二趾切取游離移植對供足足底應力影響的生物力學研究[J].中華創傷骨科雜志,2010,12(9):869-872.
14. 戴鶴玲,溫建民,孫天勝.拇外翻負重位與非負重位影像學分析[J].中國骨與關節損傷雜志,2011,26(10):897-898.
15. 郭彩玲,陳玲.女性拇外翻55例微創手術舒適護理效果觀察[J].陜西醫學雜志,2012,41(5):639-640.
16. 郄淑燕,張慶民,張致媛,等.拇外翻對前足底壓力分布的改變[J].醫用生物力學,2010,25(3):224-229.
17. 顧湘杰,桂鑒超,馬昕,等.跖趾關系與拇外翻[J].中國矯形外科雜志,1999,6(5):325-327.
18. KELLIS E.Plantar pressure distribution during barefoot standing,walking and landing in preschool boys[J].Gait Posture,2001,14(2):92-97.
19. PUTTI A B,ARNOLD G P,ABBOUD R I.Foot pressure differences in men and women[J].Foot Ankle Surg,2010,16(1):21-24.
20. RIDDIFORD-HARLAND D L,STEELE J R,BAUR L A.Medial midfoot fat pad thickness and plantar pressures:are these related in children[J].Int J Pediatr Obes,2011,6(3-4):261-266.
21. BUS S A,HASPELS R,BUSCH-WESTBROEK T E.Evaluation and optimization of therapeutic footwear for neuropathic diabetic foot patients using in-shoe plantar pressure analysis[J].Diabetes Care,2011,34(7):1595-1600.
22. RAO S,BAUMHAUER J F,NAWOCZENSKI D A.Is barefoot regional plantar loading related to self-reported foot pain in patients with midfoot osteoarthritis[J].Osteoarthritis Cartilage,2011,19(8):1019-1025.
23. BOWLING F L,REEVES N D,BOULTON A J.Gait-related strategies for the prevention of plantar ulcer development in the high risk foot[J].Curr Diabetes Rev,2011,7(3):159-163.
24. KAVROS S J,VAN STRAATEN M G,COLEMAN WOOD K A,et al.Forefoot plantar pressure reduction of off-the-shelf rocker bottom provisional footwear[J].Clin Biomech (Bristol,Avon),2011,26(7):778-782.
25. SCHUH R,HOFSTAETTER J G,HOFSTAETTER S G,et al.Plantar pressure distribution after tibiotalar arthrodesis[J].Clin Biomech (Bristol,Avon),2011,26(6):620-625.

Journal of Biomedical Engineering

The Design of Plantar Pressure Distribution Monitoring System and Preliminary Clinical Application

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