Influence of arch shape on plantar pressure distribution and gait biomechanical characteristics of military cadets

WANG Zhijiang; ZHANG Wendong; ZHAO Yuting; LIU Rui

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Medical Journal of the Chinese People Armed Police Forces ›› 2024, Vol. 35 ›› Issue (8) : 662-666.

Influence of arch shape on plantar pressure distribution and gait biomechanical characteristics of military cadets

WANG Zhijiang, ZHANG Wendong, ZHAO Yuting, LIU Rui

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Abstract

Objective To explore the influence of arch shape on plantar pressure distribution and gait biomechanical characteristics of military cadets. Methods A total of 74 cadets were selected as the study subjects and were divided into low arch group (n=19), normal arch group (n=24), and high arch group (n=31) according to arch height index (AHI). All subjects underwent plantar pressure testing and digital treadmill testing, and pressure percentages in various areas of their static standing position, as well as spatiotemporal and kinematic parameters of walking were collected. Results The static pressure SI of the front and rear feet in the high arch group (1.01±0.29) was significantly higher than that in the normal arch group (1.29±0.38), and the difference was statistically significant (P<0.05). During walking, the contact time of the low arch group [(0.81±0.07)s ]was significantly higher than that of the normal arch group [(0.79±0.04)s] (P<0.05). The percentage of average range of center of gravity in the high arch group (1.63%±0.56%) was significantly lower than that in the normal arch group (1.95%±0.36%) and the low arch group (2.05%±0.52%), with statistical significance (P<0.05). The maximum knee flexion angle in the high arch group (51.62°±6.71°) was significantly lower than that in the normal arch group (56.88°±8.39°), and the range of trunk lateral curvature in the low arch group (3.36°±0.89°) was significantly higher than that in the high arch group (2.74°±0.72°), with statistical significance (P<0.05). Conclusions Compared with normal arches, high arched individuals exhibit a greater tendency towards the front foot during static standing, and different arch height can change the lower limb movement strategy.

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foot arch height / plantar pressure / biomechanics

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WANG Zhijiang, ZHANG Wendong, ZHAO Yuting, LIU Rui. Influence of arch shape on plantar pressure distribution and gait biomechanical characteristics of military cadets[J]. Medical Journal of the Chinese People Armed Police Forces. 2024, 35(8): 662-666

References

[1] 王修行, 秦蕾, 梁高勇, 等. 士兵不同步态行走时足底压力比较分析 [J]. 人类工效学, 2016, 22(3): 13-16,22.
[2] Kodithuwakku Arachchige S N K, Chander H, Knight A. Flatfeet: biomechanical implications, assessment and management [J], Foot (Edinb), 2019, 38: 81-85.
[3] Bibrowicz K, Szurmik T, Michnik R, et al. Application of Zebris dynamometric platform and Arch Index in assessment of the longitudinal arch of the foot [J]. Technol Health Care, 2018, 26(S2): 543-551.
[4] 蒋兵, 郭琪. 足弓支撑鞋垫对人体膝关节生物力学特征与ACL损伤的影响 [J]. 中国皮革, 2023, 52(5): 96-100.
[5] Buldt A K, Allan J J, Landorf K B, et al. The relationship between foot posture and plantar pressure during walking in adults: a systematic review [J]. Gait Posture, 2018, 62: 56-67.
[6] Hollander K, Zech A, Rahlf A L, et al. The relationship between static and dynamic foot posture and running biomechanics: a systematic review and meta-analysis [J]. Gait Posture, 2019, 72: 109-122.
[7] Periyasamy R, Anand S. The effect of foot arch on plantar pressure distribution during standing [J]. J Med Eng Technol, 2013, 37(5): 342-347.
[8] Hara S, Kitano M, Kudo S. The effects of short foot exercises to treat flat foot deformity: a systematic review [J]. J Back Musculoskelet Rehabil, 2023, 36(1): 21-33.
[9] 高宏生, 袁耀宗, 邹宏雷, 等. 某边疆部队训练伤影响因素及其防控改进策略 [J]. 武警医学, 2023, 34(4): 277-280, 286.
[10] 艾英伟. 纠正训练对预防军校学员运动损伤与提高运动效能的影响 [J]. 武警医学, 2022, 33(11): 964-967.
[11] Jankowicz-Szymanska A, Mikolajczyk E, Wardzala R. Arch of the foot and postural balance in young judokas and peers [J]. J Pediatr Orthop B, 2015, 24(5): 456-460.
[12] Hofmann C L, Okita N, Sharkey N A. Experimental evidence supporting isometric functioning of the extrinsic toe flexors during gait [J]. Clin Biomech (Bristol, Avon), 2013, 28(6): 686-691.
[13] 白啸天, 霍洪峰. 足踝功能的生物力学测评:构建足静态和动态评价指标 [J]. 中国组织工程研究, 2021, 25(17): 2747-2754.
[14] 白啸天, 霍洪峰, 赵虎, 等. 矫形鞋垫对扁平足患者行走支撑期下肢运动功能的影响 [J]. 中国运动医学杂志, 2022, 41(5): 361-368.
[15] 白啸天,霍洪峰. 不同足型男性行走时压力中心轨迹曲线特征 [J]. 中国运动医学杂志, 2021, 40(7): 523-527.
[16] Uchiyama E, Kitaoka H B, Fujii T, et al. Gliding resistance of the posterior tibial tendon [J]. Foot Ankle Int, 2006, 27(9): 723-727.
[17] Williams D S 3rd, Davis I M, Scholz J P, et al. High-arched runners exhibit increased leg stiffness compared to low-arched runners [J]. Gait Posture, 2004, 19(3): 263-269.
[18] 赵虎, 霍洪峰. 跑步运动中下肢刚度的应用与研究进展 [J]. 中国体育科技, 2022, 58(10): 63-71.
[19] Nigg B M, Cole G K, Nachbauer W. Effects of arch height of the foot on angular motion of the lower extremities in running[J]. J Biomech, 1993, 26(8): 909-916.
[20] Serpell B G, Ball N B, Scarvell J M, et al. A review of models of vertical, leg, and knee stiffness in adults for running, jumping or hopping tasks [J]. J Sports Sci, 2012, 30(13): 1347-1363.
[21] Rdzanek J, Swiatek J, Wychowański M. Correlation between foot arch parameters and body balance performance [J]. Ortop Traumatol Rehabil, 2022, 24(4): 263-272.
[22] Kim M K. Foot pressure analysis of adults with flat and normal feet at different gait speeds on an ascending slope [J]. J Phys Ther Sci, 2015, 27(12): 3767-3769.
[23] Tsai L C, Yu B, Mercer V S, et al. Comparison of different structural foot types for measures of standing postural control [J]. J Orthop Sports Phys Ther, 2006, 36(12): 942-953.
[24] Jung D Y, Koh E K, Kwon O Y. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial [J]. J Back Musculoskelet Rehabil, 2011, 24(4): 225-231.
[25] Ghorbani M, Yaali R, Sadeghi H, et al. The effect of foot posture on static balance, ankle and knee proprioception in 18-to-25-year-old female student: a cross-sectional study [J]. BMC Musculoskelet Disord, 2023, 24(1): 547.
[26] Shih Y F, Chen C Y, Chen W Y, et al. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study [J]. BMC Musculoskelet Disord, 2012, 13: 31.
[27] Henry J K, Shakked R, Ellis S J. Adult-acquired flatfoot deformity [J]. Foot Ankle Orthop, 2019, 4(1): 2473011418820847.