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New Concepts in Foot Function and Gait Analysis Assessments and Treatments
Purpose of Presentation
Present biomechanical parameters obtained from pressure mapping. Illustrate the biomechanical parameters used i assessments and for treatment of d in t df t t t f foot function and gait. Present example applications. Follow-up with a hands-on practical demo session.
What is Gait?
Gait refers to the manner and style of walking or running.
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Weight bearing foot In the diagram above, note that the body moves far more than the weight-bearing foot. The weight-bearing foot also serves as the pivot point at which the body advances. As the body moves over the weight-bearing foot, the ground reaction vertical forces applied to the plantar foot change with body position, and are being measured.
Time Force is represented by the vertical axis Time is represented by the horizontal axis
Pressure Column Dark Red = high Dark Blue = low Dark Blue = low
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1. Indicates a rapid initial loading. 2. A 50% drop in force or loading. 3. An increase to about 10% more than the 1st peak. 4. A rapid decline in force to 0. This curve is also a sample pattern of the vertical force (Gait) curve during the stance phase of walking.
For Example, Assess on the Relationship Between the Force Curves and the Pivots
What is Timing ?
It is the amount of time the segments of the feet are in contact with the ground, and the speed with which they move during the stance phase.
At heel strike At mid-stance mid-
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What is Integral ?
It is the relationship between the amount of Pressure (load) that is applied throughout a period of Time.
Without orthotic
0.73 kg/cm2*sec
With orthotic
0.50 kg/cm2*sec
Pressure Profile
Mid tarsal
What is Impulse ?
It is the relationship between the amount of Force (load) that is applied throughout a period of Time.
With cushioning Without cushioning
7.22 kg*sec
10.68 kg*sec
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What is Ellipse ?
It is the elliptical region (area) in which the CoF traveled (moved) during the event.
Posture misalignment Treated
What is Displacement ?
It is the distance (excursion) traveled by the CoF during the event, and the variability in its displacement during the event.
Posture misalignment P t i li t Treated T t d
Following are some examples where pressure mapping and its related biomechanical parameters are applied.
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Example of Applications
Example of Applications
Example of Applications
Example of Applications
Example of Applications
Example of Applications
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Example of Applications
Example of Applications
Example of Applications
Example of Applications
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In Conclusion
What is the magical recipe for successful biomechanical based performance assessments and treatments? Skill and Science The Skill resides in: Setting desired & expected biomechanical outcomes. outcomes Preparing the training program and/or treatment protocol such to meet the outcomes. Applying the training and treatment as such. The SCIENCE resides in: Measuring biomechanical (parameter) outcomes. Analyzing, interpreting and ensuring that the biomechanical outcomes are met or achieved.
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