Plantar pressure and impulse profiles of students from a South African university
- Authors: Kramer, Mark
- Date: 2012
- Subjects: Human mechanics , Foot -- Movements , Joints -- ange of motion , eng
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10095 , http://hdl.handle.net/10948/d1010606 , Human mechanics , Foot -- Movements , Joints -- ange of motion
- Description: Most activities of daily living and numerous modes of physical activity incorporate some form of ambulation, of which the foot and ankle constitute the first link in the kinetic chain. A change in foot or ankle structure may therefore have subsequent effects on the superincumbent joints of the human body such as the knee, hip and lower back. Plantar pressure and impulse measurements can therefore provide greater insight into the mechanics of the foot under load-bearing conditions with regards to the areas and regions of the foot that exhibit the largest pressure values and impulse figures. Hence, it is of importance to establish normative data so as to obtain a frame of reference to identify those individuals that fall outside these norms and may exhibit a larger probability of injury. Aim and Objectives: The primary aim was to identify and compare the plantar pressure distribution patterns and impulse values of students of a South African university of different gender and race groups. To realise this aim two specific objectives were set. The first was to determine whether height, weight, body mass index (BMI), gender, race, and the level of physical activity were related to the pressure and impulse values obtained, and the second was to generate reference tables from the normative data gathered. Method: The RS Footscan system was used to measure the pressure and impulse values of the foot. The characteristics that were analysed were height, weight, body mass index and the level of physical activity of the participant and their respective association with plantar pressure and impulse values obtained. This information was then used to establish normative data. A quasi-experimental study design utilising convenience sampling was implemented as the intention was to investigate as single instance in as natural a manner as possible. Convenience sampling was used with predefined inclusion and exclusion criteria. A total of 180 participants were utilised in this study and were subdivided as follows: Gender: Males (n = 90); Females (n = 90); Race: African black (n = 60); white (n = 60) and coloured (n = 60). Each race group therefore comprised of 30 males and 30 females respectively. The anthropometric profile of participants was as follows: Age (S.D.) = 22.21 (S.D. ± 2.93) years; Height (S.D.) = 169.69 (S.D. ± 8.91) cm; Weight (S.D.) = 66.97 (S.D. ± 12.01) kg; BMI (S.D.) = 23.16 (S.D. ± 3.15) kg/m2. Participants were asked to complete a questionnaire prior to testing that would identify all exclusion criteria consisting of: the presence of foot pain or deformity, acute lower extremity trauma, lower extremity surgery, exhibited problems of performance including eye, ear or cognitive impairment, diabetes mellitus or other neurological neuropathy, or the use of walking aids. Anthropometric measurements were then taken for those participants that qualified for the study. Participants were required to perform approximately five warm-up trials to familiarise themselves with the testing equipment before testing commenced. A total of ten successful trails were subsequently recorded for each participant, with three footprints being recorded per trial on the pressure platform, thereby comprising 30 footprints (15 left foot and 15 right foot) per participant that were analysed regarding pressure and impulse values. The two-step gait initiation protocol was implemented which was proven to be a valid and reliable means of assessing gait. Participants were instructed to walk at a comfortable walking speed between 1.19 – 1.60 m/s to ensure conformity between all participants as between-trial gait velocities were proven to be significantly variable. The foot was subdivided into ten anatomical areas focusing on the great toe, lesser toes, metatarsal 1, metatarsal 2, metatarsal 3, metatarsal 4, metatarsal 5, midfoot, medial heel and lateral heel. These ten areas were then grouped into one of three regions, namely the forefoot region (great toe, lesser toes, and all five metatarsal head areas), midfoot region (midfoot area), and rearfoot/heel region (medial and lateral heel areas). Once all relevant data was gathered, corrected and analysed it was used to establish normative data tables pertaining to the various gender and race groups. Results: Of the ten individual pressure and impulse areas, the second and third metatarsal heads demonstrated the highest mean peak pressure and impulse values. Once grouped into one of the three regions, the heel region was ascribed with the largest impulse and pressure values. It was established that statistically and practically significant racial pressure differences were apparent in the left and right forefoot and midfoot regions, with black and coloured individuals yielding the highest values, whereas white participants yielded the lowest. The same was true with regards to impulse figures in that both statistical and practical significant levels were established in the forefoot and midfoot regions. Black and coloured participants exhibited larger impulse values than the white participants. The level of physical activity was found to be associated with both pressure and impulse values over the various regions of the foot. Black individuals that were largely inactive as well as moderately active coloured participants yielded the highest pressure and impulse values, which were found to be statistically and practically significant over the forefoot regions. Conversely, white participants of all physical activity levels as well as coloured participants of both low and high physical activity levels exhibited the lowest pressure values over the forefoot region, which were also found to be statistically and practically significant. The anthropometric variables of height, weight and BMI were found to relate statistically to pressure and impulse values under the various regions of the foot, but none were found to be of any practical significance (r < .30). Conclusion: It was clearly established that both gender and race specific differences existed regarding plantar pressure and impulse values of the normal foot. Plantar pressure and impulse values were also associated with the level of physical activity of the individual, thereby indicating that the level of physical activity could be a contributing factor to altered pressure and impulse values. Anthropometric variables such as height, weight and BMI could not solely account for the variances observed in pressure and impulse. Further research is required to determine whether pressure or impulse values above or below those obtained predispose an individual to injury and to contrast between various activity or sporting codes and the effect of these on plantar pressure and impulse figures. Finally, from the collected data one was able to establish reference tables for the specific gender and race groups for both plantar pressure and impulse values. This enables one to classify individuals based on the pressure and impulse values generated.
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- Date Issued: 2012
Plantar force differences before and after an ultra-endurance event
- Authors: Sims, Gwenivere
- Date: 2011
- Subjects: Human mechanics , Foot -- Abnormalities , Foot surgery
- Language: English
- Type: Thesis , Masters , MA
- Identifier: vital:10101 , http://hdl.handle.net/10948/d1012795 , Human mechanics , Foot -- Abnormalities , Foot surgery
- Description: The aim of this study was to determine the pre- and post-plantar force differences of athletes competing in an ultra-endurance event. The study was exploratory and quasi-experimental in nature and utilized a quantitative approach. A Quasi-experimental, one group pretest, posttest design was used. The study involved 84 participants selected by means of convenient sampling from a total of 1552 participants. The equipment used for data collection was the RS Footscan®, stadiometer and a weight scale. Differences between the plantar forces before and after the competition were significant for the sample group, indicating higher forces before the competition (t = -3.62, p = 0.001, d = 0.40). Gender, and novice and expert groupings had no significant effect on the plantar forces (t = 1.43, p = 0.155 and t = 0.21, p = 0.837) respectively. Gender groups had large significant differences between the left and right forefoot (t = 3.90, p = 0.000) and the heel (t = 3.54, p = 0.001), before the competition, but this difference was reduced after the competition from large to moderate significance for the forefoot and the heel (t = 2.84, p = 0.006 and t = 2.99 and p = 0.004) respectively. Lower forces after the ultra-endurance event may indicate compensation due to overuse; with less muscle contraction to control foot roll over for force distribution. Favouring of the right foot for weight bearing changed after the event with smaller differences, which could indicate increase loading of the left feet, which may result in injury. The number of females included in this study was relatively few and therefore the effect of gender in respect of plantar foot force exerted should be interpreted with caution. The novices recorded higher forces in the forefoot, after the competition. Similar results were found in other studies that reported increased pressures under the forefoot after long distance running. The latter findings may suggest that novices have a higher chance for overuse injury.
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- Date Issued: 2011
The effect of restricted environments on selected postural, physiological and perceptual responses
- Authors: Wolfe, Amy
- Date: 2008
- Subjects: Human engineering , Posture , Human mechanics , Work environment , Human beings -- Effect of environment on , Musculoskeletal system -- Wounds and injuries , Industrial safety , Work -- Physiological aspects , Stress (Physiology)
- Language: English
- Type: Thesis , Masters , MSc
- Identifier: vital:5115 , http://hdl.handle.net/10962/d1005193 , Human engineering , Posture , Human mechanics , Work environment , Human beings -- Effect of environment on , Musculoskeletal system -- Wounds and injuries , Industrial safety , Work -- Physiological aspects , Stress (Physiology)
- Description: Manual lifting tasks are the predominant means of transporting materials in industry with many of these tasks being performed in confined spaces. Research has tended to focus on the biomechanical implications of working in small spaces with a decided lack of information about the physiological and perceptual responses in these environments. This holistic study therefore investigated the manner in which the human operator responded to conditions where the ceiling height was lowered and reach demands increased. Thirty-two young physically active male subjects (age: 21.55yr; stature: 1810mm) were recruited to complete a 2-way repeated measures experiment during which four lifting protocols where different combinations of ceiling height (‘normal’ or reduced to 1460mm in height) and reach demands (400mm or 800mm) were tested. A crude postural analysis was conducted while physiological responses were detailed and continuously monitored. Perceptual responses were also assessed. The tasks with a ‘normal’ ceiling height (mean compression forces: 2615N; mean shearing forces: 388N) and the greatest reach distance (mean compression forces: 3655N; mean shearing forces: 386N) placed individuals under the highest strain. Mean heart rate (HR) responses were significantly lower (p < 0.05) in the URN condition when compared to the RF condition. Furthermore, HR responses were statistically significantly affected by the height of the ceiling and the reach depth. Statistically significant differences (p< 0.05) in mean tidal volume (VT) occurred in the least (URN) and most (RF) restrictive conditions. Statistically significant differences (p < 0.05) in mean VE were evident between URN and URF, between URN and RF and between RN and RF. Ceiling height and reach demands had a statistically significant effect on all respiratory responses. There was a statistically significant difference in mean oxygen consumption (VO2) between the URN and all other conditions, and between the most restricted task (RF) and all other conditions. Both the effect of ceiling height and reach demands had a statistically statistically significant impact on VO2. Respiratory quotient (RQ) was significantly higher when loads were moved over 800mm compared to 400mm yet ceiling height did not have a statistically significant effect on RQ. Mean energy expenditure was significantly higher in the RF condition compared to the two least restrictive conditions (URN and RN). Statistically significant differences in EE were also evident between URN and RN, and between URN and URF. EE was significantly affected by reductions in ceiling height and increases in reach demands. Perceptually, the RF task (mean ‘Central’ RPE of 11) was perceived to place significantly greater cardiorespiratory demands on the operator compared to the URN (CRPE: 10) and RN (CRPE: 10) conditions. Statistically significant differences in perceived musculoskeletal strain only occurred between URN and RF. The effect of reach was perceived to have a statistically significant effect on both cardiovascular and musculoskeletal demands whereas ceiling height only had a statistically significant effect on musculoskeletal demands. The greatest discomfort was experienced in the lower back with the most intense discomfort occurring in the RN condition.
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- Date Issued: 2008