Effect of Calcaneal Taping on Peak Plantar Pressure of Forefoot and Rearfoot during Gait

  • Weon, Jong-Hyuck (Physiopathologic Science Institute, Department of Physical Therapy, Joongbu University) ;
  • Kim, Goen-Su (Multi-Care Specialization Project, Joongbu University) ;
  • Jung, Do-Young (Physiopathologic Science Institute, Department of Physical Therapy, Joongbu University)
  • 투고 : 2015.12.13
  • 심사 : 2015.12.21
  • 발행 : 2015.12.25

초록

Purpose: The purpose of this study was to determine the effects of calcaneal taping on peak plantar pressure of rearfoot and forefoot while walking. Methods: Fifteen healthy subjects with normal feet participated in this study. Inclusion criteria were as follows: (1) no disturbance of gait and foot pain, (2) normal range of motion of ankle joint, (3) no foot deformity. Pedoscan was used for recording of plantar pressure data during walking. The participants walked along a 12-m walkway before and after application of calcaneal taping. The plantar pressure gait was measured 3 times under barefoot and calcaneal taping conditions randomly at a speed practiced with the metronome during gait. The peak plantar pressure data were calculated for medial and lateral areas of the rearfoot and forefoot. The paired t-test was used to determine significant differences in peak plantar pressure of rearfoot and forefoot before and after application of calcaneal taping. A p-value less than 0.05 was accepted as significant. Results: The calcaneal taping resulted in statistically significant decreases in peak plantar pressure of the rearfoot (medial side: p=0.03; lateral side: p=0.01). However, there were no significant changes in peak plantar pressure of the forefoot (medial side: p=0.45; lateral side: p=0.40). Conclusion: The calcaneal taping is recommended to reduce plantar pressure of the rearfoot in weight-bearing activities in subjects with plantar heel pain caused by atrophy of the fat pad.

키워드

참고문헌

  1. Tu P, Bytomski JR. Diagnosis of heel pain. Am Fam Physician. 2011; 84(8):909-16.
  2. Buchbinder R. Clinical practice. Plantar fasciitis. N Engl J Med. 2004; 350(21):2159-66. https://doi.org/10.1056/NEJMcp032745
  3. Neufeld SK, Cerrato R. Plantar fasciitis: Evaluation and treatment. J Am Acad Orthop Surg. 2008;16(6):338-46. https://doi.org/10.5435/00124635-200806000-00006
  4. Riddle DL, Pulisic M, Pidcoe P et al. Risk factors for plantar fasciitis: A matched case-control study. J Bone Joint Surg Am. 2003;85-A(5):872-7.
  5. Lemont H, Ammirati KM, Usen N. Plantar fasciitis: A degenerative process (fasciosis) without inflammation. J Am Podiatr Med Assoc. 2003;93(3):234-7. https://doi.org/10.7547/87507315-93-3-234
  6. Prichasuk S. The heel pad in plantar heel pain. J Bone Joint Surg Br. 1994;76(1):140-2. https://doi.org/10.2106/00004623-199401000-00020
  7. Bennett MB, Ker RF. The mechanical properties of the human subcalcaneal fat pad in compression. J Anat. 1990;171:131-8.
  8. Paul IL, Munro MB, Abernethy PJ et al. Musculo-skeletal shock absorption: Relative contribution of bone and soft tissues at various frequencies. J Biomech. 1978;11(5):237-9. https://doi.org/10.1016/0021-9290(78)90049-0
  9. Rome K, Webb P, Unsworth A et al. Heel pad stiffness in runners with plantar heel pain. Clin Biomech (Bristol, Avon). 2001;16(10):901-5. https://doi.org/10.1016/S0268-0033(01)00081-X
  10. Tsai WC, Wang CL, Hsu TC et al. The mechanical properties of the heel pad in unilateral plantar heel pain syndrome. Foot Ankle Int. 1999; 20(10):663-8. https://doi.org/10.1177/107110079902001010
  11. Hsu TC, Wang CL, Tsai WC et al. Comparison of the mechanical properties of the heel pad between young and elderly adults. Arch Phys Med Rehabil. 1998;79(9):1101-4. https://doi.org/10.1016/S0003-9993(98)90178-2
  12. Ozdemir H, Soyuncu Y, Ozgorgen M et al. Effects of changes in heel fat pad thickness and elasticity on heel pain. J Am Podiatr Med Assoc. 2004; 94(1):47-52. https://doi.org/10.7547/87507315-94-1-47
  13. Wearing SC, Smeathers JE, Yates B et al. Bulk compressive properties of the heel fat pad during walking: A pilot investigation in plantar heel pain. Clin Biomech (Bristol, Avon). 2009;24(4):397-402. https://doi.org/10.1016/j.clinbiomech.2009.01.002
  14. Nolan D, Kennedy N. Effects of low-dye taping on plantar pressure pre and post exercise: An exploratory study. BMC Musculoskelet Disord. 2009;10:40. https://doi.org/10.1186/1471-2474-10-40
  15. Hyland MR, Webber-Gaffney A, Cohen L et al. Randomized controlled trial of calcaneal taping, sham taping, and plantar fascia stretching for the short-term management of plantar heel pain. J Orthop Sports Phys Ther. 2006;36(6):364-71. https://doi.org/10.2519/jospt.2006.2078
  16. Choi HJ, Nam KW. The Effect of Horseback Riding Simulator on Static Balance of Cerebral Palsy. J Korean Soc Phys Ther. 2014;26(4):269-73.
  17. Yang DJ, Park SK, Kang JI et al. Effects of Changes in Postural Alignment on Foot Pressure and Balance of Patients with Stroke. J Korean Soc Phys Ther. 2014;26(4):226-33.
  18. Russo SJ, Chipchase LS. The effect of low-dye taping on peak plantar pressures of normal feet during gait. Aust J Physiother. 2001;47(4):239-44. https://doi.org/10.1016/S0004-9514(14)60271-3
  19. Maria C, Mark B. Therapeutic Taping for Musculoskeletal Conditions. Churchill Livingstone. 2010.
  20. Katoh Y, Chao EY, Laughman RK et al. Biomechanical analysis of foot function during gait and clinical applications. Clin Orthop Relat Res. 1983(177):23-33.
  21. Sullivan J, Burns J, Adams R et al. Plantar heel pain and foot loading during normal walking. Gait Posture. 2015;41(2):688-93. https://doi.org/10.1016/j.gaitpost.2015.01.025
  22. Wearing SC, Smeathers JE, Urry SR. The effect of plantar fasciitis on vertical foot-ground reaction force. Clin Orthop Relat Res. 2003(409):175-85.
  23. Vicenzino B, McPoil T, Buckland S. Plantar foot pressures after the augmented low dye taping technique. J Athl Train. 2007;42(3):374-80.