alexa The Influence of Walking Speed and Heel Height on Peak
ISSN: 2329-910X

Clinical Research on Foot & Ankle
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Research Article

The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study

Rangra P1, Santos D2*, Coda A3 and Jagadamma K4

1Department of Physiotherapist, Intermediate Care Service, NHS Lothian, Edinburgh, UK

2Department of Podiatry, School of Health Sciences, Queen Margaret University, Edinburgh, UK

3School of Health Sciences, Department of Health and Medicine, The University of Newcastle, Ourimbah, Australia

4Department of Physiotherapy, Queen Margaret University, Edinburgh, UK

Corresponding Author:
Derek Santos
Senior Lecturer Podiatry
School of Health Sciences
Queen Margaret University
Edinburgh, United Kingdom
Tel: 01314740000
Fax: 01314740001
E-mail: [email protected]

Received Date: June 30, 2017; Accepted Date: July 11, 2017; Published Date: July 18, 2017

Citation: Rangra P, Santos D, Coda A, Jagadamma K (2017) The Influence of Walking Speed and Heel Height on Peak Plantar Pressure in the Forefoot of Healthy Adults: A Pilot Study. Clin Res Foot Ankle 5:239. doi:10.4172/2329-910X.1000239

Copyright: © 2017 Rangra P, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: The body of empirical research is suggestive of the fact that faster walking speed and increasing heel height can both give rise to elevated plantar pressures. However, there is little evidence of the interaction between walking speed and heel height on changes in plantar pressure. Therefore, the aim of this study was to investigate whether the effect of heel height on plantar pressure is the same for different walking speeds

Methodology: Eighteen healthy adults, between the ages of 18 and 35 were assessed for changes in peak plantar pressure at walking speeds of 0.5 mph, 0.8 mph, 1.4 mph and 2.4 mph on a treadmill, wearing heels of 2 cm, 3 cm, 6 cm and 9 cm. Both the speed of walking and heels were randomly assigned to each participant. Peak plantar pressure values were determined in the forefoot region using the F-scan system which made use of in-shoe insoles. Data were analysed using two-way ANOVA.

Results: Increasing heel height and walking speed resulted in significantly higher peak plantar pressure in the forefoot. Post-hoc analysis also confirmed the findings of two-way ANOVA of significant increase in peak plantar pressure with increments in heel height and walking speed. The two-way ANOVA illustrated significantly higher peak plantar pressures in both the forefeet due to interaction of walking speed and increasing heel heights.

Conclusion: This study suggests that an interaction of walking speed and footwear design on distribution of plantar pressure exists. Therefore it is necessary to standardize walking speed and shoe design in future studies evaluating plantar pressures.


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