KARBON TABANLIK KULLANIMININ PES PLANUS VE PES KAVUSU OLAN BİREYLERDE AYAK PLANTAR BASINÇ DAĞILIMINA ETKİSİ

Year 2022, Volume: 33 Issue: 2, 81 - 88, 20.08.2022

Can Turan Gülay Aras Bayram

https://doi.org/10.21653/tjpr.987131

Abstract

Amaç: Çalışmada kişiye özel üretilen karbon tabanlık kullanımının, pes planus veya pes kavusu olan bireylerde dinamik ve statik plantar basınç analizine etkisini değerlendirmek amaçlanmıştır.
Yöntem: Çalışmaya tabanlık kullanması reçete edilen 30 gönüllü birey cinsiyet ayrımı gözetmeksizin dahil edildi. Ağrı değerlendirmesi için Görsel Analog Skala (GAS), dinamik ve statik plantar basınç analizi için sensor medica pedobarografik cihaz ve yaşam kalitesi için Kısa Form-36 Yaşam Kalitesi Anketi kullanıldı. Kişiye özel karbon tabanlık üretilip, katılımcıların 6 ay kullanması istendi. Analizler tekrarlı ölçümlü Anova testi ile başlangıçta, 2. ve 6. ayda yapıldı.
Sonuçlar: Karbon tabanlık kullanımı öncesi ilk ölçüm, 2. ve 6. ayda yapılan GAS değerlendirmelerinde (p<0,001), dinamik pedobarografik ölçüm analizlerinde (p<0,05) ve sağ ve sol ayağa binen ağırlık yüzdesi dışında diğer statik pedobarografik ölçüm analizlerinde (p<0,05) istatistiksel düzeyde anlamlı farklılık elde edildi. Yaşam kalitesinin sosyal fonksiyon hariç tüm diğer alt başlıklarında istatistiksel düzeyde anlamlı değişiklik belirlendi (p<0,05).
Tartışma: Pes planus veya pes kavusa sahip bireylerde kişiye özel karbon tabanlık kullanımının ayak ağrısını azalttığı, statik ve dinamik plantar basınç analizi ile yaşam kalitesi üzerinde olumlu etkisi olduğu belirlenmiştir.

Keywords

Ağrı, Pedobarografi, Pes Kavus, Pes Planus, Tabanlık

THE EFFECT OF CARBON INSOLE USE ON FOOT PLANTAR PRESSURE DISTRIBUTION IN INDIVIDUALS WITH PES PLANUS AND PES CAVUS

Abstract

Purpose: The aim of this study was to evaluate the effect of using custom made carbon insoles on dynamic and static plantar pressure analysis in individuals with pes planus or pes cavus.
Methods: Thirty volunteers who were prescribed to use insoles were included in the study, regardless of gender. The Visual Analogue Scale (VAS) was used for pain assessment, and the sensor medica pedobarographic device for dynamic and static plantar pressure analysis and Short Form-36 Quality of Life Questionnaire for quality of life. Personalized carbon insoles were produced and the participants were asked to use it for 6 months. Analyzes were performed with repeated measures Anova test at baseline, at 2 and 6 months.
Results: Before using carbon insoles; In the first measurement, 2nd and 6th month VAS evaluations (p<0.001), dynamic pedobarographic measurement analyzes (p<0.05), other static pedobarographic measurement analyzes except the percentage of weight on the right and left feet (p<0.05) statistically significant difference was obtained. A statistically significant change was found in all subtitles of quality of life except social function (p<0.05).
Conclusion: The use of personalized carbon insoles in individuals with pes planus or pes cavus; it has been determined that it reduces foot pain and has a positive effect on quality of life with static and dynamic plantar pressure analysis.

Keywords

Pain, Pedobarography, Pes Cavus, Pes Planus, Insole

References

• Ramanathan AK, Kiran P, Arnold GP, Wang W, Abboud RJ. Repeatability of the Pedar-X in-shoe pressure measuring system. Foot Ankle Surg. 2010;16(2):70–3.
• Jacobs, A. M. Pes Cavus Deformity: Anatomic, Functional Considerations, and Surgical Implications. Clin Podiatr Med Surg, 2021;38(3), 291-302.
• Sanpera, I., Villafranca-Solano, S., Muñoz-Lopez, C., & Sanpera-Iglesias, J.How to manage pes cavus in children and adolescents?. EFORT Open Reviews, 2021;6(6), 510-517.
• Choi JK, Cha EJ, Kim KA, Won Y, Kim JJ. Effects of custom-made insoles on idiopathic pes cavus foot during walking. Biomed Mater Eng. 2015; 26:705–15.
• Raj MA, Tafti D, & Kiel J. Pes Planus. StatPearls, 2021.
• Martinez-Nova A, Gijon-Nogueron G, Alfageme-Garcia P, Montes-Alguacil J, Evans AM. Foot posture development in children aged 5 to11 years: A three-year prospective study. Gait Posture. 2018; 62:280–4.
• Cho Y, Park J-W, Nam K. The relationship between foot posture index and resting calcaneal stance position in elementary school students. Gait Posture. 2019; 74:142–7.
• de Oliveira HAV, Natour J, Vassalli M, Rosenfeld A, Jennings F, Jones A. Effectiveness of customized insoles in patients with Morton’s neuroma: a randomized, controlled, double-blind clinical trial. Clin Rehabil. 2019;33(12):1898-1907.
• Shih Y-F, Wen Y-K, Chen W-Y. Application of wedged foot orthosis effectively reduces pain in runners with pronated foot: a randomized clinical study. Clin Rehabil. 2011;25(10):913–23.
• Bus SA, Ulbrecht JS, Cavanagh PR. Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity. Clin Biomech (Bristol, Avon). 2004;19(6):629–38.
• Queen, R. M., Abbey, A. N., Verma, R., Butler, R. J., & Nunley, J. A. Plantar loading during cutting while wearing a rigid carbon fiber insert. Journal of athletic training, 49(3), 297–303, 2014.
• Escalona-Marfil C, Coda A, Ruiz-Moreno J, Riu-Gispert LM, Gironès X. Validation of an Electronic Visual Analog Scale mHealth Tool for Acute Pain Assessment: Prospective Cross-Sectional Study. J Med Internet Res. 2020;22(2):e13468.
• Kocyigit, H., Aydemir, O., Olmez, N., Memis, A. Reliability and validity of the Turkish version of Short-Form-36 (SF 36). Turkish J Drugs Therap, 1999;12,102-106.
• Zammit, G.V., Payne, C.B. Relationship between positive clinical outcomes of foot orthotic treatment and changes in rearfoot kinematics. J Am Podiatr Med Assoc, 2007;97(3), 207-212.
• Amer, A.O., Jarl, G.M., Hermansson, L.N. The effect of insoles on foot pain and daily activities. Prosthet Orthot Int, 2014;38(6),474-480.
• Gijon-Nogueron, G., Cortes-Jeronimo, E., Cervera-Marin, J.A., Diaz-Mohedo, E., Lopezosa-Reca, E., Fernandez Sanchez, M. The effects of custom-made foot orthosis using the Central Stabilizer Element on foot pain. First Published May 8, 2014.
• Shih Y-F, Wen Y-K, Chen W-Y. Application of wedged foot orthosis effectively reduces pain in runners with pronated foot: a randomized clinical study. Clin Rehabil. 2011;25(10):913–23.
• Chang B-C, Wang J-Y, Huang B-S, Lin H-Y, Lee WCC. Dynamic impression insole in rheumatoid foot with metatarsal pain. Clin Biomech (Bristol, Avon). 2012;27(2):196–201.
• Najafi B, Wrobel JS, Burns J. Mechanism of orthotic therapy for the painful cavus foot deformity. Journal of foot and ankle research 2014;7(1):1-9.
• Huang Y, Peng HT, Wang X, Chen ZR, Song CY. The arch support insoles show benefits to people with flatfoot on stance time, cadence, plantar pressure and contact area. PloS one vol. 2020;15,8 e0237382.
• Chen KC, Chen YC, Yeh CJ, Hsieh CL, Wang CH. The effect of insoles on symptomatic flatfoot in preschool-aged children: A prospective 1-year follow-up study. Medicine 2019;98,36.
• Powell, M., Seid, M., Szer, I.S. Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial. The Journal of Rheumatology, 2005;32(5):943-950.
• Wrobel J.S, Fleischer A.E., Crews R.T., Jarrett B., Najafi B. A Randomized Controlled Trial of Custom Foot Orthoses for the Treatment of Plantar Heel Pain. J Am Podiatr Med Assoc 1 July, 2015; 105 (4),281–294.
• Wang, W.J., & Crompton, R.H. Analysis of the human and ape foot during bipedal standing with implications for the evolution of the foot. Journal of biomechanics, 2004; 37(12), 1831-1836.