Variations in centre of pressure and balance performance induced by footwear drop in healthy adults.

IF 2.6 3区医学 Q2 ORTHOPEDICS

International Orthopaedics Pub Date : 2025-10-01 DOI:10.1007/s00264-025-06664-4

Raquel Fragua-Blanca, Natalia Tovaruela-Carrión, Manuel Jesús Tena-León, Elena Escamilla-Martínez

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引用次数: 0

Abstract

Background: Posturography is a diagnostic technique that quantifies postural control through Centre of Pressure (CoP) displacement analysis on a force platform. Footwear characteristics, particularly heel-to-toe drop, may influence balance by modifying plantar pressure distribution and proprioceptive feedback. The aim of this study was to evaluate the impact of different footwear drops (0 mm, 5 mm, 10 mm) on postural control in healthy young adults, considering sex, BMI, and shoe size.

Methods: A cross-sectional study was conducted in 117 participants (56 men, 61 women) using the Dinascan/IBV^® platform and the Romberg test. CoP displacement and velocity were analyzed.

Results: Significant differences were observed in CoP total displacement (p < 0.001), mean velocity (p < 0.001), and medio-lateral dispersion (p = 0.024) when comparing 0 mm to 5 mm and 10 mm drops. Sex differences were significant at 0 mm drop for maximum medio-lateral force (p < 0.001) and mean velocity (p = 0.042), with men exhibiting greater values. At 5 mm drop, men showed significantly higher swept area (p = 0.029) and anteroposterior displacement (p = 0.007) than women.

Conclusions: Small variations in footwear drop can affect postural control, particularly in the medio-lateral plane. Sex and BMI significantly influence CoP behavior, suggesting the need to consider these factors in footwear design and clinical balance assessments.

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健康成人鞋类下降引起的压力中心和平衡表现的变化。

背景：体位照相是一种诊断技术，通过力平台上的压力中心（CoP）位移分析来量化体位控制。鞋的特点，特别是脚跟到脚趾的下降，可能通过改变足底压力分布和本体感觉反馈影响平衡。本研究的目的是评估不同的鞋类落差（0毫米，5毫米，10毫米）对健康年轻人姿势控制的影响，考虑性别，BMI和鞋码。方法：采用Dinascan/IBV®平台和Romberg测试，对117名参与者（56名男性，61名女性）进行横断面研究。分析了CoP位移和速度。结果：观察到CoP总位移有显著差异(p)。结论：鞋类落差的微小变化会影响姿势控制，特别是在中外侧平面。性别和体重指数显著影响CoP行为，提示在鞋类设计和临床平衡评估中需要考虑这些因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Orthopaedics 医学-整形外科

CiteScore

5.50

自引率

7.40%

发文量

360

审稿时长

1 months

期刊介绍： International Orthopaedics, the Official Journal of the Société Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) , publishes original papers from all over the world. The articles deal with clinical orthopaedic surgery or basic research directly connected with orthopaedic surgery. International Orthopaedics will also link all the members of SICOT by means of an insert that will be concerned with SICOT matters. Finally, it is expected that news and information regarding all aspects of orthopaedic surgery, including meetings, panels, instructional courses, etc. will be brought to the attention of the readers. Manuscripts submitted for publication must contain a statement to the effect that all human studies have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki. It should also be stated clearly in the text that all persons gave their informed consent prior to their inclusion in the study. Details that might disclose the identity of the subjects under study should be omitted. Reports of animal experiments must state that the "Principles of laboratory animal care" (NIH publication No. 85-23, revised 1985) were followed, as well as specific national laws (e.g. the current version of the German Law on the Protection of Animals) where applicable. The editors reserve the right to reject manuscripts that do not comply with the above-mentioned requirements. The author will be held responsible for false statements or for failure to fulfil the above-mentioned requirements.