Using Pressure Pain Threshold in Foot Orthotic Designs

NewsBot · Sep 8, 2021

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A Design Study of Orthotic Shoe Based on Pain Pressure
Measurement Using Algometer for Calcaneal Spur Patients
Dwi Basuki Wibowo et al
Technologies 2021, 9, 62.

The pressure pain threshold (PPT) is a useful tool for evaluating mechanical sensitivity in
individuals suffering from various musculoskeletal disorders. The aim of this study is to investigate
PPT at the heel area in order to assist in the design of orthotic shoes for sufferers of heel pain due to a
calcaneal spur. The size and location of the calcaneal spur was determined by x-ray images, with PPT
data measured around the spur at five points by using algometer FDIX 25. The pain test experiment
was conducted by pressing each point to obtain the pain minimum compressive pressure (PMCP)
and its location. The information of shoe size, spur location and dimensions, and the PMCP location
for each individual is used to obtain the exact point location for applying a softer material to the
shoe in-sole, in order to reduce heel pain. The results are significant as it can be used by designers to
design appropriate shoe in-soles for individuals suffering from heel pain.
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DaVinci · Sep 8, 2021

Do we should use a cut out or hole in the orthotic for a "heel spur"?

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DaVinci Well-Known Member

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