The reproducibility of acquiring three dimensional gait and plantar pressure data using established protocols in participants with and without type 2 diabetes and foot ulcers

Article


Fernando, Malindu, Crowther, Robert G., Cunningham, Margaret, Lazzarini, Peter A., Sangla, Kunwarjit S., Buttner, Petra and Golledge, Jonathan. 2016. "The reproducibility of acquiring three dimensional gait and plantar pressure data using established protocols in participants with and without type 2 diabetes and foot ulcers." Journal of Foot and Ankle Research. 9 (4), pp. 1-12. https://doi.org/10.1186/s13047-016-0135-8
Article Title

The reproducibility of acquiring three dimensional gait and plantar pressure data using established protocols in participants with and without type 2 diabetes and foot ulcers

ERA Journal ID40107
Article CategoryArticle
AuthorsFernando, Malindu (Author), Crowther, Robert G. (Author), Cunningham, Margaret (Author), Lazzarini, Peter A. (Author), Sangla, Kunwarjit S. (Author), Buttner, Petra (Author) and Golledge, Jonathan (Author)
Journal TitleJournal of Foot and Ankle Research
Journal Citation9 (4), pp. 1-12
Number of Pages12
Year2016
Place of PublicationUnited Kingdom
ISSN1757-1146
Digital Object Identifier (DOI)https://doi.org/10.1186/s13047-016-0135-8
Web Address (URL)http://www.jfootankleres.com/
Abstract

Background: Several prospective studies have suggested that gait and plantar pressure abnormalities secondary to diabetic peripheral neuropathy contributes to foot ulceration. There are many different methods by which gait and plantar pressures are assessed and currently there is no agreed standardised approach. This study aimed to describe the methods and reproducibility of three-dimensional gait and plantar pressure assessments in a small subset of participants using pre-existing protocols.

Methods: Fourteen participants were conveniently sampled prior to a planned longitudinal study; four patients with diabetes and plantar foot ulcers, five patients with diabetes but no foot ulcers and five healthy controls. The repeatability of measuring key biomechanical data was assessed including the identification of 16 key anatomical landmarks, the measurement of seven leg dimensions, the processing of 22 three-dimensional gait parameters and the analysis of four different plantar pressures measures at 20 foot regions.

Results: The mean inter-observer differences were within the pre-defined acceptable level (<7 mm) for 100% (16 of 16) of key anatomical landmarks measured for gait analysis. The intra-observer assessment concordance correlation coefficients were > 0.9 for 100% (7 of 7) of leg dimensions. The coefficients of variations (CVs) were within the pre-defined acceptable level (<10%) for 100% (22 of 22) of gait parameters. The CVs were within the pre-defined acceptable level (<30%) for 95% (19 of 20) of the ontact area measures, 85% (17 of 20) of mean plantar pressures, 70% (14 of 20) of pressure time integrals and 55% (11 of 20) of maximum sensor plantar pressure measures.

Conclusion: Overall, the findings of this study suggest that important gait and plantar pressure measurements can be reliably acquired. Nearly all measures contributing to three-dimensional gait parameter assessments were within predefined acceptable limits. Most plantar pressure measurements were also within predefined acceptable limits; however, reproducibility was not as good for assessment of the maximum sensor pressure. To our knowledge, this is the first study to investigate the reproducibility of several biomechanical methods in a heterogeneous cohort.

Keywordsdiabetic foot; reproducibility of results; gait; locomotion; plantar pressure; foot ulcer
ANZSRC Field of Research 2020420701. Biomechanics
Public Notes

First place winner for the USQ School-Specific 2016 Publication Excellence Awards for Journal Articles - School of Health and Wellbeing.
Published version made available in accordance with Creative Commons Attribution License 4.0.

Byline AffiliationsJames Cook University
University of Stirling, United Kingdom
Queensland University of Technology
Department of Health, Queensland
Institution of OriginUniversity of Southern Queensland
Permalink -

https://research.usq.edu.au/item/q3492/the-reproducibility-of-acquiring-three-dimensional-gait-and-plantar-pressure-data-using-established-protocols-in-participants-with-and-without-type-2-diabetes-and-foot-ulcers

  • 1617
    total views
  • 95
    total downloads
  • 0
    views this month
  • 0
    downloads this month

Export as

Related outputs

Influence of Rest on Players’ Performance and Physiological Responses during Basketball Play
Crowther, Robert G., Leicht, Anthony S., Pohlmann, Jessica M. and Shakespear-Druery, Jane. 2017. "Influence of Rest on Players’ Performance and Physiological Responses during Basketball Play." Sports. 5 (2), pp. 1-6. https://doi.org/10.3390/sports5020027
Gait retraining for balance improvement
Crowther, Robert George and Pohlmann, Jessica May. 2018. "Gait retraining for balance improvement." Muller, Bertram and Wolf, Sebastian (ed.) Handbook of Human Motion. United States. Springer. pp. 1-9
Motor synergy in people with neurological disorders: Applications for gait rehabilitation
Shafizadeh, Mohsen, Wheat, Jonathan, Davids, Keith and Crowther, Robert. 2016. "Motor synergy in people with neurological disorders: Applications for gait rehabilitation." 20th European Congress of Physical and Rehabilitation Medicine (ESPRM 2016). Lisbon Portugal 23 - 28 Apr 2016 Italy.
Foundational bioscience content in exercise and sports science: update
Crowther, Robert and Ralph, Nicholas. 2016. "Foundational bioscience content in exercise and sports science: update." Research to Practice 2016. Melbourne, Australia 14 - 16 Apr 2016 Australia.
Plantar pressure are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration
Fernando, Malindu E., Crowther, Robert G., Lazzarini, Peter A., Sangla, Kunwarjit S., Wearing, Scott, Buttner, Petra and Golledge, Jonathan. 2016. "Plantar pressure are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration." BMC Endocrine Disorders. 16 (51), pp. 1-10. https://doi.org/10.1186/s12902-016-0131-9
Gait parameters of people with diabetes-related neuropathic plantar foot ulcers
Fernando, Malindu Eranga, Crowther, Robert G., Lazzarini, Peter A., Sangla, Kunwarjit S., Buttner, Petra and Golledge, Jonathan. 2016. "Gait parameters of people with diabetes-related neuropathic plantar foot ulcers." Clinical Biomechanics. 37, pp. 98-107. https://doi.org/10.1016/j.clinbiomech.2016.06.006
Lower limb biomechanical characteristics of patients with neuropathic diabetic foot ulcers: the diabetes foot ulcer study protocol
Fernando, Malindu Eranga, Crowther, Robert George, Cunningham, Margaret, Lazzarini, Peter Anthony, Sangla, Kunwarjit Singh and Golledge, Jonathan. 2015. "Lower limb biomechanical characteristics of patients with neuropathic diabetic foot ulcers: the diabetes foot ulcer study protocol." BMC Endocrine Disorders. 15 (59), pp. 1-11. https://doi.org/10.1186/s12902-015-0057-7
The use of spatial manipulation to examine goalkeepers’ anticipation
Woolley, T. L., Crowther, R. G., Doma, K. and Connor, J. D.. 2015. "The use of spatial manipulation to examine goalkeepers’ anticipation." Journal of Sports Science. 33 (17), pp. 1799-1774. https://doi.org/10.1080/02640414.2015.1014830
Biomechanical comparison between traditional hula-hooping and Nintendo Wii hula-hooping
Crowther, Robert G., Morken, Carina and Pohlmann, Jessica M.. 2015. "Biomechanical comparison between traditional hula-hooping and Nintendo Wii hula-hooping." Journal of Fitness Research. 4 (1), pp. 3-8.
Influence of regular exercise on body fat and eating patterns of patients with intermittent claudication
Leicht, Anthony, Crowther, Robert G. and Golledge, Jonathan. 2015. "Influence of regular exercise on body fat and eating patterns of patients with intermittent claudication." International Journal of Molecular Sciences. 16 (5), pp. 11339-11354. https://doi.org/10.3390/ijms160511339