Journal of Biomechanics
Volume 39, Issue 13 , Pages 2363-2370 , 2006

Reduction of plantar heel pressures: Insole design using finite element analysis

  • Steven Goske

      Affiliations

    • Department of Biomedical Engineering, Saint Louis University, St. Louis, MO 63103, USA
    • ,
  • Ahmet Erdemir

      Affiliations

    • Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    • ,
  • Marc Petre

      Affiliations

    • Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    • Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH 44106, USA
    • ,
  • Sachin Budhabhatti

      Affiliations

    • Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    • Department of Chemical & Biomedical Engineering, Cleveland State University, Cleveland, OH 44115, USA
    • ,
  • Peter R. Cavanagh

      Affiliations

    • Department of Biomedical Engineering, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    • Department of Orthopaedic Surgery and Orthopaedic Research Center, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
    • Corresponding Author InformationCorresponding author. Department of Biomedical Engineering/ND 20, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA. Tel.: +12164456980; fax: +12164449198.

,Accepted 15 August 2005.

References 

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  3. Aldridge T. Diagnosing heel pain in adults. American Family Physician. 2004;70:332–338
  4. Ashry HR, Lavery LA, Murdoch DP, Frolich M, Lavery DC. Effectiveness of diabetic insoles to reduce foot pressures. Journal of Foot & Ankle Surgery. 1997;36:268–271
  5. Bus SA, Ulbrecht JS, Cavanagh PR. Pressure relief and load redistribution by custom-made insoles in diabetic patients with neuropathy and foot deformity. Clinical Biomechanics. 2004;19:629–638
  6. Cavanagh PR, Ulbrecht JS, Caputo GM. New developments in the biomechanics of the diabetic Foot. Diabetes/Metabolism Research Reviews. 2000;16(Suppl 1):S6–S10
  7. Chen WP, Ju CW, Tang FT. Effects of total contact insoles on the plantar stress redistribution: a finite element analysis. Clinical Biomechanics. 2003;18:S17–S24
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  9. Erdemir, A., Viveiros, M. L., Ulbrecht, J. S., Cavanagh, P. R., 2004. Hyperelastic properties of normal and diabetic heel pads from an inverse finite element model of indentation. In: 28th Annual Meeting of the American Society of Biomechanics, Portland, OR.
  10. Erdemir A, Saucerman JJ, Lemmon D, Loppnow B, Turso B, Ulbrecht JS, et al. Local plantar pressure relief in therapeutic footwear: design guidelines from finite element models. Journal of Biomechanics. 2005;38:1798–1806
  11. Geppert MJ, Mizel MS. Management of heel pain in the inflammatory arthritides. Clinical Orthopaedics & Related Research. 1998;349:93–99
  12. Hewitt Jr., F.G., 1993. The effect of molded insoles on in-shoe plantar pressures in rockered footwear. MS Thesis, The Pennsylvania State University, University Park, PA.
  13. Lemmon D, Shiang TY, Hashmi A, Ulbrecht JS, Cavanagh PR. The effect of insoles in therapeutic footwear—a finite element approach. Journal of Biomechanics. 1997;30:615–620
  14. Lobmann R, Kayser R, Kasten G, Kasten U, Kluge K, Neumann W, et al. Effects of preventive footwear on foot pressure as determined by pedabarography in diabetic patients: a prospective study. Diabetic Medicine. 2001;18:314–319
  15. Mueller MJ. Application of plantar pressure assessment in footwear and insert design. Journal of Orthopaedic and Sports Physical Therapy. 1999;29:747–755
  16. Pfeffer G, Bacchetti P, Deland J, Lewis A, Anderson R, Davis W, et al. Comparison of custom and prefabricated orthoses in the initial treatment of proximal plantar fasciitis. Foot and Ankle International. 1999;20:214–221
  17. Ulbrecht JS, Norkitis A, Cavanagh PR. Plantar pressure and plantar ulceration in the neuropathic diabetic foot. In:  Kominsky SJ editors. Medical and Surgical Management of the Diabetic Foot. St. Louis, MO: Mosby Year Book; 1994;p. 29–45
  18. Verdejo R, Mills NJ. Heel-shoe interactions and the durability of EVA foam running-shoe midsoles. Journal of Biomechanics. 2004;37:1379–1386
  19. Wright DM, Attenburrow GE. The set and mechanical behaviour of partially processed leather dried under strain. Journal of Materials Science. 2000;35:1353–1357

PII: S0021-9290(05)00375-1

doi: 10.1016/j.jbiomech.2005.08.006

Journal of Biomechanics
Volume 39, Issue 13 , Pages 2363-2370 , 2006

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