Channa P. Witana

Foot arch characterization: a review, a new metric, and a comparison.

BACKGROUND The medial longitudinal arch of the foot is important because it helps protect the foot from injury. Researchers have developed many measures to quantify the characteristics of the arch, and there is ongoing debate about the suitability of these different metrics. This article compares the various measures related to the foot arch, including a new metric, the midfoot dorsal angle, and then investigates the differences in the dimensional measures among various foot types. METHODS The right feet of 48 healthy individuals (24 men and 24 women) were measured, and various metrics, including the arch height index, the navicular height to arch length ratio, the arch index, the footprint index, the subjective ranking, the modified arch index, the malleolar valgus index, and the midfoot dorsal angle, were determined. RESULTS Correlation analyses showed that the arch index obtained from the inked footprint has a moderate to high correlation (Pearson correlation coefficients >0.50) with all measured foot-type metrics except for the malleolar valgus index. There were no differences in participant age, stature, weight, body mass index, foot length, foot width, and midfoot height among high, normal, and low foot arches. However, the high-arched group had significantly shorter arch lengths but larger navicular heights and higher midfoot dorsal angles compared with the low-arched group. There were differences in force distributions and peak pressures as well. The rearfoot had more loading and greater peak pressure whereas the midfoot had less load in the high-arched group compared with the low-arched group. CONCLUSIONS The midfoot dorsal angle may be an appropriate metric for characterizing the foot arch because it is quick and easy to measure, without the tedious procedures associated with area calculations and dimension measurements.

Modelling foot height and foot shape-related dimensions

The application of foot anthropometry to design good-fitting footwear has been difficult due to the lack of generalised models. This study seeks to model foot dimensions so that the characteristic shapes of feet, especially in the midfoot region, can be understood. Fifty Hong Kong Chinese adults (26 males and 24 females) participated in this study. Their foot lengths, foot widths, ball girths and foot heights were measured and then evaluated using mathematical models. The results showed that there were no significant allometry (p > 0.05) effects of foot length on ball girth and foot width. Foot height showed no direct relationship with foot length. However, a normalisation with respect to foot length and foot height resulted in a significant relationship for both males and females with R2 greater than 0.97. Due to the lack of a direct relationship between foot height and foot length, the current practice of grading shoes with a constant increase in height or proportionate scaling in response to foot length is less than ideal. The results when validated with other populations can be a significant way forward in the design of footwear that has an improved fit in the height dimension.

Footbed shapes for enhanced footwear comfort

A shoe wearers comfort is related to the shape of the footbed of a shoe. Even though the footbed shape is important in footwear design, there exists no methodology to evaluate the existing guidelines used in last making. Thirty-two females participated in an experiment where heel seat length, heel seat inclination and heel height were investigated using the profile assessment device. The dependent variables were plantar pressure and perceived feeling of each participant. The results show that perceived feel is best for wedge angles of 4° and 5° at a heel height of 25 mm, 10° and 11° at a heel height of 50 mm and 16° and 18° at a heel height of 75 mm. A regression model was derived and this explained approximately 80% of the variation of perceived feeling with the contact area, peak plantar pressure and percentage of force acting on the forefoot region. Both heel wedge angle and heel seat length play an important role in the perceived feel of high-heeled shoes. This study, in relation to the load-bearing heel part of a shoe, highlights the importance of good footbed design. The findings can be used to design footwear with enhanced comfort.

An indentation apparatus for evaluating discomfort and pain thresholds in conjunction with mechanical properties of foot tissue in vivo

The mechanical properties of human foot tissue in vivo as well as discomfort and pain thresholds are important for various applications. In this study, an apparatus for measuring the discomfort and pain thresholds and the mechanical properties of human tissues is presented. The apparatus employs a stepper motor that controls the indentation speed, as well as a load cell and potentiometer that determine the corresponding reaction force and tissue deformation (displacement), respectively. A LabVIEW program (LabVIEW 8, National Instruments Corporation; Austin, Texas) was developed to control the indentation via a data acquisition card. The apparatus can accommodate indentor displacements up to 35 mm and can impart forces up to 150 N at a controlled indentation speed in the range of 0 to 10 mm/s. Tests showed that the displacement measurement error is <0.17 mm in the nominal range (0.5% in the full scale) and the measurement error of force is <1.6 N in the nominal range (1.1% in the full scale). Experimental results indicate that the apparatus is reliable and flexible for measuring the mechanical properties of foot tissue in vivo in conjunction with pain and discomfort thresholds.

Model based foot shape classification using 2D foot outlines

This study introduces a novel technique to identify foot outline characteristics and to classify feet into groups using turning functions and clustering techniques so that shape can complement anthropometry in producing good fitting shoes. The digital 3D foot scans, obtained from 50 Hong Kong Chinese subjects (25 males and 25 females) were processed to generate the foot outlines at heights of 2 mm and 40 mm. The outlines were represented as turning functions and the similarity among shapes was determined using average linkage clustering. The results show that there are two distinct shape groups for the 40 mm foot outlines on both medial and lateral sides of the foot. The presence (46%) or absence (54%) of a medial bulge characterizes the medial side, while the two shape groups on the lateral side are mainly due to the lateral concavity in the mid-foot region. The group with a lateral concavity consists of more females (68%) and thus lateral side of foot outline appears to be gender related. Furthermore, the medial and lateral side clusters are not related to each other. The medial side shape from the 2 mm foot outline is a good indicator of fallen arches. Based on the analyses, four types of feet were identified: feet with (1) lateral concavity and a medial bulge, (2) a medial bulge and no lateral concavity, (3) lateral concavity and no medial bulge and (4) lateral concavity and a medial bulge. These shape differences can be useful in the design of shoe lasts and in the manufacture of compatible footwear so that trial and error fitting can be minimized.

The Pluses and Minuses of Obtaining Measurements from Digital Scans

Digital scanners are commonplace and are used in many different applications to obtain three-dimensional shapes and linear and circumferential measurements. Even though scanners can be highly accurate, measurements obtained from scanners can vary depending on how an object is scanned, aligned and processed. In this study, we examined the effect of three different alignment methods of foot scans and their effects on ten different measurements. Variations among methods in capturing foot length are relatively small relative to arch length. The foot girths can be quite sensitive to the registration process depending on the complexity of the algorithms used. As expected, linear and girth measurements based on anatomical landmarks will always be independent of any registration process and are thus good ways to obtain repeatable measurements.

Midfoot shape when standing on soft and hard footbeds

In this study, the plantar shape of the midfoot was determined when the participants were standing on three different surfaces. Foot impression castings of sixteen participants were made when they were standing on a custom-made device. These castings were laser scanned in order to quantify the shape differences. The results showed that, when the amount of cushioning on the support surface was changed, the plantar mid-foot sag changed by 5.0 mm. The results have important implications for footwear design as midfoot shapes in footwear are somewhat standardized and are not adjusted to account for the cushioning properties of the footbed. The mismatched deformations between feet and shoes as a result of design, structure and material used in the heel and forefoot regions of shoes can contribute to unwanted strain on the plantar fascia of the human foot.