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Related Experiment Video

Updated: Jul 17, 2026

Using Gold-standard Gait Analysis Methods to Assess Experience Effects on Lower-limb Mechanics During Moderate High-heeled Jogging and Running
06:35

Using Gold-standard Gait Analysis Methods to Assess Experience Effects on Lower-limb Mechanics During Moderate High-heeled Jogging and Running

Published on: September 14, 2017

Alterations in plantar pressure with different walking boot designs.

Frank E DiLiberto1, Judith F Baumhauer, Gregory E Wilding

  • 1University of Rochester Medicine and Dentistry, Rochester, NY 14620, USA. fdilibe1@yahoo.com

Foot & Ankle International
|January 30, 2007
PubMed
Summary

Different walking boot designs impact plantar pressures. High calf, rocker sole boots significantly reduce forefoot pressure, potentially improving healing, while lower designs offer less reduction.

Related Experiment Videos

Last Updated: Jul 17, 2026

Using Gold-standard Gait Analysis Methods to Assess Experience Effects on Lower-limb Mechanics During Moderate High-heeled Jogging and Running
06:35

Using Gold-standard Gait Analysis Methods to Assess Experience Effects on Lower-limb Mechanics During Moderate High-heeled Jogging and Running

Published on: September 14, 2017

Area of Science:

  • Biomechanics
  • Orthopedics
  • Podiatry

Background:

  • Removable walking boots and total contact casts are effective noninvasive treatments for plantar ulcers.
  • Modifications to walking boot designs aim to improve patient compliance but may alter biomechanical effects.
  • The impact of design changes on plantar pressures and contralateral limb loading is often not well understood.

Purpose of the Study:

  • To evaluate the effect of varying calf heights and rocker sole designs in walking boots.
  • To assess the influence of these design modifications on regional plantar pressures.
  • To determine the impact on contralateral limb loading during gait.

Main Methods:

  • Twenty-six healthy subjects (20-54 years) participated.
  • Four conditions were tested: high calf rocker sole (HCR), low calf rocker sole (LCR), low calf modified rocker sole (LCMR), and a standard shoe.
  • Plantar pressures (peak, integral, area) and contralateral limb force were measured using the Novel Pedar-X system.

Main Results:

  • The HCR design yielded the greatest forefoot peak pressure reduction (37.3%) compared to the shoe.
  • LCR and LCMR designs also reduced forefoot peak pressure (31.6% and 19.8%, respectively).
  • Forefoot pressure-time integrals were significantly reduced with HCR and LCR designs compared to LCMR.

Conclusions:

  • Walking boot design modifications demonstrably alter plantar pressure distribution.
  • While LCR and LCMR designs offer some pressure reduction, the HCR design is more effective.
  • Prioritizing lower calf/sole designs for compliance may potentially extend healing times due to reduced pressure relief.