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Microchambers and macrochambers in heel pads: are they functionally different?

Chih-Chin Hsu1, Wen-Chung Tsai, Chung-Li Wang

  • 1Institute of Applied Mechanics, National Taiwan University, Industrial Technology Research Institute, No. 1, Roosevelt Rd., Sec. 4, Taipei 106, and Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Keelung, Taoyuan, Taiwan.

Journal of Applied Physiology (Bethesda, Md. : 1985)
|February 3, 2007
PubMed
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The heel pad

Area of Science:

  • Biomechanics
  • Biomaterials Science
  • Medical Imaging

Background:

  • The heel pad, crucial for shock absorption, comprises distinct superficial microchamber and deep macrochamber layers.
  • Understanding the differential biomechanical properties of these layers is essential for comprehending heel pad function.
  • Previous research has not fully elucidated the unique mechanical behaviors of the microchamber versus macrochamber layers.

Purpose of the Study:

  • To investigate and compare the distinct biomechanical properties of the microchamber and macrochamber layers of the human heel pad.
  • To utilize high-frequency ultrasonography to assess tissue deformation and elasticity under controlled loading conditions.

Main Methods:

  • Six healthy volunteers underwent heel pad analysis using a 10-MHz ultrasound transducer and load cell.

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  • Heels were subjected to a controlled loading velocity (0.5 cm/s) up to a maximum stress of 158 kPa.
  • Key parameters measured included unloaded/end-loaded thickness, deformation, rebound rates, and elastic modulus for both layers.
  • Main Results:

    • The microchamber layer exhibited significantly less thickness, deformation, and rebound rates compared to the macrochamber layer.
    • The microchamber layer's elastic modulus (450 kPa) was approximately ten times higher than the macrochamber layer's.
    • A significant difference in thickness change was observed in the macrochamber layer, while both layers showed deformation-rebound differences.

    Conclusions:

    • Ultrasonography effectively differentiates the heterogeneous tissue properties within the heel pad.
    • The macrochamber layer demonstrates high deformability under load, acting as a primary shock absorber.
    • The microchamber layer possesses significantly higher stiffness, contributing differently to overall heel pad mechanics.