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Pilot study demonstrating that sole mechanosensitivity can be affected by insole use.

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Hard metatarsal pads enhanced forefoot sensitivity in healthy individuals. This study suggests orthotic design influences plantar somatosensory perception, offering potential benefits for foot conditions.

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Area of Science:

  • Biomechanics
  • Neuroscience
  • Podiatry

Background:

  • Insoles modify plantar loads and sensory feedback.
  • Plantar somatosensory sensation is crucial for foot function.
  • Orthotic design may influence somatosensory perception over time.

Purpose of the Study:

  • To investigate if hard metatarsal pads alter plantar somatosensory sensation.
  • To compare the effects of hard versus soft metatarsal pads on tactile sensitivity.
  • To explore the time-dependent changes in plantar sensation with pad usage.

Main Methods:

  • 12 healthy female participants were randomized into soft or hard metatarsal pad groups.
  • Mechanical stimuli were applied to the forefoot and rearfoot before and after 8 and 30 days of pad wear.
  • Plantar sensitivity was quantified using the Stevens power function to measure changes in detection thresholds.

Main Results:

  • The hard metatarsal pad group showed increased plantar sensitivity in the forefoot after 30 days.
  • No significant changes in plantar sensitivity were observed in the rearfoot or in the soft pad group.
  • Auditory sensation detection remained stable across all groups and time points.

Conclusions:

  • Hard metatarsal pads can enhance plantar somatosensory sensitivity in the forefoot.
  • Orthotic design, specifically pad hardness, plays a role in modulating plantar sensation.
  • Findings suggest potential therapeutic applications for foot-related problems by tailoring orthotic interventions.