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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
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Investigating the dynamic plantar pressure distribution and loading pattern in subjects with multiple sclerosis
Hilal Keklicek1, Baris Cetin2, Yeliz Salci2
1Trakya University, Faculty Of Health Sciences, Department Of Physiotherapy and Rehabilitation, Edirne, Turkey.
Multiple Sclerosis and Related Disorders
|February 8, 2018
Summary
Multiple sclerosis (MS) alters foot pressure distribution, with individuals spending less time on forefoot loading and more time on hindfoot loading compared to healthy subjects. This indicates disrupted hindfoot function and abnormal load transfer during walking.
Area of Science:
- Biomechanics
- Neurology
- Physical Therapy
Background:
- Multiple sclerosis (MS) is a neurological disorder causing widespread impairments.
- Gait disturbances are prevalent in MS, influenced by factors like ataxia and muscle spasticity.
- These impairments affect normal foot-ground contact during walking.
Purpose of the Study:
- To investigate dynamic plantar pressure distribution in MS patients.
- To determine the time of maximum pressure during gait in MS patients.
- To compare these parameters between MS patients and healthy subjects (HS).
Main Methods:
- A dynamic pedobarograph was used to assess plantar pressure.
- Measurements included maximum pressure (N/cm²) and time of maximum pressure (ms).
- Data were collected from multiple foot regions (heel, midfoot, metatarsal heads) in 55 MS patients and 20 HS.
Main Results:
- Healthy subjects exhibited higher maximum pressure in the medial and lateral heel regions compared to MS patients.
- Significant differences were observed in the time of maximum pressure across all measured foot areas between groups.
- MS patients showed reduced time to maximum pressure for forefoot loading and prolonged time for hindfoot loading.
Conclusions:
- The study provides foundational data on foot pressure dynamics in MS.
- MS patients demonstrate disrupted hindfoot loading patterns.
- Inappropriate timing of load transfer from hindfoot to forefoot is characteristic of MS gait.
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