Biomechanical Analysis of the Three-Dimensional Foot Structure During Gait: A Basic Tool for Clinical Applications

[+] Author and Article Information
A. Gefen, M. Arcan

Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv 69978, Israel

M. Megido-Ravid, Y. Itzchak

Department of Diagnostic Imaging, The H. Sheba Medical Center, Tel Hashomer 52621, Israel

J Biomech Eng 122(6), 630-639 (Jul 09, 2000) (10 pages) doi:10.1115/1.1318904 History: Received September 22, 1999; Revised July 09, 2000
Copyright © 2000 by ASME
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Nakamura,  S., Crowninshield,  R. D., and Cooper,  R. R., 1981, “An Analysis of Soft Tissue Loading in the Foot: A Preliminary Report,” Bull. Prosthet. Res., 18, pp. 27–34.
Simkin, A., 1982, “Structural Analysis of the Human Foot in Standing Posture,” Ph.D. thesis, Tel Aviv University, Tel Aviv.
Scott,  S. H., and Winter,  D. A., 1993, “Biomechanical Model of the Human Foot: Kinematics and Kinetics During the Stance Phase of Walking,” J. Biomech., 26, pp. 1091–1104.
Gilchrist,  L. A., and Winter,  D. A., 1996, “A Two-Part Viscoelastic Foot Model for Use in Gait Simulations,” J. Biomech., 29, pp. 795–798.
Chu,  T. M., Reddy,  N. P., and Padovan,  J., 1995, “Three-Dimensional Finite Element Stress Analysis of the Polypropylene Ankle-Foot Orthosis, Static Analysis,” Med. Eng. Phys., 17, pp. 372–379.
Patil,  K. M., Braak,  L. H., and Huson,  A., 1996, “Analysis of Stresses in Two-Dimensional Models of Normal and Neuropathic Feet,” Med. Biol. Eng. Comput., 34, pp. 280–284.
Jacob,  S., Patil,  K. M., Braak,  L. H. and Huson,  A., 1996, “Stresses in a 3-D Two Arch Model of a Normal Human Foot,” Mech. Res. Commun., 23, pp. 387–393.
Gefen, A., Megido-Ravid, M., Itzchak, Y., and Arcan, M., 1998, “Biomechanical Evaluation of Surgical Plantar Fascia Release Effects,” Proc. VIII Mediterranean Conf. on Med. & Biol. Eng. & Comput., Limassol.
Gefen, A., Megido-Ravid, M., Azariah, M., Itzchak, Y., and Arcan, M., 1998, “Biomechanical Modeling of the Diabetic Foot Using Open MRI,” Proc. 11th Conf. of the European Society of Biomechanics, Toulouse (also in J. Biomech., 31 , Suppl. 1, pp. 10).
Brosh,  T., and Arcan,  M., 1994, “Toward Early Detection of the Tendency to Stress Fractures,” Clin. Biomech., 9, pp. 111–116.
Kitaoka,  H. B., and Patzer,  G. L., 1998, “Arthrodesis for the Treatment of Arthrosis of the Ankle and Osteonecrosis of the Talus,” J. Bone Joint Surg. Am., 80, pp. 370–379.
Cavanagh, P. R., and Ulbrecht, J. S., 1992, “Biomechanics of the Foot in Diabetes Mellitus,” The Diabetic Foot, M. E. Levin, L. W. O’Neal, and J. H. Bowker, eds., Mosby-Year Book, St. Louis, pp. 199–232.
Gefen, A., Megido-Ravid, M., Azariah, M., Itzchak, Y., and Arcan, M., 1998, “Integrating a Photoelastic Device into Open MRI for Soft Tissue Mechanics Studies,” Proc. 11th Int. Conf. on Experimental Mechanics, Oxford.
Arcan,  M., and Brull,  M. A., 1976, “A Fundamental Characteristic of the Human Body and Foot, the Foot-Ground Pressure Pattern,” J. Biomech., 9, pp. 453–457.
Arcan,  M., and Brull,  M. A., 1980, “An Experimental Approach to the Contact Problem Between Flexible and Rigid Bodies,” Mech. Res. Commun., 7, pp. 151–157.
Brull, M. A., and Arcan, M., 1984, “Analytical and Experimental Models and Techniques in Posture and Gait Studies,” Modeling and Analysis in Biomedicine, C. Nicolini, ed., Word Scientific Publishing Company, Singapore, pp. 509–539.
Arcan, M.,1990, “Non Invasive and Sensor Techniques in Contact Mechanics: A Revolution in Progress,” Invited Paper, Proc. 9th Int. Conf. on Experimental Mechanics, Copenhagen.
Cavanagh,  P. R., and Mickiyoshi,  A., 1980, “A Technique for the Display of Pressure Distribution Beneath the Foot,” J. Biomech., 13, pp. 69–75.
Arcan,  M., Brull,  M. A., Scholten,  R., and Röhrle,  H., 1981, “A New Method for Determining the Active Force System in Lower Limbs During Human Locomotion,” Z. Orthop., Ihre Grenzgeb, 119, pp. 595–597.
Debrunner, H. U., 1985, Biomechanik des Fusses (Foot Biomechanics), Enke, Stuttgart.
Gefen, A., Megido-Ravid, M., Itzchak, Y., and Arcan, M., 1998, “Integrating Computer Aided Radiography and Plantar Pressure Measurements for Complex Gait Analysis,” Proc. 27th Israel Conf. on Mechanical Engineering, Haifa.
Gray, H., 1995, Gray’s Anatomy, Churchill Livingstone, Edinburgh.
Saltzman,  C. L., and Nawoczenski,  D. A., 1995, “Complexities of Foot Architecture as a Base of Support,” J. Orthop. Sports Phys. Therapy, 21, pp. 354–360.
Gefen,  A., Elad,  D., and Shiner,  R. J., 1999, “Analysis of Stress Distribution in the Alveolar Septa of Normal and Simulated Emphysematic Lungs,” J. Biomech., 32, pp. 891–897.
Huiskes,  R., 1982, “On the Modeling of Long Bones in Structural Analyses,” J. Biomech., 15, pp. 65–69.
Clift,  S. E., 1992, “Finite-Element Analysis in Cartilage Biomechanics,” J. Biomed. Eng., 14, pp. 217–221.
Liu,  G. T., Lavery,  L. A., Schenck,  R. C., Lanctot,  D. R., Zhu,  C. F., and Athansiou,  K. A., 1997, “Human Articular Cartilage Biomechanics of the Second Metatarsal Intermediate Cuneiform Joint,” J. Foot Ankle Surg., 36, pp. 367–374.
Athanasiou,  K. A., Liu,  G. T., Lavery,  L. A., Lanctot,  D. R., and Schenck,  R. C., 1998, “Biomechanical Topography of Human Articular Cartilage in the First Metatarsophalangeal Joint,” Clin. Orthop., 348, pp. 269–281.
Race,  A., and Amis,  A., 1994, “The Mechanical Properties of the Two Bundles of the Human Posterior Cruciate Ligament,” J. Biomech., 27, pp. 13–24.
Cailliet, R., 1983, Foot and Ankle Pain, F. A. Davis Company, Philadelphia.
Sammarco, G. J., 1989, “Biomechanics of the Foot,” Basic Biomechanics of the Musculoskeletal System, M. Nordin and V. H. Frankel, eds., Lea & Febiger, Philadelphia, pp. 163–181.
Chan,  C. W., and Rudins,  A., 1994, “Foot Biomechanics During Walking and Running,” Mayo Clin. Proc., 69, pp. 448–461.
Rose, J., and Gamble, J. G., 1994, Human Walking, Williams & Wilkins, Baltimore.
Wickiewicz,  T. L., Roy,  R. R., Powell,  P. L., and Edgerton,  V. R., 1983, “Muscle Architecture of the Human Lower Limb,” Clin. Orthop., 179, pp. 275–283.
Brand,  R. A., Pedersen,  D. R., and Friederich,  J., 1986, “The Sensitivity of Muscle Force Predictions to Changes in Physiologic Cross-Sectional Area,” J. Biomech., 19, pp. 589–596.
Fukunaga,  T., Kawakami,  Y., Kuno,  S., Funato,  K., and Fukashiro,  S., 1997, “Muscle Architecture and Function in Humans,” J. Biomech., 30, pp. 457–463.
Glitsch,  U., and Baumann,  W., 1997, “The Three-Dimensional Determination of Internal Loads in the Lower Extremity,” J. Biomech., 30, pp. 1123–1131.
Kawakami,  Y., Ichinose,  Y., and Fukunaga,  T., 1998, “Architectural and Functional Features of Human Triceps Surae Muscles During Contraction,” J. Appl. Physiol., 85, pp. 398–404.
Seireg,  A., and Arvikar,  R. J., 1975, “The Prediction of Muscular Load Sharing and Joint Forces in the Lower Extremities During Walking,” J. Biomech., 8, pp. 89–102.
Röhrle,  H., Scholten,  R., Sigolloto,  C., and Sollbach,  W., 1984, “Joint Forces in the Human Pelvis-Leg Skeleton During Walking,” J. Biomech., 17, pp. 409–424.
Simpson,  L. J., and Bates,  B. T., 1989, “The Effect of Running Speed on Lower Extremity Joint Moment During the Support Phase,” J. Biomech., 22, p. 1083.
Carlsöö, S.,1972, How Man Moves: Kinesiological Studies & Methods, William Heinemann, London.
Rodgers, M. M., 1993, “Biomechanics of the Foot During Locomotion,” Current Issues in Biomechanics, M. D. Grabiner, ed., Human Kinetics Publishers, Champaign, pp. 33–49.
Rodgers,  M. M., 1995, “Dynamic Foot Biomechanics,” J. Orthop. Sports Phys. Therapy, 21, pp. 306–315.
Soutas-Little, R. W., 1998, “Motion Analysis and Biomechanics,” in: Gait Analysis in the Science of Rehabilitation, T. T. Sowell, ed., Baltimore Rehabilitation Information and Technology Administrative Center, Baltimore, pp. 49–68.
Salathe,  E. P., Arangio,  G. A., and Salathe,  E. P., 1990, “The Foot as a Shock Absorber,” J. Biomech., 23, pp. 655–659.
Kim,  W., and Voloshin,  A. S., 1995, “Role of the Plantar Fascia in the Load Bearing Capacity of the Human Foot,” J. Biomech., 28, pp. 1025–1033.
Hughes,  J., Clark,  P., Linge,  K., and Klenerman,  L., 1993, “A Comparison of Two Studies of the Pressure Distribution Under the Feet of Normal Subjects Using Different Equipment,” Foot Ankle, 14, pp. 514–519.
Prutchi,  D., and Arcan,  M., 1993, “Dynamic Contact Stress Analysis Using a Compliant Sensor Array,” Measurement, 11, pp. 197–210.
Hughes,  J., Clark,  P., Jagoe,  R., Gerber,  C., and Klenerman,  L., 1991, “The Pattern of Pressure Distribution Under the Weightbearing Forefoot,” The Foot, 1, pp. 117–124.
Hermann,  B., 1995, “Form and Structure of the Metatarsal Head Arch in Adults. Ultrasonographic and Podometric Studies,” Z. Orthop. Ihre. Grenzgeb., 133, pp. 335–340.
Hennig,  E. M., and Milani,  T. L., 1993, “The Tripod Support of the Foot. An Analysis of Pressure Distribution Under Static and Dynamic Loading,” Z. Orthop. Ihre. Grenzgeb., 31, pp. 279–284.
Fung, Y. C., 1994, A First Course in Continuum Mechanics, Prentice Hall, Englewood Cliffs, NJ.
Armstrong,  D. G., Lavery,  L. A, Harkless,  L. B., and Van Houtum,  W., 1997, “Amputation and Reamputation of the Diabetic Foot,” J. Am. Podiatr. Med. Assoc., 87, pp. 255–259.
Mueller,  M. J., and Sinacore,  D. R., 1994, “Rehabilitation Factors Following Transmetatarsal Amputation,” Phys. Ther., 74, pp. 1027–1033.
Sisto, S. A., 1998, “An Overview of the Value of Information Resulting From Instrumented Gait Analysis for the Physical Therapist,” Gait Analysis in the Science of Rehabilitation, T. T. Sowell, ed., Baltimore Rehabilitation Information and Technology Administrative Center, Baltimore, pp. 76–84.
Netter, F. H., 1987, The CIBA Collection of Medical Illustrations, Ciba-Geigy, NJ.


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The CPD/DRF integrated experimental analysis: (a) the experimental setup and (b) representative CPD/DRF data of a normal foot structure during various discrete stages of the stance phase; gait velocity 0.5 m/S. Time intervals are different between frames to present the most characteristic/descriptive subphases of the stance
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The FE mesh of the three-dimensional model versus skeletal anatomy (adapted from 57): (a) lateral view (A-A is a cross section through the center of the metatarsals) and (b) medial view
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Muscle forces that act on the foot model during the six characteristic subphases of stance (indicated by numbers 1–14 according to Table 1)
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Model validation: (a) the predicted distribution of vertical reaction forces [N] among the supports of the foot model at the six characteristic subphases of stance; (b) the predicted normalized total vertical reaction component, and (c) the predicted normalized total horizontal component in the longitudinal direction during stance versus typical measured data (adapted from Brull and Arcan 16), obtained at a gait test of a normal subject (solid line)
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Definition of the Stress Intensity Parameters (SIP) on a characteristic foot-ground CPD pattern: The highest loaded areas (1), (3) are selected to represent the heel sharpness and metatarsal head pressures respectively, while the lowest loaded area (2) is selected to represent the arch rise.
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The von Mises stress distributions in the foot model at the six characteristic subphases of stance



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