Analysis of Plantar Foot Pressure according to Insole Types during Treadmill Gait

트레드밀 보행시 인솔 형태 변화에 따른 족저압력 분석

  • Woo, Jung-Hwi (Division of Kinesiology, College of Health and Welfare, Silla University) ;
  • Lee, Joong-Sook (Division of Kinesiology, College of Health and Welfare, Silla University) ;
  • Yang, Jeong-Ok (Division of Kinesiology, College of Health and Welfare, Silla University) ;
  • Lee, Bom-Jin (Division of Kinesiology, College of Health and Welfare, Silla University) ;
  • Bae, Kang-Ho (Division of Kinesiology, College of Health and Welfare, Silla University) ;
  • Han, Dong-Wook (Department of Physical Therapy, College of Health and Welfare, Silla University) ;
  • Park, Sang-Muk (Industry-Academic Cooperation Foundation, Dongju College) ;
  • Bae, Jin-Woo (Foot Health Company, Ltd.)
  • 우정휘 (신라대학교 보건복지대학 웰빙체육학과) ;
  • 이중숙 (신라대학교 보건복지대학 웰빙체육학과) ;
  • 양정옥 (신라대학교 보건복지대학 웰빙체육학과) ;
  • 이범진 (신라대학교 보건복지대학 웰빙체육학과) ;
  • 배강호 (신라대학교 보건복지대학 웰빙체육학과) ;
  • 한동욱 (신라대학교 보건복지대학 물리치료학과) ;
  • 박상묵 (동주대학교 산학협력단) ;
  • 배진우 (풋헬스 주식회사)
  • Received : 2014.11.27
  • Accepted : 2015.03.16
  • Published : 2015.03.31


Objective : The purpose of this study was to analyze the foot-pressure distribution of 2D(2 dimensional form) & 3D(3 dimensional form; a customized arch-fit for posture correction) insoles for assessing their biomechanical functionality. Background : Recently there has been increased interest in both foot health and foot pain patients. Analysis of the plantar pressure was often used to solve the problems of the foot displayed by such people as rheumatoid arthritis patients. Method : Subjects who participated in this study were 17 female university students who had no previous injury experience in lower limbs and a normal gait pattern. The shoe size of all subjects was 240 mm. Two models of insoles of 2D(typical flat insole - 2 dimensional form) and 3D(special production - 3 dimensional form) were selected for the test. Using the Pedar-X system and Pedar-X insoles, 4.0 km/h of walking speed, and a compilation of 50 steps walking stages were used to analyze foot-pressure distribution. Results : Results of the foot-pressure distribution and biomechanical functionality on each insole were as follows; analyses of mean plantar pressure, maximum plantar pressure, maximum vertical GRF, and plantar pressure curve shape all showed overall low plantar pressure and GRF. Conclusion : This can be evaluated as an excellent insole for low levels on the plantar pressure and GRF. Therefore, it is possible to conclude that according to this analysis the 3D Customized Arch-fit Insole was better than 2D insole on the basis of these criteria.


  1. Alexander, I. J., Chao, E. Y. S. Johnson, K. A. (1990). The assesment of dynamic foot to ground force and plantar pressure distribution: A review of the evolution of current techniques and clinical application. Foot & Ankle, 11(3), 152-167.
  2. Barnett, S., Cunningham, J. L. West, S. (2001). A comparison of vertical force and temporal parameters produced by an in-shoe pressure measuring system and a force platform. Clinical Biomechanics, 16(4), 353-357.
  3. Boden, B. P., Dean, G. S., Feagin, J. A., Garrett, W. E. (2000). Mechanisms of anterior cruciate ligament injury. Orthopedics, 23(6), 573-578.
  4. Cavanagh, P. R., Hewitt, F. G., & Perry, J. E. (1992). In-sole plantar pressure measurement: a review, The Foot, 2, 185-194.
  5. Cavanagh, P. R., Lafortune, M. A. (1980). Ground reaction forces in distance running. Journal of Biomechanics, 13(5), 397-406.
  6. Chae, W. S. (2006). The effects of wearing roller shoes on ground reaction force characteristics during walking. Korean Journal of Sport Biomechanics, 16(1), 101-108.
  7. Cho, J. H., Kim, K. H., & Koh, Y. C. (2012). Analysis of the differences of the shock absorption strategy between drop-landing and countermovement jump. Korean Journal of Biomechanics, 22(4), 379-386.
  8. Cho, J. H., Kim, R. B. (2014). The effect of raised heel insole and landing height on the shock absorption mechanism during drop landing, Korean Journal of Sport Biomechanics, 24(2), 131-138.
  9. Cho, J. H., Kim. R. B. (2012). The effect of raised heel insole on patellofemoral compressive force during walking. Journal of Sport and Leisure Studies, 50, 935-944.
  10. Choi, C. S., Nam, K. J., Shin, I. S., Seo, J, S., Eun, S. D., Kim, S. B. (2006). Shock attenuation mechanism in drop landing according to the backpack weight changes. Korean Journal of Sport Biomechanics, 16(2), 25-35.
  11. Choi, J. Y, Kim, S. J., Lee, E. L. (2005). Change of plantar pressure distribution of open stance during forehand stroke in tennis. Korean Journal of Sport Biomechanics, 15(1), 143-153.
  12. Choi, S. B. (2001). Influences of Shoe Shape and Gait Characteristics on Feet Discomforts According to Adult Women's Foot Type. Department of Clothing and Textiles. Graduate School of Kon-Kuk University.
  13. Clarke, T. E. (1980). The pressure distribution under the foot during barefoot walking. Unpublished doctorial dissertation. The Penn State Univ. University Park.
  14. Diliberto, F. E., Baumhauer, J. F., Wilding, G. E. Nawoczenski, D. A. (2007). Alterations in plantar pressure with different walking boot designs. Foot Ankle International, 28(1), 55-60.
  15. Dufek, J. S., Bates, B. T. (1990). The evaluation and prediction of impact forces during landings. Medicine & Science in Sports & Exercise, 22(2), 370-377.
  16. Ebbeling, C. J., Hamill, J., Crussemeyer, J. A. (1994). Lower extremity mechanics and energy cost of walking in high heeled shoes. The Journal of Orthopedic and Sports Physical Therapy, 19(4), 190-196.
  17. Frey, C. (2000). Foot health and shoewear for women. Clinical Orthopedics and Related Research, 372, 32-44.
  18. Fry, A. C., Smith, J. C., Schilling, B. K. (2003). Effect of knee position on hip and knee torques during the barbell squat. Journal of Strength and Conditioning Research/National Strength & Conditioning Association, 17(4), 629-633.
  19. Gheluwe, B. V., Nelen, B. (1999). Plantar foot pressure of lower leg amputees during gait and running, International Society of Biomechanics Fourth symposium on footwear Biomechanics, Calgary, Canada, 44-47.
  20. Hennig, E. M., Milani, T. L., (1995). In-sole pressure distribution for running on various types of footwear. Journal of Applied Biomechanics, 11, 299-310
  21. Hennig, E. M., Sanderson, D. J., (1995). In-sole pressure distribution for cycling with two types of footwear at different mechanical loads. Journal of Applied Biomechanics, 11, 68-80.
  22. Hootman, J. M., Dick, R., Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of Athletic Training, 42(2), 311-319.
  23. Jeong, K. S. (2005). The Analysis of Foot Pressure Distribution of The Domestic Tennis Bland and The Foreign Tennis Shoe Bland During 3 Different Tennis Motions. Department of Physical Education. Graduate School, Hallym University.
  24. Jin, Y. W., Shin, S. H. (2007). The biomechanical comparison of running shoes according to the difference of insole. Korean Journal of Sport Biomechanics, 17(2), 51-59.
  25. Kerrigan, D. C., Johansson, J. L., Bryant, M. G., Boxer, J. A., Della, C. U., Riley, P. O. (2005). Moderate-heeled shoes and knee joint torques relevant to the development and pro-gression of knee osteoarthritis. Archives of Physical Medicine and Rehabilitation, 86(5), 871-875.
  26. Kerrigan, D. C., Todd, M. K., Riley, P. O. (1998). Knee osteoarthritis and high-heeled shoes, Lancet, 351(9113), 1399-1401.
  27. Kim, D. S., Lee, J. S., Jang, Y. M. (2012). Analysis of GRF & plantar foot pressure of stepping foot on skilled & unskilled player 's in the soccer instep shoot. Korean Journal of Sport Biomechanics, 22(1), 17-18.
  28. Kim, E. H., Cho, H, K., Jung, T. W., Kim, S. S., Chung, J. W. (2010). The biomechanical evaluation of functional insoles. Korean Journal of Sport Biomechanics, 20(3), 345-353.
  29. Kim, J. H. (2006). The Distribution of Average Plantar Pressure in accordance with Motion Type of Foot. Major in Biomechanics. Graduate School of Alternative Medicine. Kyonggi University.
  30. Kim, T. H. (2008). Effect of shoe size on foot pressure, ground reaction force, and fatigue during walking and running, Physical Therapy Korea, 15(1), 1-10.
  31. Kim, T. H., Lee, K. C. (1996). The influence of midsole hardness of aerobic shoes on motion and shock attenuation during high kick. Korean Journal of Sport Biomechanics, 6(1), 93-106.
  32. Koo, B. O. (2011). The effect of height increase elevator shoes insole on gait and foot pressure. Journal of the Korean Society of Physical Medicine, 6(2), 199-205.
  33. Lee, D. K. (2005). Plantar foot pressure analysis during golf swing motion using plantar foot pressure measurement system. Major in Physical Education. Graduate School of Education Silla University.
  34. Lee, I. S., Lee, J. H., Kim, H. K., Yoo, K. S. (2006). A study of plantar pressure distribution in the flying camel spins during figure skating. The Korean Journal of Physical Education, 45(6), 671-680.
  35. Lee, J. S., Kim, D. H., Jung, B. W., Han, D. W., Park, D. M. (2011). The effects of the height and the quality of the material of popular heel-up insole on the mean plantar foot pressure during walking. Korean Journal of Sport Biomechanics, 21(4), 479-486.
  36. Lee, K. H., Shieh, J. C., Matteliano, A., Smiehorowski, T. (1990). Electromyographic changes of leg muscles with heel lifts in women: therapeutic implications. Archives of Physical Medicine and Rehabilitation, 71(1), 31-33.
  37. Linm, Y. T. (2003). Categorization of two different swing styles using weight transfer patterns of golf swing. Korean Journal of Sport Biomechanics, 14(2), 179-186.
  38. Mann, R. A. (1980). Biomechanics of running. In Symposium on the Foot and Leg in Running Sports. R. P. Mack(ed.). St. Louis: The C. V. Mosby Co., 1-29.
  39. McNitt-Gray, J. L. (1993). Kinetics of the lower extremities during drop landing from three heights. Journal of Biomechanics, 26(9), 1037-1046.
  40. Nyska, M., McCabe, C., Linge, K., Klenerman, L. (1996). Plantar foot pressures during treadmill walking with high-heel and low-heel shoes. Foot & Ankle International, 17(11), 662-666.
  41. Olsen, O. E., Myblebust, G., Engebresten, L., Bahr, R. (2004). Injury mechanism for anterior cruciate ligament injuries in team handball. American Journal of Sports Medicine, 32(4), 1002-1012.
  42. Opila-Correia, K. A. (1990). Kinematics of high-heeled gait with consideration for age and experience of wearers. Archives of Physical Medicine and Rehabilitation, 71(11), 905-909.
  43. Park, K. H., Kwon, O. Y., Kim, Y. H. (2003). Effects of walking speed on foot joint motion and peak plantar pressure in healthy subjects. Physical Therapy Korea, 10(1), 77-96.
  44. Perters, P., Runge, J. (2001). Electronic plantar pressure measurements in different types of mountaineering boots. Sport verletz sports chaden, 15(2), 40-44.
  45. Powers, C. M. (2003). The influence of altered lower-extremity kinematics on patellofemoral joint dysfunction: a theoretical perspective. The Journal of Orthopedic and Sports Physical Therapy, 33(11), 639-646.
  46. Ricard, M. D., Sherwood, S. M., Schulthies, S. S., Knight, K. L. (2000). Effects of tape and exercise on dynamic ankle inversion. Journal of Athletic Training, 35(1), 31-37.
  47. Rosenbaum, D., Hautmann, S., Gold, M., Class, L. (1994). Effects of walking speed on plantar pressure patterns and hind foot angular motion. Gait & Posture. 2(3), 191-197.
  48. Safran, M. R., Benedetti, R. S., Bartolozzi, A. R., Mandelbaum, B. R. (1999). Lateral ankle sprains: a comprehensive review: part 1: etiology, pathoanatomy, histopathogenesis, and diagnosis. Medicine and Science in Sports and Exercise, 31(7), 429-437.
  49. Seong, W. S. (2006). A Study of Characteristics of Foot Pressure Distribution with of without Particialfoot Prosthesis in Transmetatarsal Amputee. Major in Exercise Prescription & Rehabilitation. Sports Industry Graduate School of Kookmin University.
  50. Shin, S. A., Choi, D. S., Kim C. Y., Han, B. R., Lee, H. D., Lee, S. C. (2012). The influence of raised heel insoles on lower extremity joint kinematics of young male during walking. Korean Journal of Sport Science, 23(2), 232-243.
  51. Snow, R. E., Williams, K. R. (1994). High heeled shoes: their effect on center of mass position, posture, three-dimensional kinematics, rearfoot motion, and ground reaction forces. Archives of Physical Medicine and Rehabilitation, 75(5), 568-576.
  52. Son, M. S. (2007). Comparison of Pressure Distribution Interface between Stump and Socket of Total Surface Bearing and Patellar Tendon Bearing During Walking, Major in Exercise Prescription. Graduate School of Sports and Leisure Studies Kyungwon University.
  53. Voloshin, A., Wosk, J. (1982). An in vivo study of low back pain and shock absorption in the human locomotor system. Journal of Biomechanics, 15(1), 21-27.
  54. Woo, J. H., Lee, J. S., Yang, J. O., Lee, B. J., Han, D. W., Bae, K. H., Park, S. M., Bae, J. W. (2015). Analysis of Plantar Foot Pressure According to 2D & 3D Insole Types During Treadmill Gait. Department of Physical Education, Graduate School, Silla University. 1-36.
  55. Yeow, C. H., Lee, P. V., Goh, J. C. (2009). Effect of landing height on frontal plane kinematics, kinetics and energy dissipation at lower extremity joints. Journal of Biomechanics, 42(12), 1967-1973.
  56. Yeow, C. H., Lee, P. V., Goh, J. C. (2011). An investigation of lower extremity energy dissipation strategies during single leg and double-leg landing based on sagittal and frontal plane biomechanics. Human Movement Science, 30(3), 624-635.

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