Impact of a thin plantar orthopaedic insert on posture and locomotion

Carole Puil (1, 2) , Armel Crétual (3, 1) , Anne-Hélène Olivier (3, 1)

1 M2S - Laboratoire Mouvement Sport Santé
2 IFPEK - Institut de formation en Pédicurie-Podologie, Ergothérapie, Masso-Kinésithérapie
3 MIMETIC - Analysis-Synthesis Approach for Virtual Human Simulation

Introduction: Podiatrists might use thin plantar insert such as EMI® (Medio-intern element) to treat postural deficiency. EMI® could induce contralateral Medio-Lateral (ML) deviation of the Centre of Pressure (CoP) position of healthy participants in quasi-static standing. Our aim is to evaluate EMI® effect on locomotion. Hypothesis: Motor control studies on locomotion showed a modified walking stereotypy (eyes closed) after 30 min podokinetic stimulation. We expected a contralateral deviation of the trajectory when EMI® was located under one foot. Methods: 20 healthy participants volunteered to the study and were involved in 3 different sessions performed in a randomized order: 1 without EMI®, 2 with EMI® (right or left foot). Each session included: 1) static tasks (with and without vision) to compare with previous work, 2) dynamic locomotor tasks: 6 conditions i.e. 3 trajectories (straight, left or right 90° turn), With/without vision). In static conditions, we calculated the average CoP ML position and between and within trials variabilities. In dynamic conditions, we analyzed the difference in the final orientation of the locomotor trajectory with and without vision with a EMI® with respect to this difference without the EMI®. Results: No significant effect of the EMI was observed neither for static nor dynamic conditions Conclusions: Our results do not confirm previous work in static conditions. Recently it has been demonstrated that EMI® has an impact on eyes vergence, especially in population with plantar postural dysfunction. Future work is needed to evaluate effect of such insert on participants with postural deficiencies.

Domaines: Biomécanique [physics.med-ph]

Carole Puil, Armel Crétual, Anne-Hélène Olivier. Impact of a thin plantar orthopaedic insert on posture and locomotion. SOFPEL 2019 - 26ème congrès de la Société Francophone Posture, Équilibre et Locomotion, Dec 2019, Montréal, Canada. ⟨hal-02373802⟩