Jt Dis Relat Surg

Baropodometric comparison of orthopedic footwear to assess the effectiveness of pairs of orthopedic shoes for reducing the forefoot pressure

Hasan Basri Sezer, Alexandre Hardy, Ronny Lopes

Department of Sports Surgery, Clinique Du Sport Paris V, Chirurgie Du Sport, Paris


Forefoot relief, offloading, plantar pressure distribution, postoperative shoe


Objectives This study aimed to evaluate the distribution of foot pressure with the most frequently used orthopedic shoes and demonstrate the effect of offloading philosophy on the pressure distributions of rocker bottom or heel support shoes applied unilaterally or bilaterally. Materials and methods Three bilateral and four unilateral, a total of seven shoe designs with sensors included in the insole were tested by the same subject in a standard acquisition protocol. Two of the unilateral and one of the bilateral shoes had heel support, while others had a rocker bottom design. A descriptive analysis was performed for each shoe and compared to a reference value obtained from a standard shoe. Results Shoes with an offloading heel resulted in a greater reduction in pressure on the forefoot than other models. All other shoes increased pressure on the first metatarsophalangeal joint. Heel offloading models performed the best in forefoot offloading, and bilateral heel offloading shoes performed the best in first metatarsal offloading, with the highest scores of 83% and 82%, respectively. Conclusion This study showed that orthopedic shoes sold in pairs could reduce pressure on the forefoot at a comparable level to unilateral shoes. It supports their use to limit the disadvantages of single orthopedic shoes, such as limb length discrepancies.

Moticon's Summary

In this study the authors examined the effectiveness of orthopedic shoes in reducing forefoot pressure based on the wearers plantar pressure distribution. Moticon sensor insoles were employed to obtain wearers' plantar pressure distribution.

Contact Us
Book a free online demo or use the contact form to get in touch
Subscribe to our newsletter for regular updates

Select your desired system

The cutting edge test based outcome assessment system for health professionals and trainers

The most versatile toolkit for free data acquisition and comprehensive analytics in research

Have a general inquiry?

Write us a message for general questions about products and solutions or if you’d like to discuss other topics.

The form was sent successfully.

You will be contacted shortly.


Stay one step ahead!

Subscribe to our newsletter for the latest information on case studies, webinars, product updates and company news

Get support

Check our FAQ database for answers to frequently asked questions

Describe your issue in as much detail as possible. Include screenshots or files if applicable.

Need help?
Want a live demo?
Interested in prices?
Want to say hello?
Always just a call away
+49 89 2000 301 60