The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study

Background: Hard insoles have been proposed to decrease plantar pressure and prevent foot pain and paresthesia due to repetitive loading. The aim of this research was to analyze the effect of three different hard insoles in cycling on healthy subjects. Methods: A crossover randomized trial was carri...

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Main Authors: Israel Casado-Hernández, Ricardo Becerro-de-Bengoa-Vallejo, Marta Elena Losa-Iglesias, Alfredo Soriano-Medrano, Daniel López-López, Emmanuel Navarro-Flores, Eduardo Pérez-Boal, Eva María Martínez-Jiménez
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Bioengineering
Subjects:
Online Access:https://www.mdpi.com/2306-5354/10/7/816
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author Israel Casado-Hernández
Ricardo Becerro-de-Bengoa-Vallejo
Marta Elena Losa-Iglesias
Alfredo Soriano-Medrano
Daniel López-López
Emmanuel Navarro-Flores
Eduardo Pérez-Boal
Eva María Martínez-Jiménez
author_facet Israel Casado-Hernández
Ricardo Becerro-de-Bengoa-Vallejo
Marta Elena Losa-Iglesias
Alfredo Soriano-Medrano
Daniel López-López
Emmanuel Navarro-Flores
Eduardo Pérez-Boal
Eva María Martínez-Jiménez
author_sort Israel Casado-Hernández
collection DOAJ
description Background: Hard insoles have been proposed to decrease plantar pressure and prevent foot pain and paresthesia due to repetitive loading. The aim of this research was to analyze the effect of three different hard insoles in cycling on healthy subjects. Methods: A crossover randomized trial was carried out. The mean age of the subjects was 35 ± 3.19 years, and all of them were men. While the subjects were cycling on a stationary bicycle, their plantar pressure was recorded with nine in-shoe sensors placed in nine specific foot areas to test a standard ethylene-vinyl-acetate 52° Shore A hardness insole, a polypropylene 58° Shore D insole, and a polypropylene 58<sup>0</sup> Shore D insole with selective aluminum 60 HB Brinell hardness in the metatarsal head and hallux. Results: The maximum plantar pressure decreased significantly with the polypropylene insole containing selective aluminum in the metatarsal head and hallux areas. The maximum plantar data of the polypropylene aluminum insole in the M2 area (5.56 kgF/cm<sup>2</sup>), fifth metatarsal styloid process (6.48 kgF/cm<sup>2</sup>), M3–M4 area (4.97 kgF/cm<sup>2</sup>), and hallux (8.91 kgF/cm<sup>2</sup>) were of particular interest compared to the other insoles. Conclusions: The use of insoles made of polypropylene with aluminum in the metatarsal head and hallux areas decreases the maximum plantar pressure in cycling compared to standard EVA and polypropylene insoles.
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spelling doaj.art-8381c392fc7e4bad80dfdb8c3703e9c42023-11-18T18:21:45ZengMDPI AGBioengineering2306-53542023-07-0110781610.3390/bioengineering10070816The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover StudyIsrael Casado-Hernández0Ricardo Becerro-de-Bengoa-Vallejo1Marta Elena Losa-Iglesias2Alfredo Soriano-Medrano3Daniel López-López4Emmanuel Navarro-Flores5Eduardo Pérez-Boal6Eva María Martínez-Jiménez7Faculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, SpainFaculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, SpainFaculty of Health Sciences, University Rey Juan Carlos, 28933 Móstoles, SpainFaculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, SpainResearch, Health, and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, 15403 Ferrol, SpainFrailty Research Organized Group (FROG), Department of Nursing, Faculty of Nursing and Podiatry, University of Valencia, 46010 Valencia, SpainFaculty of Nursing and Physiotherapy, University of León, 24401 Ponferrada, SpainFaculty of Nursing, Physiotherapy and Podiatry, University Complutense of Madrid, 28040 Madrid, SpainBackground: Hard insoles have been proposed to decrease plantar pressure and prevent foot pain and paresthesia due to repetitive loading. The aim of this research was to analyze the effect of three different hard insoles in cycling on healthy subjects. Methods: A crossover randomized trial was carried out. The mean age of the subjects was 35 ± 3.19 years, and all of them were men. While the subjects were cycling on a stationary bicycle, their plantar pressure was recorded with nine in-shoe sensors placed in nine specific foot areas to test a standard ethylene-vinyl-acetate 52° Shore A hardness insole, a polypropylene 58° Shore D insole, and a polypropylene 58<sup>0</sup> Shore D insole with selective aluminum 60 HB Brinell hardness in the metatarsal head and hallux. Results: The maximum plantar pressure decreased significantly with the polypropylene insole containing selective aluminum in the metatarsal head and hallux areas. The maximum plantar data of the polypropylene aluminum insole in the M2 area (5.56 kgF/cm<sup>2</sup>), fifth metatarsal styloid process (6.48 kgF/cm<sup>2</sup>), M3–M4 area (4.97 kgF/cm<sup>2</sup>), and hallux (8.91 kgF/cm<sup>2</sup>) were of particular interest compared to the other insoles. Conclusions: The use of insoles made of polypropylene with aluminum in the metatarsal head and hallux areas decreases the maximum plantar pressure in cycling compared to standard EVA and polypropylene insoles.https://www.mdpi.com/2306-5354/10/7/816cyclingplantar pressurefoot insolemetatarsal headin-shoe
spellingShingle Israel Casado-Hernández
Ricardo Becerro-de-Bengoa-Vallejo
Marta Elena Losa-Iglesias
Alfredo Soriano-Medrano
Daniel López-López
Emmanuel Navarro-Flores
Eduardo Pérez-Boal
Eva María Martínez-Jiménez
The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
Bioengineering
cycling
plantar pressure
foot insole
metatarsal head
in-shoe
title The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
title_full The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
title_fullStr The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
title_full_unstemmed The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
title_short The Effectiveness of Hard Insoles for Plantar Pressure in Cycling: A Crossover Study
title_sort effectiveness of hard insoles for plantar pressure in cycling a crossover study
topic cycling
plantar pressure
foot insole
metatarsal head
in-shoe
url https://www.mdpi.com/2306-5354/10/7/816
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