Numerical Analysis of the Plantar Pressure Points during the Stance Phases for the Design of a 3D-Printable Patient-Specific Insole

• Published in: Prosthesis (Basel, Switzerland) Switzerland), 2024-06, Vol.6 (3), p.429-456
• Main Authors: Serrato-Pedrosa, Jesus Alejandro, Urriolagoitia-Sosa, Guillermo, Romero-Ángeles, Beatriz, Carrasco-Hernández, Francisco, Gallegos-Funes, Francisco Javier, Trejo-Enriquez, Alfonso, Carbajal-López, Alfredo, Gomez-Niebla, Jorge Alberto, Correa-Corona, Martin Ivan, Urriolagoitia-Calderón, Guillermo Manuel
• Format: Article
• Language: English
• Subjects: 3D-printable materials; Additive manufacturing; Biomechanics; Customization; finite element method; Gait; gait cycle; Human mechanics; Measurement techniques; Morphology; Orthopedics; Partial differential equations; patient-specific foot orthopedics; plantar pressure; Pressure distribution; Software; stance phases
• ISSN: 2673-1592; 2673-1592
• DOI: 10.3390/prosthesis6030032

The study of the phenomena occurring in the plantar region is remarkably intriguing, especially when performing a normal gait cycle where the foot is under loading conditions. The effects presented in the foot while walking provide relevant indicators regarding clinical means for enhancing regular performance or rehabilitation therapies. Nevertheless, more than traditional methods are needed to biomechanically evaluate foot structural conditions, leading to an incomplete database for determining the patient’s needs so that advanced methodologies provide detailed medical assessment. Therefore, it is necessary to employ technological engineering tools to optimize biomechanical plantar pressure evaluations to reach suitable personalized treatments. This research initially evaluated numerically the pressure points in the foot sole region in each one of the five stance phases in a normal gait cycle. Medical imaging techniques were utilized to construct an anatomically accurate biomodel of the soft tissues of the right foot. The Finite Element Method was employed to predict peak plantar pressure in barefoot conditions for all stance phases; results from this case study presented a close alignment with gait experimental testing implemented to analyze the feasibility and validation of all mechanical considerations for the numerical analyses. Hence, having a solid foundation in the biomechanical behavior from the first case study close estimates, a 3D-printable patient-specific insole was designed and numerically analyzed to observe the mechanical response in the plantar critical zones utilizing a personalized orthotic device. Results from the second case study notably demonstrated a crucial decrement in excessive pressure values. Employing morphological customization orthopedics modeling combined with 3D-printable materials is revolutionizing assistive device design and fabrication techniques. The fundamental contribution of this research relies on deepening the knowledge of foot biomechanics from an interdisciplinary approach by numerically analyzing pressure distribution in critical regions for all five stances phases; thus, based on the methods employed, the results obtained contribute to the advances of patient-specific foot orthopedics.