Plantar pressure measuring is a technique which is being increasingly utilised in clinical practice. It's utilized to assess for things like just how much stress there is under the foot, that could be crucial to figure out in people that have diabetes mellitus who are at risk of a foot wound. Plantar pressures will also be employed to help determine how people walk and how strain alters during the gait cycle. This can be useful information that will help clinicians prescribe and design foot supports. This really is such an essential subject that an episode of the chat show, PodChatLive ended up being devoted to it. PodChatlive is a Facebook live which has 2 hosts plus a different invitee on every show where they talk about subjects of meaning to podiatry and also related subject areas. Additionally it is published to YouTube and as an audio podcast.
In that show, they spoke plantar pressures and pressure mapping together with Dr Bruce Williams DPM from Indiana, USA. Bruce is a Fellow and previous President of the American Academy of Podiatric Sports Medicine and owner of Breakthrough Podiatry in NorthWest Indiana and has substantial experience on plantar pressure measurements, pressure mapping and their understanding and clinical use. Bruce makes use of both the in-shoe system and pressure mat devices in his facility and has been doing this for almost 20 years now. He is well published on this topic in peer reviewed academic journals, so is well placed to speak about this topic. In the episode of PodChatLive they reviewed exactly what the centre of pressure is and just how it can be used clinically to understand what is going on. They also discussed how pressure info affects his clinical decision making, particularly foot orthotic design. They discussed the pros and cons of in-shoe in comparison to the mat technology and try to offer some advice to those who might be considering adding this kind of service to their practice.