Background <p>Posturography is a diagnostic technique that quantifies postural control through Centre of Pressure (CoP) displacement analysis on a force platform. Footwear characteristics, particularly heel-to-toe drop, may influence balance by modifying plantar pressure distribution and proprioceptive feedback. The aim of this study was to evaluate the impact of different footwear drops (0&#xa0;mm, 5&#xa0;mm, 10&#xa0;mm) on postural control in healthy young adults, considering sex, BMI, and shoe size.</p> Methods <p>A cross-sectional study was conducted in 117 participants (56 men, 61 women) using the Dinascan/IBV<sup>®</sup> platform and the Romberg test. CoP displacement and velocity were analyzed.</p> Results <p>Significant differences were observed in CoP total displacement (<i>p</i> &lt; 0.001), mean velocity (<i>p</i> &lt; 0.001), and medio-lateral dispersion (<i>p</i> = 0.024) when comparing 0&#xa0;mm to 5&#xa0;mm and 10&#xa0;mm drops. Sex differences were significant at 0&#xa0;mm drop for maximum medio-lateral force (<i>p</i> &lt; 0.001) and mean velocity (<i>p</i> = 0.042), with men exhibiting greater values. At 5&#xa0;mm drop, men showed significantly higher swept area (<i>p</i> = 0.029) and anteroposterior displacement (<i>p</i> = 0.007) than women.</p> Conclusions <p>Small variations in footwear drop can affect postural control, particularly in the medio-lateral plane. Sex and BMI significantly influence CoP behavior, suggesting the need to consider these factors in footwear design and clinical balance assessments.</p>

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Variations in centre of pressure and balance performance induced by footwear drop in healthy adults

  • Raquel Fragua-Blanca,
  • Natalia Tovaruela-Carrión,
  • Manuel Jesús Tena-León,
  • Elena Escamilla-Martínez

摘要

Background

Posturography is a diagnostic technique that quantifies postural control through Centre of Pressure (CoP) displacement analysis on a force platform. Footwear characteristics, particularly heel-to-toe drop, may influence balance by modifying plantar pressure distribution and proprioceptive feedback. The aim of this study was to evaluate the impact of different footwear drops (0 mm, 5 mm, 10 mm) on postural control in healthy young adults, considering sex, BMI, and shoe size.

Methods

A cross-sectional study was conducted in 117 participants (56 men, 61 women) using the Dinascan/IBV® platform and the Romberg test. CoP displacement and velocity were analyzed.

Results

Significant differences were observed in CoP total displacement (p < 0.001), mean velocity (p < 0.001), and medio-lateral dispersion (p = 0.024) when comparing 0 mm to 5 mm and 10 mm drops. Sex differences were significant at 0 mm drop for maximum medio-lateral force (p < 0.001) and mean velocity (p = 0.042), with men exhibiting greater values. At 5 mm drop, men showed significantly higher swept area (p = 0.029) and anteroposterior displacement (p = 0.007) than women.

Conclusions

Small variations in footwear drop can affect postural control, particularly in the medio-lateral plane. Sex and BMI significantly influence CoP behavior, suggesting the need to consider these factors in footwear design and clinical balance assessments.