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Biomedical Engineering / Biomedizinische Technik

Joint Journal of the German Society for Biomedical Engineering in VDE and the Austrian and Swiss Societies for Biomedical Engineering and the German Society of Biomaterials

Editor-in-Chief: Dössel, Olaf

Editorial Board: Augat, Peter / Habibović, Pamela / Haueisen, Jens / Jahnen-Dechent, Wilhelm / Jockenhoevel, Stefan / Knaup-Gregori, Petra / Lenarz, Thomas / Leonhardt, Steffen / Plank, Gernot / Radermacher, Klaus M. / Schkommodau, Erik / Stieglitz, Thomas / Boenick, Ulrich / Jaramaz, Branislav / Kraft, Marc / Lenthe, Harry / Lo, Benny / Mainardi, Luca / Micera, Silvestro / Penzel, Thomas / Robitzki, Andrea A. / Schaeffter, Tobias / Snedeker, Jess G. / Sörnmo, Leif / Sugano, Nobuhiko / Werner, Jürgen /

IMPACT FACTOR 2017: 1.096
5-year IMPACT FACTOR: 1.492

CiteScore 2017: 0.48

SCImago Journal Rank (SJR) 2017: 0.202
Source Normalized Impact per Paper (SNIP) 2017: 0.356

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Volume 59, Issue 3


Volume 57 (2012)

Introduction of a neutral shoe to assess reference values for dynamic pedobarography

Anna Katharina Kluger / Hans-Dieter Carl / Andreas Jendrissek / Bernd Swoboda / Thilo Hotfiel
Published Online: 2014-04-09 | DOI: https://doi.org/10.1515/bmt-2013-0078


Background: The aim of our study was to introduce a so-called “neutral shoe” as a tool to assess reference values for dynamic pedobarographic investigations.

Materials and methods: Twelve healthy volunteers were asked to participate. During the first trial the participants were asked to walk with a neutral shoe (Breidbach, Germany). The second trial was performed with the running shoe “Faas 500” (Puma SE, Germany). Peak plantar pressure values were analyzed from nine foot regions using the Pedar® X system (Novel Inc., Munich, Germany).

Results: The mean peak pressure reduction for the total foot was 36% under the left (non-preferred) foot and 32% for the right (preferred) foot. A statistically significant reduction of peak pressure was observed for eight regions, from a mean 14% peak pressure reduction under the right metatarsal head 1 up to a 41% peak pressure reduction under the right big toe.

Conclusions: The neutral shoe is a feasible tool to assess reference values for dynamic pedobarography. Such a reference tool may help to standardise several steps in the development and construction of shoes and orthotic devices.

Keywords: foot; gait; pedography; pressure


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About the article

Corresponding author: Thilo Hotfiel, Division of Orthopaedic Rheumatology, University of Erlangen-Nuremberg, Rathsberger Str. 57, D-91054 Erlangen, Germany, E-mail:

Received: 2013-07-17

Accepted: 2013-11-29

Published Online: 2014-04-09

Published in Print: 2014-06-01

Citation Information: Biomedical Engineering / Biomedizinische Technik, Volume 59, Issue 3, Pages 213–217, ISSN (Online) 1862-278X, ISSN (Print) 0013-5585, DOI: https://doi.org/10.1515/bmt-2013-0078.

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