E. Savvidis et Cb. Van Der Decken, Forces acting on the soles of the feet of healthy subjects and coxarthrosis patients climbing and descending stairs, BIOMED TECH, 44(4), 1999, pp. 98-103
We investigated the contact forces acting on the sole of the foot of health
y persons and coxarthrosis patients climbing and descending stairs.
The sole contact forces were determined using an experimental set-up compri
sing a stair construction provided with an integrated measuring step.
Results: In healthy subjects, the forces acting on the soles of the feet wh
ile climbing stairs were found to be 1.2 times their body weight. With rega
rd to descending stairs, a distinction must be made between "hard" and "sof
t" walkers. In the case of "hard" walkers, the forces acting on the soles m
ay be as much as 2.6 times body weight. These forces can be reduced by the
wearing of shock-absorbing shoes.
Conclusion: In coxarthrosis and prostheses-bearing patients, all movements
are executed more slowly when climbing or descending stairs, so that only s
mall dynamic forces arise. The greatest loads are about 1.2 times the patie
nt's own weight. In these patients, an effective reduction by shockabsorbin
g footwear is not possible.