title: Computerized baropodometry in obese patients.
abstract: BACKGROUND
  Few studies have investigated the influence of obesity on the structural and functional performance of the feet, and its potential implications for the musculoskeletal system. Computerized baropodometric analysis (CPA) is a new investigation for the center of pressure, plantar surface area and plantar pressure while standing on the platform of a specialized apparatus. CPA is relevant to gait and posture, and may be important as well for postoperative musculoskeletal disorders. We investigated the biomechanical dysfunctions of foot pressure by means of CPA in bariatric and non-bariatric subjects.
  
  
  METHODS
  Subjects (n=67, 71.6% females, age 40.8 +/- 13.8 years, BMI 31.4 +/- 11.0 kg/m(2)) included obese (BMI 30.0-60.0 kg/m(2), n=27), overweight (BMI 25.0-29.9 kg/m(2), n=12) and normal-weight controls (BMI 20.0-24.9 kg/m(2), n=28) of equivalent age and gender. Variables included center of pressure location, plantar ground contact area and pressure, and pressure patterns (maximum and average) in different regions of the foot, during quiet standing on the platform of the baropodometer.
  
  
  RESULTS
  A significant increase was detected for peak pressure on forefoot and plantar ground contact area in the obese group, compared to control and overweight cases, during quiet standing.
  
  
  CONCLUSIONS
  Excessive forefoot pressure and enlarged support area were a consequence of obesity, mirroring the efforts of the obese subject to acquire a wider and stronger support base. Although this is originally a physiological change, it may result in maladaptative and degenerative musculoskeletal consequences. Re-education exercises may be advised, in combination with bariatric surgery in the morbidly obese, aiming at restoration of normal gait and posture, as well as at minimization of stress damage to bones and joints in the axial skeleton.
authors.affiliation: Department of Physiotherapy, Londrina State University and UNOPAR, Londrina, Brazil.
authors.forename: Sonia Maria
authors.initials: SM
authors.lastname: Fabris
authors.forename: Antonio Carlos
authors.initials: AC
authors.lastname: Valezi
authors.forename: Shirley Aparecida Fabris
authors.initials: SA
authors.lastname: de Souza
authors.forename: Joel
authors.initials: J
authors.lastname: Faintuch
authors.forename: Ivan
authors.initials: I
authors.lastname: Cecconello
authors.forename: Mauro Pedroni
authors.initials: MP
authors.lastname: Junior
mesh_terms: D000328:Adult; D001696:Biomechanical Phenomena; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology*; D005260:Female; D005528:Foot / Q000033:anatomy & histology / Q000473:pathology / Q000503:physiopathology*; D006801:Humans; D008297:Male; D009068:Movement; D009765:Obesity / Q000503:physiopathology*; D050177:Overweight; D011312:Pressure; D013314:Stress, Mechanical