title: A three-dimensional inverse finite element analysis of the heel pad.
abstract: Quantification of plantar tissue behavior of the heel pad is essential in developing computational models for predictive analysis of preventive treatment options such as footwear for patients with diabetes. Simulation based studies in the past have generally adopted heel pad properties from the literature, in return using heel-specific geometry with material properties of a different heel. In exceptional cases, patient-specific material characterization was performed with simplified two-dimensional models, without further evaluation of a heel-specific response under different loading conditions. The aim of this study was to conduct an inverse finite element analysis of the heel in order to calculate heel-specific material properties in situ. Multidimensional experimental data available from a previous cadaver study by Erdemir et al. ("An Elaborate Data Set Characterizing the Mechanical Response of the Foot," ASME J. Biomech. Eng., 131(9), pp. 094502) was used for model development, optimization, and evaluation of material properties. A specimen-specific three-dimensional finite element representation was developed. Heel pad material properties were determined using inverse finite element analysis by fitting the model behavior to the experimental data. Compression dominant loading, applied using a spherical indenter, was used for optimization of the material properties. The optimized material properties were evaluated through simulations representative of a combined loading scenario (compression and anterior-posterior shear) with a spherical indenter and also of a compression dominant loading applied using an elevated platform. Optimized heel pad material coefficients were 0.001084 MPa (μ), 9.780 (α) (with an effective Poisson's ratio (ν) of 0.475), for a first-order nearly incompressible Ogden material model. The model predicted structural response of the heel pad was in good agreement for both the optimization (<1.05% maximum tool force, 0.9% maximum tool displacement) and validation cases (6.5% maximum tool force, 15% maximum tool displacement). The inverse analysis successfully predicted the material properties for the given specimen-specific heel pad using the experimental data for the specimen. The modeling framework and results can be used for accurate predictions of the three-dimensional interaction of the heel pad with its surroundings.
authors.affiliation: Department of Biomedical Engineering, Cleveland Clinic, Cleveland, OH 44195, USA.
authors.forename: Snehal
authors.initials: S
authors.lastname: Chokhandre
authors.forename: Jason P
authors.initials: JP
authors.lastname: Halloran
authors.forename: Antonie J
authors.initials: AJ
authors.lastname: van den Bogert
authors.forename: Ahmet
authors.initials: A
authors.lastname: Erdemir
mesh_terms: D004548:Elasticity; D020342:Finite Element Analysis; D006365:Heel; D006801:Humans; D008297:Male; D008422:Materials Testing; D008875:Middle Aged; D015203:Reproducibility of Results; D033081:Shear Strength; D013314:Stress, Mechanical