S.T.E.P.P Test

Stride Test Evaluation for Plantar Pressure

Foot is the most neglected part of the human body. Although you spend most of your life on your foot walking and standing, yet the amount of care and comfort given to it is scarce. Learning about your foot health and understanding how your body loads weight on the feet while walking and performing other activities, can help assess, diagnose and monitor several conditions. 

Understanding plantar/foot pressure can help

  • Identify root cause of musculoskeletal problems that are causing ankle, knee, hip or back pain and its effect on the foot

  • Determine functional performance

  • Make return to play decisions

  • Understanding balance/instability

  • Screen for Diabetic foot ulcer 

  • Understand the effect an injury or condition has on the rest of the body 

  • Determine recovery during & post rehabilitation  

  • Assess fall risk for elderly and pregnant women 

  • Identify & define the right or exact kind of insoles, footwear, and other assistive devices 

  • Assess foot posture

A S.T.E.P.P TEST is the analysis of your foot to check the amount of pressure when you load your foot while standing, walking or performing any activity.

Who Needs it?

If you have any of the following you are eligible for S.T.E.P.P TEST

  • Foot pain

  • Heel pain

  • Diabetes

  • Diabetic Foot

  • Plantar fasciitis

  • Corns and callus

  • Bunions

  • Flat or high arch foot

  • Recurrent Ankle sprains

  • Forefoot pain

  • Metatarsalgia

  • Neurological conditions 

  • ACL injury of knee

  • Knee pain

  • Arthritis of the Hip or Knee joints

  • Elderly people

  • Neurological conditions

  •  Balance issues

  • Peripheral Vascular Disease

  • Rheumatoid arthritis 

  • Pregnancy related foot pain

Tests 

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1. Bipedal Stance Test: By performing a simple Bipedal Stance test or the standing test, you can learn about the area of high pressure in your foot, the way you distribute weight on your limb, your foot type and foot measurements. 

For example: A person with pain (due to plantar fasciitis, heel pain, osteoarthritis) on the right leg will have reduced weight bearing on the right, the amount of weight born can be found. 

A person with callus on the heel will have high pressure on that area. 

2. Foot Posture Test: In this test, the image of your foot is taken in standing and during over-pressure (like squatting) which gives you an idea about the posture and position of the foot and the type of foot you have either pronated, normal, or supinated. 

 

For example: A person with a flat foot will have increased outward position of the back portion of the heel and during over-pressure this will get further exaggerated. 

 

A person with recurrent ankle injury may have abnormal movement (inversion or eversion) of the ankle joint due to instability when performing the foot posture test. 

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3. Dynamic Test: Pattern of walking is an involuntary activity once learned at childhood. Following an injury or condition like fracture, ligament injury and or pain, your normal walking pattern may have changed. Anatomical or structural deformities of the lower limp and spine also challenges normal walking pattern. Deviation of walking pattern from normal can lead to increased energy consumption, decreased efficiency, increased pressure on the foot and reduced time to fatigue. All of the above further increase the pain and reduced functionality.

 

For example: A diabetic will have a larger amount of pressure on the foot in comparison to a non-diabetic. The loading time on the foot is also higher which makes them prone to developing ulcers.

4. Stabilometry Test: Balance is an important component in mobility. If you have issues with balance you have increased risk of falls and injury. By performing the stabilometry test you can find out how stable you are. 

 

For example: A person during pregnancy will have reduced balance due to change in posture during pregnancy and therefore the risk of fall increases. 

 

A person with neurological conditions has poor balance and increased risk of falls.

 

An elderly person has poor balance and the risk of falls can be determined by performing this test.

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