zebris Medical GmbH
FDM Technical Data and Operating Instructions
Page 42/54
5.8
Recommendations for recording data
To receive significant data from FDM systems some principle guidelines should be followed.
This chapter describes the ideal conditions for recording measurement data: The following
points refer to the data reception of a person walking and describe the ideal measurement
situation.
5.8.1 Walking range
The best conditions for measurements with platforms of the FDM-S type will be reached by
integration of the system in a walking range. The complete walking range must be plane
with the surrounding floor. This
way the test person won’t know the position of the platform
and gives a workaround to the tendency that test persons try to walk exactly on the sensor
area. The width of the stage should be about 1,20m. We recommend a distance of about
4m from start to FDM-S platform and no less than 3m behind. With such a walking stage it
is easier to measure normal walking without acceleration or deceleration.
Of course the same set up can be used to measure with the method of first step. The first
step method is described as follow: The patient stands on one side of the platform in a
distance to reach the platform by the first step. For measurement the patient hits the sensor
area by the first step and moves on. This kind of measurement guaranties reproducible steps
and results. Notice: These results differ more or less from these by normal walking.
5.8.2 Data recording
Please observe the exercise of the patient strictly. Only steps where the complete ground
contact of the foot is located on the sensor area may be used for evaluation. If not the com-
plete foot area was measured by the system (foot did partially not hit the sensor area) the
step can not be evaluated.
5.8.3 Gait velocity
For the measurement a normal (individual) and constant walking velocity is necessary. Ide-
ally an additionally measurement, e.g. by photo sensors, can proof the velocity for notice.
Naturally the patients adapt to the measurement situation within a few minutes. After a few
trials, walking seems normal. A change in velocity of about 5 % is non-effective.
5.8.4 Posture
A visual control of the behaviour pattern of normal gait is recommended. Trials with atypical
behaviour pattern should be deleted from interpretation. The patient has to look straight
ahead and must not be disturbed by paying attention to the platform or monitor. Marks on
the wall in front of the patient can provide orientation to hit the platform.
5.8.5 Acrosclerosis
Different measurements (e.g. P.R. Cavanagh,
The Foot
(1994)
4
, 123-135) show an in-
crease of plantar pressure peaks of about 30 % by acrosclerosis (e.g. weals). The interpre-
tation of measurement data has to include the existence of plantar acrosclerosis.
