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  • Re. Tekscan respond

    Hello subscribers,

    I posted last week requesting the following about the Tekscan pressure
    system:

    After spending several days with the Tekscan pressure system, I am
    somehow sceptical about the capabilities of the system. Our original
    euphoria to use this equipment to measure absolut pressures and
    pressure distribution between two deformable medias/surfaces is over
    now and we are just at the beginning of a long learning curve regarding
    sensor calibration, best sensor shape (no bending influence on pressure
    output), interpreting the huge data output and many other things. I
    realised that this equipment has been successfully used in the past to
    determne pressures, where the sensor is placed between a deformable and
    a more or less nondeformable surface.
    Does anyone has some experience in the area described above?
    Has anyone ever quantyfied the influence of the sensor bending to the
    pressure output?


    Here comes a summary of all the response:
    (Thanks to all who contributed)


    From: Claus Willemer

    Dear Mr Schmidt,
    I know two groups in Germany working with pressure distribution on soft
    surfaces. Prof Dr Nicol (University Muenster) developed the
    Novel-analyzing medhod. Another method is used in Koeln (deutsche
    Sporthochschule), may be Tekscan.


    From: "Michael J. Mueller"

    I have been using the Tekscan pressure system (FScan) to measure
    pressures
    inside the shoe for patients with DM and peripheral neuropathy. We
    performed reliability testing in an applied situation, ie having
    subjects
    use the sensor and comparing across trials with same sensor, across
    sensors,
    and across days (ie 4 different days) with calibration as recommended
    by
    manufacturer and with additional calibration from a force platform. We
    found acceptable reliability (generalizability coefficients=.75) for
    "relative measures" ie comparing the rank. We also calculated the
    index of
    dependability which assesses the ability to take absolute measures. To
    obtain adequate reliability for absolute measures, we found the need to
    "adjust" with a calibration from a force platform. The manuscript has
    been
    accepted in Clinical Biomechanics and should be published soon.
    Overall, I
    have been pleased with the system - but like all measuring devices, one
    has
    to work within the limits of the system. Other suggestions found in
    the
    literatuare are to repeatedly load the sensor before calibration and
    then
    to collect data immediately after calibration. Several references
    referring
    to reliability of the system in footwear applications are listed below.


    1. Birke JA, Foto JG, Deepak S, Watson J: Measurement of
    pressure walking in footwear used in leprosy. Lepr Rev:
    1994; 65:262-271.

    2. Mueller MJ, Sinacore DR, Hoogstrate S, Daly L: Hip and
    ankle walking strategies: Effect on peak plantar pressures
    and implications for neuropathic ulceration. Arch Phys Med
    Rehabil, 1994;75:1996-2000.

    3. Koch M: Measuring plantar pressure in conventional shoes
    with the TEKSCAN sensory system. {German} Biomedizinische
    Technik 1993; 38:243-248.

    4. Rose NE, Feiwell LA, Cracchiolo A: A method of measuring
    foot pressures using a high resolution, computerized insole
    sensor: The effect of heel wedges on plantar pressure
    distribution and center of force. Foot & Ankle 1992; 13:263-
    270.



    From: Thomas W Kernozek

    Dear Alexander,

    Unfortunately, I do not have a solution for your problems with the
    Teckscan measurement system. There are published papers indicating
    similar problems with this system so you are not alone. Work by Xia,
    Garbalosa, & Cavanaugh Error Analysis of Two Systems to Measure In-shoe

    Pressures (American Society of Biomechanics, 1994 - Ohio State),
    Cavanaugh, Letter to the Editor of Foot and Ankle (1995), Werner,
    Green,
    Fortino, Mann and Short, Evaluation of a Dynamic Intra-articular
    Contact
    Pressure Sensing System (41st Annual Meeting ORS, 1995 Orlando),
    McPoil,
    Cornwall and Yamada, A Comparison of Two In-shoe Plantar Pressure
    Measurement Systems (The Lower Extremity, 1995) have shown similar
    problems. The majority of the work expresses poor sensor
    characteristics
    such as drift (creep), linearity, temp. sensitivity, & hysteresis. Not

    something that can be easily remedied, if at all.

    I would suggest trying Novel Inc. (612) 332-8605 as an alternative
    system. They market pressure measurement systems for various
    applications. The sensor characteristics are much better and are
    calibrated by homogeneous air pressure enable measurements within 5%.
    The contact name is Susan Diekrager.

    If you have any further questions, contact me via e-mail.

    Sincerely,

    Tom Kernozek, Ph.D.
    -----------------------------------------------------------------------
    ---
    Thomas W. Kernozek, Ph.D. [ ] [ ]
    University of Minnesota / /\ \ / /\ \ GO--------
    Division of Kinesiology / / \ / \ \ GOPHERS!!!
    Human Movement Research Lab [ ] [ ] [ ] ----------
    e-mail: kerno001@maroon.tc.umn.edu
    -----------------------------------------------------------------------
    ---


    Alexander Schmidt

    Neenah, WI (USA)
    Tel.: 414-721-6481, Fax.: 414-721-5459
    Email: aschmidt@kcc.com
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