Journals / Turkish Journal of Kinesiology / 2026 / Volume: 11 Issue: 2

The relationship between asymmetric variations in plantar pressure distribution and cardiovascular performance

Nihat Sarıalioğlu(GİRESUN ÜNİVERSİTESİ, SPOR BİLİMLERİ FAKÜLTESİ)0000-0002-0914-7338
Pages
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Publication Date
2025-04-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results of this study indicate that as asymmetric differences in dynamic plantar pressure distribution increase, the efficiency of oxygen utilization decreases.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The aim of this study is to examine the relationship between asymmetric differences in plantar pressure distribution and cardiovascular performance.
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Key Findings & Data:A total of 24 female athletes, with an average age of 19.08±1.6 years, participated in the study.
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Conclusion & Impact:The results of this study indicate that as asymmetric differences in dynamic plantar pressure distribution increase, the efficiency of oxygen utilization decreases.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Bilateral asymmetry · cardiovascular performance · physical fitness

Abstract

The aim of this study is to examine the relationship between asymmetric differences in plantar pressure distribution and cardiovascular performance. The study was designed using a descriptive model. A total of 24 female athletes, with an average age of 19.08±1.6 years, participated in the study. In the study, BTS P-walk baropodometry device was used for plantar pressure measurements. In the plantar pressure analysis, maximum plantar pressure was assessed with the toes (T), metatarsal region (MR) arch region (AR) and heel region (HR) parameters, foot surface area with the forefoot (A) midfoot (B) and hindfoot (C) parameters, and rotational movements of the foot during gait with the foot progression angle parameter (FPA). Cardiovascular performance was assessed using the COSMED K5 wearable metabolic system, with VO2max as the primary parameter. The relationships between these parameters were analyzed using Pearson and Spearman correlation tests in SPSS 25 software at a significance level of p<0.05. The findings of the study revealed a significant negative correlation between the MR, A and FPA parameters and the VO2max parameter (p<0.05). The results of this study indicate that as asymmetric differences in dynamic plantar pressure distribution increase, the efficiency of oxygen utilization decreases.

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Cite This Article

Sarıalioğlu, N. (2025). The relationship between asymmetric variations in plantar pressure distribution and cardiovascular performance. Turkish Journal of Kinesiology, Volume: 11 Issue: 2. https://doi.org/10.31459/turkjkin.1666684

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References (49)

  1. Anjos, D. M., Gomes, L. P., Sampaio, L. M., Correa, J. C., & Oliveira, C. S. (2010). Assessment of plantar pressure and balance in patients with diabet. Arch Med Sci, 6(1), 43-48. doi: 10.5114/aoms.2010.13506
  2. Asghari, H. Z., Jafarnezhadgero, A. A., & Azarbaijany, M. A. (2022). Comparison of symmetry of plantar pressure distribution in Adolescent’s female with selected knee abnormalities during walking on slope. J Clin Physiother Res, 7(1), e57-e57. https://doi.org/10.22037/jcpr.v7i1.38582
  3. Azevedo, R. R., da Rocha, E. S., Franco, P. S., & Carpes, F. P. (2017). Plantar pressure asymmetry and risk of stress injuries in the foot of young soccer players. Phys Ther Sport, 24, 39-43. doi: 10.1016/j.ptsp.2016.10.001
  4. Bassett, D. R., & Howley, E. T. (2000). Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med Sci Sports Exerc, 32(1), 70-84. doi: 10.1097/00005768-200001000-00012
  5. Beck, O. N., Azua, E. N., & Grabowski, A. M. (2018). Step time asymmetry increases metabolic energy expenditure during running. Eur J Appl Physiol, 118, 2147-2154. doi: 10.1007/s00421-018-3939-3
  6. Bishop, C., Read, P., Bromley, T., Brazier, J., Jarvis, P., Chavda, S., & Turner, A. (2022). The association between interlimb asymmetry and athletic performance tasks: A season-long study in elite academy soccer players. J Strength Cond Res, 36(3), 787-795. doi: 10.1519/JSC.0000000000003526
  7. Bito, T., Tashiro, Y., Suzuki, Y., Kawagoe, M., Sonoda, T., Nakayama, Y., & Aoyama, T. (2018). Forefoot transverse arch height asymmetry is associated with foot injuries in athletes participating in college track events. J Phys Ther Sci, 30(8), 978-983. doi: 10.1589/jpts.30.978
  8. Buldt, A. K., Forghany, S., Landorf, K. B., Levinger, P., Murley, G. S., & Menz, H. B. (2018). Foot posture is associated with plantar pressure during gait: A comparison of normal, planus and cavus feet. Gait Posture, 62, 235-240. doi: 10.1016/j.gaitpost.2018.03.005
  9. Carter, R. E., & Lubinsky, J. (2016). Rehabilitation research: Principles and applications (Fifth edition ed.). Elsevier.
  10. Chow, T. H., Chen, Y. S., & Hsu, C. C. (2021). Relationships between plantar pressure distribution and rearfoot alignment in the Taiwanese college athletes with plantar fasciopathy during static standing and walking. Int J Environ Res Public Health, 18(24), 12942. doi: 10.3390/ijerph182412942
  11. Coyle, E. F. (1999). Physiological determinants of endurance exercise performance. J Sci Med Sport, 2(3), 181-189. doi: 10.1016/S1440-2440(99)80172-8
  12. Day, J. R., Rossiter, H. B., Coats, E. M., Skasick, A., & Whipp, B. J. (2003). The maximally attainable VO2 during exercise in humans: the peak vs. maximum issue. J Appl Physiol (1985), 95(5), 1901-1907. doi: 10.1152/japplphysiol.00024.2003
  13. Di Stasi, S. L., Logerstedt, D., Gardinier, E. S., & Snyder-Mackler, L. (2013). Gait patterns differ between ACL-reconstructed athletes who pass return-to-sport criteria and those who fail. Am J Sports Med, 41(6), 1310-1318. doi: 10.1177/0363546513482718
  14. D’Hondt, J., Chapelle, L., Bishop, C., Aerenhouts, D., De Pauw, K., Clarys, P., & D’Hondt, E. (2024). Association Between Inter-Limb Asymmetry and Determinants of Middle-and Long-distance Running Performance in Healthy Populations: A Systematic Review. Sports Med Open, 10(1), 127. doi: 10.1186/s40798-024-00790-w
  15. Fox, K. T., Pearson, L. T., & Hicks, K. M. (2023). The effect of lower inter-limb asymmetries on athletic performance: A systematic review and meta-analysis. PloS One, 18(6), e0286942. doi: 10.1371/journal.pone.0286942
  16. Gawronska K., Lorkowski J. Gawronska, K., & Lorkowski, J. (2021). Evaluating the symmetry in plantar pressure distribution under the toes during standing in a postural pedobarographic examination. Symmetry, 13(8), 1476. doi: 10.3390/sym13081476
  17. Grevendonk, L., Connell, N. J., McCrum, C., Fealy, C. E., Bilet, L., Bruls, Y. M.,. & Hoeks, J. (2021). Impact of aging and exercise on skeletal muscle mitochondrial capacity, energy metabolism, and physical function. Nat Commun, 12(1), 4773. doi: 10.1038/s41467-021-24956-2.
  18. Guan, Y., Bredin, S. S., Taunton, J., Jiang, Q., Wu, N., & Warburton, D. E. (2022). Association between inter-limb asymmetries in lower-limb functional performance and sport injury: a systematic review of prospective cohort studies. J Clin Med, 11(2), 360. doi: 10.3390/jcm11020360
  19. Guner, S., & Alsancak, S. (2023). The detection of compensatory movements in gait by evaluating plantar pressure in transfemoral amputees. Appl Sci, 13(23), 12719. doi: 10.3390/app132312719
  20. Hart, N. H., Nimphius, S., Spiteri, T., & Newton, R. U. (2014). Leg strength and lean mass symmetry influences kicking performance in Australian football. J Sports Sci Med, 13(1), 157.
  21. Heil, J., Loffing, F., & Büsch, D. (2024). The influence of exercise-induced fatigue on inter-limb asymmetries: A systematic review. Sports Med Open, 6, 1-16. doi: 10.1186/s40798-020-00270-x
  22. Hoffman, N. J., Parker, B. L., Chaudhuri, R., Fisher-Wellman, K. H., Kleinert, M., Humphrey, S. J.,. & James, D. E. (2015). Global phosphoproteomic analysis of human skeletal muscle reveals a network of exercise-regulated kinases and AMPK substrates. Cell Metab, 22(5), 922-935. doi: 10.1016/j.cmet.2015.09.001
  23. Iijima, H., Eguchi, R., Aoyama, T., & Takahashi, M. (2019). Trunk movement asymmetry associated with pain, disability, and quadriceps strength asymmetry in individuals with knee osteoarthritis: a cross-sectional study. Osteoarthritis Cartilage, 27(2), 248-256. doi: 10.1016/j.joca.2018.10.012
  24. Jin L., & Hahn M. E. (2018). Modulation of lower extremity joint stiffness, work and power at different walking and running speeds. Hum Mov Sci, 58, 1–9. doi: 10.1016/j.humov.2018.01.004
  25. Lai, Y. C., Lin, H. S., Pan, H. F., Chang, W. N., Hsu, C. J., & Renn, J. H. (2014). Impact of foot progression angle on the distribution of plantar pressure in normal children. Clin Biomech (Bristol), 29(2), 196-200. doi: 10.1016/j.clinbiomech.2013.11.012
  26. Liu, M., Kang, N., Zhang, Y., Wen, E., Mei, D., Hu, Y., & Wang, D. (2024). Influence of motor capacity of the lower extremity and mobility performance on foot plantar pressures in community-dwelling older women. Heliyon, 10(6). doi: 10.1016/j.heliyon.2024.e28114
  27. Kaminsky, L. A., Arena, R., & Myers, J. (2015). Reference standards for cardiorespiratory fitness measured with cardiopulmonary exercise testing: data from the fitness registry and the importance of exercise national database. Mayo Clin Proc, 90(11), 1515-1523. doi: 10.1016/j.mayocp.2015.07.026
  28. Kanchan, T., Kumar, T. M., Kumar, G. P., & Yoganarasimha, K. (2008). Skeletal asymmetry. J Forensic Leg Med, 15(3), 177-179. doi: 10.1016/j.jflm.2007.05.009
  29. Konieczny, M., Skorupska, E., Domaszewski, P., Pakosz, P., Skulska, M., & Herrero, P. (2023). Relationship between latent trigger points, lower limb asymmetry and muscle fatigue in elite short-track athletes. BMC Sports Sci Med Rehabil, 15(1), 109. doi: 10.1186/s13102-023-00719-y
  30. Kubo, K., Kanehisa, H., Kawakami, Y., and Fukunaga, T. (2000). Elastic properties of muscle-tendon complex in long-distance runners. Eur J Appl Physiol, 81, 181–187. doi: 10.1007/s004210050028
  31. Maloney, S. J. (2019). The relationship between asymmetry and athletic performance: A critical review. J Strength Cond Res, 33(9), 2579-2593. doi: 10.1519/JSC.0000000000002608
  32. McNab, B., Sadler, S., Lanting, S., & Chuter, V. (2022). The relationship between foot and ankle joint flexibility measures and barefoot plantar pressures in healthy older adults: a cross-sectional study. BMC Musculoskelet Disord, 23(1), 729. doi: 10.1186/s12891-022-05618-w
  33. Melo, C. C., Carpes, F. P., Vieira, T. M., Mendes, T. T., de Paula, L. V., Chagas, M. H., & de Andrade, A. G. P. (2020). Correlation between running asymmetry, mechanical efficiency, and performance during a 10 km run. J Biomech, 109, 109913. doi: 10.1016/j.jbiomech.2020.109913
  34. Menz, H. B., & Morris, M. E. (2006). Clinical determinants of plantar forces and pressures during walking in older people. Gait Posture, 24(2), 229-236. doi: 10.1016/j.gaitpost.2005.09.002
  35. Mocanu, G. D., Iordan, D. A., Mocanu, M. D., Cojocaru, M., & Nechifor, A. (2021). Investigation of plantar pressure and plantar imbalances in the static phase of karate do athletes. Balneo PRM Res J, 12(2), 133-144. doi: 10.12680/balneo.2021.433
  36. Nishizawa, K., Hashimoto, T., Hakukawa, S., Nagura, T., Otani, T., & Harato, K. (2022). Effects of foot progression angle on kinematics and kinetics of a cutting movement. J Exp Orthop, 9(1), 11. doi: 10.1186/s40634-022-00447-1.
  37. Patel, H. M., & Balaganapathy, M. (2024). Normative Values of Static-dynamic Plantar Pressure and its Cutoff Values. Indian J Med Spec, 15(1), 4-11. doi: 10.4103/injms.injms_35_23
  38. Ozaki, H., Brechue, W. F., Sakamaki, M., Yasuda, T., Nishikawa, M., Aoki, N., Ogita, F., & Abe, T. (2010). Metabolic and cardiovascular responses to upright cycle exercise with leg blood flow reduction. J Sports Sci Med, 9(2), 224-230.
  39. Rerucha, C. M., Dickison, C., & Baird, D. C. (2017). Lower extremity abnormalities in children. Am Fam Physician, 96(4), 226-233.
  40. Salvador, A. F., Schubert, K. R., de Oliveira Cruz, R. S., Corvino, R. B., Pereira, K. L., Caputo, F., & de Oliveira, M. F. M. (2016). Bilateral muscle strength symmetry and performance are improved following walk training with restricted blood flow in an elite paralympic sprint runner: Case study. Phys Ther Sport, 20, 1-6. doi: 10.1016/j.ptsp.2015.10.004
  41. Sivachandiran, S., & Kumar, G. (2016). Effect of corrective exercises programme among athletes with flat feet on foot alignment factors. Int J Phys Educ Sports Health, 3(6), 193-196.
  42. Thijs, Y., Van Tiggelen, D., Roosen, P., De Clercq, D., & Witvrouw, E. (2007). A prospective study on gait-related intrinsic risk factors for patellofemoral pain. Clin J Sport Med, 17(6), 437-445. doi: 10.1097/JSM.0b013e31815ac44f
  43. Wafai, L., Zayegh, A., Woulfe, J., Aziz, S. M., & Begg, R. (2015). Identification of foot pathologies based on plantar pressure asymmetry. Sensors (Basel), 15(8), 20392-20408. doi: 10.3390/s150820392
  44. Wang, Q., & Zhou, W. (2021). Roles and molecular mechanisms of physical exercise in cancer prevention and treatment. J Sport Health Sci, 10(2), 201-210. doi: 10.1016/j.jshs.2020.07.008
  45. von Schaumburg, L., Laurson, K. R., Thomas, D. Q., & Lagally, K. M. (2022). Submaximal testing to estimate aerobic capacity using a Matrix C5x stepmill. J Hum Kinet, 83, 121-129. doi: 10.2478/hukin-2022-0055
  46. Yalfani, A., & Asgarpoor, A. (2024). The effect of cognitive functional therapy on the plantar pressure distribution symmetry in patients with chronic non-specific low back pain: A randomized controlled trial. J Bodyw Mov Ther, 40, 1454-1459. doi: 10.1016/j.jbmt.2024.07.052
  47. Zacca, R., de Souza Castro, F. A., Monteiro, A. S. M., Pyne, D. B., Vilas-Boas, J. P., & Fernandes, R. J. P. (2023). Swimming with the COSMED AquaTrainer and K5 wearable metabolic system in breath-by-breath mode: accuracy, precision, and repeatability. Int J Sports Physiol Perform, 18(10), 1152-1160. doi: 10.1123/ijspp.2022-0386
  48. Grevendonk, L., Connell, N. J., McCrum, C., Fealy, C. E., Bilet, L., Bruls, Y. M.,. & Hoeks, J. (2021). Impact of aging and exercise on skeletal muscle mitochondrial capacity, energy metabolism, and physical function. Nat Commun, 12(1), 4773. doi: 10.1038/s41467-021-24956-2.
  49. Hoffman, N. J., Parker, B. L., Chaudhuri, R., Fisher-Wellman, K. H., Kleinert, M., Humphrey, S. J.,. & James, D. E. (2015). Global phosphoproteomic analysis of human skeletal muscle reveals a network of exercise-regulated kinases and AMPK substrates. Cell Metab, 22(5), 922-935. doi: 10.1016/j.cmet.2015.09.001