Pedobarography and Gait Analysis

How do you distribute your weight on your feet when standing? How do your feet roll when you walk? And are there any differences between your right and left sides?

With our digital foot pressure measurement, we can visualize these pressure patterns. Pedobarography complements the orthopedic examination at the ROC and provides us with objective information about how pressure is distributed across your feet while standing and walking. We don’t just look at individual measurements. What matters most is whether the results align with your symptoms, your movement patterns, and the rest of the examination findings.

What is a pedobarography?

Pedobarography is also known as digital foot pressure measurement. Pressure-sensitive sensors detect how the load is distributed beneath the soles of your feet. The results are then displayed on the screen as a color-coded pressure map.

This allows us, among other things, to assess:

  • how your weight is distributed across both feet
  • which areas are subject to particularly heavy or light stress
  • how your feet roll as you walk
  • whether the load on the right and left feet differs
  • how the center of pressure moves beneath the foot
  • whether certain areas are subjected to greater stress when standing or walking

Pedobarography shows us how weight is actually distributed across your feet. However, it does not automatically reveal the cause of any abnormalities. That is why, at our clinic, this measurement is always part of a comprehensive medical evaluation.

Foot Pressure Measurement While Standing and Walking

Depending on the specific issue, we perform pedobarography while the patient is standing, walking, or in both situations.

Static Foot Pressure Measurement

During the static measurement, please stand still on our measurement platform. This allows us to see how your body weight is distributed across both feet and the various areas of the soles of your feet.

The measurement may show, for example:

  • whether one foot bears more weight than the other
  • whether the weight is distributed more on the ball of the foot or the heel
  • whether the center of pressure shifts
  • whether there is an asymmetrical standing pattern

Dynamic Foot Pressure Measurement

During dynamic measurement, walk across the measurement surface at your usual pace. The sensors record how the pressure changes during foot contact and how the foot rolls from heel to toe.

This allows us to identify differences in stress that might not be visible when the subject is standing still.

Pedobarography and Gait Analysis: What's the Difference?

The terms "pedobarography" and "gait analysis" are often used interchangeably, but they do not mean exactly the same thing.

Pedobarography focuses on pressure distribution under the feet. It is therefore an important component of functional gait analysis.

In a more in-depth gait analysis, we also examine the interaction between the feet, leg axes, knees, hips, pelvis, and upper body. Depending on the specific issue, we can therefore combine foot pressure measurement with additional tests at the ROC.

When do we use pedobarography?

Measuring foot pressure can be useful for a variety of conditions and clinical questions, such as:

  • Pain in the sole of the foot, heel, midfoot, or forefoot
  • Discomfort when standing, walking, or running
  • unusual rolling behavior
  • suspected under- or overloading
  • recurring pressure points or calluses
  • Differences in load between the right and left foot
  • Symptoms Following Injuries or Surgeries
  • sports orthopedic issues
  • the review of existing deposits
  • planning for a potential supply of deposits
  • Follow-up visits after a therapeutic adjustment

Foot pressure measurements can also provide additional insights when dealing with knee, hip, or back pain. However, an abnormal pressure distribution pattern does not automatically mean that the source of the pain lies in that area.

Combination with 4D Spinal Measurement

At the ROC, we can combine pedobarography with our 4D spinal analysis when clinically indicated. While pedobarography measures pressure distribution under the feet, the 4D spinal analysis provides additional information on posture, the pelvis, and leg alignment. This allows us to evaluate different areas of the musculoskeletal system together. However, a doctor’s assessment remains crucial here as well: Not every measurable deviation causes symptoms or requires treatment.

Here's how we perform pedobarography

We start with a conversation. We’d like to know where your symptoms occur, when they worsen, and whether they change when you’re standing, walking, or running. Your work-related stress, athletic activities, footwear, and any insoles you already use may also be important factors in our assessment. After that, we’ll examine your feet and, if necessary, also assess your leg alignment, joints, and gait.

For the static measurement, please stand still on the sensor-equipped measurement surface. For the dynamic test, please walk across the platform several times at your usual pace. This allows us to capture a load pattern that is as representative as possible. Afterward, we’ll review the results with you. We’ll explain any abnormalities we observe and how they relate to your symptoms and the other test findings.

What happens after the exam?

Pedobarography provides us with additional information, but it does not automatically result in a treatment recommendation. Only by considering the combination of symptoms, physical examination, and measurement results can we determine whether any measures are appropriate and, if so, which ones.

Depending on the findings, we can discuss, for example:

  • whether the workload or training should be adjusted
  • which physical therapy exercises may be helpful
  • whether strength, coordination, or flexibility should be specifically trained
  • whether shoes or existing insoles should be checked
  • whether custom-made insoles are an option
  • whether further orthopedic examinations are necessary

Our goal is not to address every abnormality. We focus on the findings that are actually relevant to your symptoms and your daily life.

Gait Analysis at the ROC

During a gait analysis, we examine not only the pressure under your feet but also the sequence of movements as you walk. Among other things, we pay attention to how you land, roll through your stride, and shift your weight from one leg to the other.

Depending on the issue at hand, we evaluate:

  • placing and rolling the feet
  • Differences Between the Right and Left Sides
  • the distribution of weight while walking
  • the alignment and position of the feet
  • the interaction between the feet and the leg axes
  • Possible alternative or gentler patterns
  • Changes in gait caused by pain or limited mobility

If necessary, we combine gait analysis with pedobarography and our 4D spinal measurement. This allows us to include not only foot load but also other functional aspects—such as posture, pelvic position, and leg alignment—in our assessment.

Gait analysis shows us how you move when under stress. However, it cannot, on its own, determine the cause of an abnormality. That is why we always compare the results with your symptoms, the physical examination, and, if necessary, other diagnostic findings.

Schedule an appointment in Aschheim

ROC Ortho
Private Orthopedic Practice
St.-Emmeram-Str. 5
85609 Aschheim

Email: praxis@roc-ortho.de
Phone: +49 89 46259930

Opening hours

Monday7:30 a.m. – 6:00 p.m.
Tuesday7:30 a.m. – 6:00 p.m.
Wednesday7:30 a.m. – 8:00 p.m.
Thursday7:30 a.m. – 6:00 p.m.
Friday7:30 a.m. – 3:00 p.m.

Frequently Asked Questions About Pedobarography

Is the foot pressure measurement painful?

No. Pedobarography is painless, noninvasive, and does not involve X-rays.

Do I have to be barefoot for the measurement?

Measurements on our pressure measurement platform are typically taken without shoes. You will receive more detailed instructions when you schedule your appointment.

Should I bring my shoes and insoles?

Yes. It’s best to bring the shoes you wear most often or the ones that cause you discomfort. If you already use insoles, you should bring those to the appointment as well.

Does pedobarography detect foot misalignment?

The measurement can reveal abnormal pressure and stress patterns. We determine whether a foot deformity is present and what its significance is based on a physical examination and, if necessary, additional findings.

Does an abnormal pressure distribution require treatment?

Not necessarily. Abnormal test results can occur even in the absence of symptoms. Treatment is particularly advisable when the test results, your symptoms, and the other findings from your examination are consistent with one another.

Can the test determine the cause of knee or back pain?

Pedobarography can reveal differences in weight-bearing that are relevant for further examination. However, it cannot, on its own, prove that knee, hip, or back pain is caused by the feet.

Can existing deposits be reviewed?

Foot pressure measurement can provide insight into how the load changes with or without insoles. We’ll determine whether an adjustment is necessary based on your symptoms and the results of a physical examination.

Can the pedobarography be repeated?

Yes. Since the examination does not involve X-rays, it can be repeated if necessary. In doing so, we take into account that factors such as walking speed, pain, and how the patient is feeling on a given day can influence the results.