The foot arch functions as a dynamic biomechanical system, maintained by the integrated actions of bones, ligaments, and muscles. A large body of clinical evidence indicates that, in addition to congenital foot deformities, acquired variations in the foot arch caused by factors such as poor gait, aging, weight, or injury can significantly affect quality of life. Early intervention upon detection of foot arch changes can help mitigate progression and prevent further deterioration. Despite the availability of multimodal sensor-integrated running platforms for gait analysis, such systems are inherently bulky and not conducive to routine walking measurement. To overcome the above limitations, this study employed a flexible plantar pressure insole with an integrated accelerometer and a dedicated acquisition circuit to capture plantar pressure and acceleration data. This smart insole system acquires plantar data, performs feature extraction via time–domain and wavelet analysis, and then employs machine learning to classify the foot arch type as a normal foot, flatfoot, or high-arched. A Random Forest classifier was then established to categorize foot arch types based on the collected data, which integrates numerous decision trees through bootstrap aggregation and random feature selection, with final classification determined by majority voting. A total of 30 volunteers participated, including 11 with normal arches, 11 with flat feet, and 8 with high arches. Compared with support vector machine, K nearest neighbors, and decision tree, the Random Forest achieved the highest recognition accuracy of 92%. This system reveals the patterns of plantar pressure distribution and acceleration fluctuations during walking across three foot arches and demonstrates that wavelet entropy can effectively quantify the changes in signal complexity included in foot arch differences. Compared with laboratory force plates, this system features lower cost and a smaller form factor, making it suitable for real-time monitoring. This system can lay the technical foundation for personalized foot orthopedics and health monitoring.
Zhu et al. (Mon,) studied this question.