[1]戴长安 殷继超△ 胡兴律 吴国昊 雷程翔 王军 刘平博 赵庭瑞.跖筋膜炎患者的足底生物力学特征分析[J].中国中医骨伤科杂志,2020,28(06):21-25.
　DAI Changan YIN Jichao HU Xinglu WU Guohao LEI Chengxiang WANG JunLIU Pingbo ZHAO Tingrui.Biomechanical Characteristics of Plantar inPatients with Plantar Fasciitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2020,28(06):21-25.
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跖筋膜炎患者的足底生物力学特征分析()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第28卷
期数:
2020年06期
页码:
21-25
栏目:
临床研究
出版日期:
2020-06-10

文章信息/Info

Title:
Biomechanical Characteristics of Plantar inPatients with Plantar Fasciitis
文章编号:
1005-0205(2020)06-0021-05
作者:
戴长安1 殷继超2△ 胡兴律2 吴国昊1 雷程翔1 王军1 刘平博2 赵庭瑞3
1陕西中医药大学(陕西 咸阳,712046)2西安市中医医院3洛阳市第三人民医院骨科
Author(s):
DAI Changan1 YIN Jichao2△ HU Xinglu2 WU Guohao1 LEI Chengxiang1 WANG Jun1LIU Pingbo2 ZHAO Tingrui3
1Shaanxi University of Chinese Medicine,Xianyang 712046,Shaanxi China; 2Xi’an Traditional Chinese Medicine Hospital,Xi’an 710021,China; 3Department of Orthopaedics,the Third People’s Hospital of Luoyang,Luoyang 471002,Henan China.
关键词:
跖筋膜炎;  足底压力;  生物力学;  疼痛
Keywords:
plantar fasciitis;  plantar pressure;  biomechanics;  pain
分类号:
R686.3
文献标志码:
A
摘要:
目的:对比跖筋膜炎患者与健康者足底压力相关指标,分析跖筋膜炎患者的足底生物力学特征。方法:收集60例符合纳入标准的跖筋膜炎患者为患者组,60例足部健康受试者为健康组,测量并对比分析两组受试者的足底压力相关指标。结果:患者组后足接触面积较健康组小(P<0.05),且差异凸显于后足内侧(HM); 患者组第3,4跖骨的冲量及平均压力较健康组大(P<0.05); 患者组足1～5趾峰值压强小于健康组(P<0.05)。结论:跖筋膜炎患者的足底生物力学特征表现为疼痛最为明显的后足内侧部位的接触面积变小,足底压力更偏向于前足及足外侧。由于后足局部的疼痛,迫使患者踮脚用前足行走,并以足的前外侧部分承重,因此跖筋膜炎患者行走时足部特征表现为轻度跖屈及内翻。对患者足底压力分析可以反映足底筋膜炎患者的疼痛状态。
Abstract:
Objective:To study the biomechanical characteristics of plantar in patients with plantar fasciitis by comparing and analyzing the related indexes of plantar pressure between them and healthy group.Methods:60 patients with plantar fasciitis who met the inclusion criteria were selected as the patient group,and 60 healthy subjects were selected as the healthy group.The relevant indexes of plantar pressure were measured and compared between the two groups.Results:The contact area of hind foot of patients was smaller than that of healthy people(P<0.05),and the difference was prominent in the medial hind foot.The impulse and average pressure of the third and fourth metatarsal bones of patients were larger than those of healthy people(P<0.05).The peak pressure and maximum pressure of the patients’ soles were not significantly different from those of normal people(P<0.05).Conclusion:The plantar biomechanical characteristics of the patients with plantar fasciitis heel pain show that the medial contact area of the posterior foot is smaller in the medial part of the posterior foot,and the plantar pressure is more inclined to the anterior foot and the lateral part of the foot.Because of the pain on the medial side of the hind foot,the patient is forced to walk on tiptoe with the forefoot and bear the weight on the anterolateral part of the foot,the foot of the patient with plantar fasciitis is characterized by slight plantar flexion and varus.The analysis of plantar pressure can well reflect the pain state of patients with plantar fasciitis,which is very consistent with the previous clinical observation.

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备注/Memo

备注/Memo:
(收稿日期:2019-12-09)基金项目:陕西科技厅社会发展项目(2018SF-271); 陕西省中药管理局项目2017(LCMS060); 西安市中医药管理局科研项目(018-01)△通信作者 E-mail:444604786@qq.com
更新日期/Last Update: 2020-06-10