文章摘要
陈盼盼,刘夕东,韩林林,陈振邦,李伟,白翔.学龄儿童柔软性扁平足足底压力分布特征[J].中国康复,2021,36(4):226-230
学龄儿童柔软性扁平足足底压力分布特征
Characteristics of plantar pressure distribution of school-age children with flexible flatfoot
  
DOI:
中文关键词: 扁平足  足底压力  参数  儿童
英文关键词: flatfoot  plantar pressure  parameters  children
基金项目:
作者单位
陈盼盼 成都中医药大学附属四川省康复医院辅具中心成都 611135 
刘夕东 成都中医药大学附属四川省康复医院辅具中心成都 611135 
韩林林 成都中医药大学附属四川省康复医院辅具中心成都 611135 
陈振邦 成都中医药大学附属四川省康复医院辅具中心成都 611135 
李伟 成都中医药大学附属四川省康复医院辅具中心成都 611135 
白翔 成都中医药大学附属四川省康复医院辅具中心成都 611135 
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中文摘要:
  目的:探索学龄儿童柔软性扁平足生物力学参数化研究,为临床儿童柔软性扁平足干预方案提供佐证。方法:利用Sensor Media 型号为FM6050的压力测试板和freestep pro分析软件采集分析16例6~9岁柔软性扁平足儿童和16例6~9岁正常足弓儿童的站立和步行状态下的足底压力分布数据,探索儿童柔软性扁平足与正常足弓儿童的足底压力分布差异。结果:观察组前足A区(P=0.001)和B区(P=0.009)负荷低于对照组,观察组中足D区(P=0.000)负荷高于对照组。观察组与对照组在步行状态下足底最大冲量存在差异,观察组最大冲量在内侧跟骨,对照足最大冲量在第2、3跖骨,且观察组内侧足弓冲量高于对照组(P=0.002)。结论:学龄儿童因足弓发育的问题导致足底压力分布的异常,即便是无症状的,也是有必要做进一步评估的。监测学龄儿童足底压力,对柔软性扁平足预防和指导康复具有临床意义。
英文摘要:
  Objective: To explore the biomechanical parameterization of school-age children with flexible flatfoot, and provide evidence for the intervention program of clinical children with flexible flatfoot. Methods: The plantar pressure distribution data of 16 children with flexible flatfoot aged 6-9 years and 16 children with normal arch aged 6-9 years were collected and analyzed by Sensor Media pressure test board FM6050 and freestep pro analysis software to explore the difference in plantar pressure distribution between children with flexible flatfoot and children with normal arch. Results: The load of forefoot area a (P=0.001) and area b (P=0.009) in experimental group was lower than that in control group, while the load of midfoot area d (P=0.000) in experimental group was higher than that in control group, and the difference was significant. There were differences in the maximum pressure impulse of the plantar when walking between the experimental group and the control group. The maximum pressure impulse of the experimental group was in the medial calcaneus, while that in the control foot was in the second and third metatarsals, and the pressure impulse of the medial arch in the experimental group was higher than that in the control group (P=0.002). Conclusion: School-age children’s plantar pressure distribution is abnormal due to arch development, even if it is asymptomatic, it is necessary to make further evaluation. Monitoring the plantar pressure of school-age children is of clinical significance for preventing and guiding the rehabilitation of flexible flatfoot.
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