Giannini S, Catani F, Ceccarelli F, Girolami M, Benedetti M G
Clinica Ortopedica II, Istituto Ortopedico Rizzoli, Bologna.
Ital J Orthop Traumatol. 1992;18(2):241-51.
In recent years research into joint physiology and biomechanics of movement has employed high-technology instruments to quantify the parameters which determine whether the behavior of a joint or kinematic chain is normal or pathologic. Motion analysis, featuring evaluation of both kinematics and the foot-ground reaction, enables us to measure the temporal and quantitative events of normal and pathologic gaits. The use of motion analysis in the study of flat foot has confirmed the ability to discriminate between "normal" and pathologic. Analysis of these themes has enabled us to follow the temporal evolution of the quantitative parameters both before and after treatment, which can be either surgical or conservative. Evaluation of the kinematic changes and the foot-ground reaction also provides information about the quality and effectiveness of the corrective treatment. For instance, the change in the subtalar alignment following application of an endo-orthotic implant can be targeted for validation by motion analysis. All of the joints comprised in the kinematic chain of the lower limb work together to achieve a symmetrical, rhythmic, and most of all harmonic gait.
近年来，对关节生理学和运动生物力学的研究采用了高科技仪器来量化那些决定关节或运动链行为是正常还是病态的参数。运动分析以对运动学和足-地反应的评估为特色，使我们能够测量正常和病态步态的时间和定量事件。在扁平足研究中使用运动分析已证实其具有区分“正常”和病态的能力。对这些主题的分析使我们能够追踪治疗前后（手术或保守治疗）定量参数的时间演变。对运动学变化和足-地反应的评估也提供了有关矫正治疗质量和效果的信息。例如，应用内置矫形植入物后距下关节排列的变化可通过运动分析进行验证。下肢运动链中的所有关节共同协作，以实现对称、有节奏且最重要的是协调的步态。
