Bertsch Carola, Unger Heidi, Winkelmann Winfried, Rosenbaum Dieter
Motion Analysis Lab, Orthopaedic Department, University Hospital Muenster, Muenster, Germany.
Gait Posture. 2004 Jun;19(3):235-42. doi: 10.1016/S0966-6362(03)00064-X.
This study evaluated developmental changes of foot and gait during the first year of independent walking. In a longitudinal design, plantar pressure distribution patterns were measured with a capacitive platform every 3 months in a group of 42 normal children. The first significant changes were already found after a few weeks of independent walking. The development of the longitudinal arch correlated with significantly reduced midfoot loading parameters even though the changes showed a wide interindividual variation. This study illustrates that a child's foot goes through significant changes in shape and loading characteristics once the child starts to stand and walk. Some children showed a fairly mature appearance of the plantar pressure pattern after 1 year while others retained a more immature loading pattern.
本研究评估了独立行走第一年期间足部和步态的发育变化。在一项纵向研究设计中,使用电容式平台每3个月对42名正常儿童进行足底压力分布模式测量。在独立行走几周后就已经发现了首个显著变化。纵弓的发育与中足负荷参数显著降低相关,尽管这些变化存在较大的个体间差异。本研究表明,儿童一旦开始站立和行走,其足部的形状和负荷特征就会经历显著变化。一些儿童在1年后足底压力模式呈现出相当成熟的外观,而另一些儿童则保持着更不成熟的负荷模式。