Tuna Hakan, Yildiz Mustafa, Celtik Coşkun, Kokino Siranuş
Department of Physical Therapy and Rehabilitation, Medicine Faculty of Trakya University, Edirne, Turkey.
Acta Orthop Traumatol Turc. 2004;38(3):200-5.
This study was designed to determine normal values of pedobarography during standing and walking in adolescents in our country and to investigate correlations between demographic data and pedobarographic values.
Fifty volunteers (25 girls, 25 boys; mean age 14 years; range 13 to 15 years) who were found to have healthy feet according to the AOFAS (American Orthopaedic Foot and Ankle Society) clinical rating system for the ankle and foot were enrolled into the study. Plantar pressures were measured during standing and walking tasks with the use of the Mini-Emed pedobarographic device.
Static measurements showed significantly higher pedobarographic values for right medial forefoot and toes in girls, and for left midfoot in boys (p<0.05). Overall, no significant differences existed between static pressure values for the right and left feet. The mean right medial foot pressure was higher than that of the contralateral foot in girls. There were no significant differences between the right and left feet in boys. Dynamic measurements showed a significantly larger contact area of the right foot in boys, and a significantly higher maximum plantar pressure of the left medial forefoot in girls (p<0.05). The strength of the correlation of body weight and body mass index was high with maximum plantar pressures (r=0.87 and r=0.83), and moderate with contact area of the foot (r=0.63 and r=0.59) in static measurements. Body weight (r=0.64) and body mass index (r=0.54) were moderately correlated with contact area of the foot in dynamic measurements.
Appreciation of normal plantar pressure values in adolescents is important in monitoring the development stages of foot, in the assessment of foot disorders, and in making proper footwear modifications in compliance with age.
本研究旨在确定我国青少年站立和行走时足底压力描记法的正常值,并探讨人口统计学数据与足底压力描记值之间的相关性。
根据美国足踝外科协会(AOFAS)的踝足临床评分系统,选取50名足部健康的志愿者(25名女孩,25名男孩;平均年龄14岁;年龄范围13至15岁)纳入研究。使用Mini-Emed足底压力描记设备测量站立和行走任务期间的足底压力。
静态测量显示,女孩右前足内侧和脚趾以及男孩左中足的足底压力描记值显著更高(p<0.05)。总体而言,左右脚的静态压力值之间没有显著差异。女孩右足内侧的平均压力高于对侧脚。男孩左右脚之间没有显著差异。动态测量显示,男孩右脚的接触面积显著更大,女孩左前足内侧的最大足底压力显著更高(p<0.05)。在静态测量中,体重和体重指数与最大足底压力的相关性强度较高(r=0.87和r=0.83),与足部接触面积的相关性为中等(r=0.63和r=0.59)。在动态测量中,体重(r=0.64)和体重指数(r=0.54)与足部接触面积呈中等相关性。
了解青少年正常的足底压力值对于监测足部发育阶段、评估足部疾病以及根据年龄进行适当的鞋类调整非常重要。