Lampe R, Mitternacht J, Gerdesmeyer L, Gradinger R
Orthopädische Abteilung des Klinikums rechts der Isar der Technischen Universität München.
Klin Padiatr. 2005 Mar-Apr;217(2):70-5. doi: 10.1055/s-2004-818790.
The aim of this study was to consider whether changes occur in the foot area while under repeated physical stress and if they are age related. In addition it interests what consequences this might have in regard to proper shoe wear. The subjects for this study consisted of 15 children and youths aged between 4 and 16 years. The plantar pressure distribution and vertical ground reaction forces were measured before and after physical exercise. The subjects first ran a given distance wearing sport shoes, had a rest and then ran the same distance barefoot. The results showed marked age related differences after exercise. The pressure values were increased in all of the youths in the middle foot region. In comparison young children always exhibited an unbound gait pattern without any dynamic foot roll during heel strike or toe-off. The forefoot had ground contact from the beginning of the stance phase. To compensate for the lack of dynamic foot roll it is recommended that children wear a shoe with a soft sole and with sufficient space for toe movement. The sports shoe for youths should grip the heel and support the longitudinal arch to prevent an incorrect weight distribution.
本研究的目的是探讨在反复承受身体压力时足部区域是否会发生变化,以及这些变化是否与年龄有关。此外,这可能对合适的鞋类穿着产生何种影响也很有趣。本研究的受试者包括15名年龄在4至16岁之间的儿童和青少年。在体育锻炼前后测量足底压力分布和垂直地面反作用力。受试者首先穿着运动鞋跑一段给定的距离,休息后再赤脚跑相同的距离。结果显示,锻炼后存在明显的年龄相关差异。所有青少年中足区域的压力值都有所增加。相比之下,幼儿在脚跟触地或脚趾离地时总是表现出一种无束缚的步态模式,没有任何动态的足部滚动。从站立阶段开始,前脚掌就与地面接触。为了弥补动态足部滚动的不足,建议儿童穿鞋底柔软、脚趾有足够活动空间的鞋子。青少年运动鞋应贴合脚跟并支撑足弓,以防止体重分布不当。