足部矫形器对跑步时下肢动力学的影响：系统文献回顾。
Effect of foot orthoses on lower extremity kinetics during running: a systematic literature review.
机构信息
Department of Podiatry, La Trobe University, Bundoora, Vic, 3086, Australia.
出版信息
J Foot Ankle Res. 2008 Nov 17;1(1):13. doi: 10.1186/1757-1146-1-13.
BACKGROUND
Throughout the period of one year, approximately 50% of recreational runners will sustain an injury that disrupts their training regimen. Foot orthoses have been shown to be clinically effective in the prevention and treatment of several running-related conditions, yet the physical effect of this intervention during running remains poorly understood. The aim of this literature review was therefore to evaluate the effect of foot orthoses on lower extremity forces and pressure (kinetics) during running.
METHODS
A systematic search of electronic databases including Medline (1966-present), CINAHL, SportDiscus, and The Cochrane Library occurred on 7 May 2008. Eligible articles were selected according to pre-determined criteria. Methodological quality was evaluated by use of the Quality Index as described by Downs & Black, followed by critical analysis according to outcome variables.
RESULTS
The most widely reported kinetic outcomes were loading rate and impact force, however the effect of foot orthoses on these variables remains unclear. In contrast, current evidence suggests that a reduction in the rearfoot inversion moment is the most consistent kinetic effect of foot orthoses during running.
CONCLUSION
The findings of this review demonstrate systematic effects that may inform the direction of future research, as further evidence is required to define the mechanism of action of foot orthoses during running. Continuation of research in this field will enable targeting of design parameters towards biomechanical variables that are supported by evidence, and may lead to advancements in clinical efficacy.
背景
在一年的时间里，大约有 50%的休闲跑步者会因受伤而中断训练计划。矫形鞋垫已被证明在预防和治疗几种与跑步相关的疾病方面具有临床效果，但这种干预措施在跑步过程中的物理效果仍知之甚少。因此，本次文献综述的目的是评估矫形鞋垫对跑步时下肢力和压力（动力学）的影响。
方法
于 2008 年 5 月 7 日对电子数据库（包括 Medline[1966 年至今]、CINAHL、SportDiscus 和 The Cochrane Library）进行了系统搜索。根据预先确定的标准选择符合条件的文章。使用 Downs 和 Black 所述的质量指数评估方法学质量，然后根据结果变量进行批判性分析。
结果
报道最多的动力学结果是加载率和冲击力，但矫形鞋垫对这些变量的影响仍不清楚。相比之下，目前的证据表明，在跑步过程中，矫形鞋垫对后足内翻力矩的影响最为一致。
结论
本次综述的结果表明存在系统效应，这可能为未来的研究指明方向，因为需要进一步的证据来确定矫形鞋垫在跑步过程中的作用机制。继续在该领域进行研究，将能够针对具有证据支持的生物力学变量来确定设计参数，从而可能提高临床疗效。
Zotero 插件