Lorkowski Jacek, Hładki Waldemar, Galicka-Latała Danuta, Trybus Marek, Brongel Leszek
Klinika Medycyny Ratunkowej i Obrazeń Wielonarzadowych, II Katedry Chirurgii Collegium Medicum, Uniwersytetu Jagiellońskiego w Krakowie.
Przegl Lek. 2009;66(9):513-8.
Estimation of underfoot pressure distribution of female patients with obesity and bilateral plantar fasciitis.
45 women aged 58 (SD +/- 9.0) with obesity confirmed by BMI (BMI = 38.2, SD +/- 5.1) and hindfoot-related bilateral pain complaints typical for plantar fasciitis. The control group consisted of 50 women with no obesity and pathologies of motor apparatus found.
Clinical and radiological examination and postural pedobarography. The underfoot pressure was determined at defined foot regions according to modified Blomgren classification.
When compared with the control group, patients with obesity had increased pressure within metatarsus, mainly in its lateral part and within anterior part of hindfoot (MT5, MM, LM, T zone). The maximal value of underfoot pressure was 1052 g/cm2 in patients with obesity and 784 g/cm2 in the control group. There were no statistically significant differences found between underfoot pressures and stronger and lesser pain complaints occurring in one patient.
评估肥胖且患有双侧足底筋膜炎的女性患者的足底压力分布情况。
45名年龄为58岁（标准差±9.0）的女性，通过体重指数（BMI = 38.2，标准差±5.1）确诊为肥胖，且有后足相关的双侧疼痛主诉，这是足底筋膜炎的典型症状。对照组由50名未发现肥胖及运动器官病变的女性组成。
进行临床和放射学检查以及姿势性足底压力测量。根据改良的布洛姆格伦分类法，在特定的足部区域测定足底压力。
与对照组相比，肥胖患者在跖骨内压力增加，主要在其外侧部分以及后足前部（MT5、MM、LM、T区）。肥胖患者的足底压力最大值为1052克/平方厘米，对照组为784克/平方厘米。在一名患者中，足底压力与较强和较弱的疼痛主诉之间未发现统计学上的显著差异。
1）在患有双侧足底筋膜炎的肥胖女性中，发现足底压力主要在跖骨外侧部分和后足前部增加。2）上述变化与在访谈和体格检查中确认的足部功能障碍相关。
