Lee Winson C C, Lee Christina K L, Leung Aaron K L, Hutchins Stephen W
Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
J Rehabil Res Dev. 2012;49(3):459-66. doi: 10.1682/jrrd.2011.03.0049.
When taking molds for foot orthoses, it is accepted practice to position the subtalar joint in its neutral position. However, foot orthoses have no contact with the talus, and this leads to a hypothesis that as long as there is correction available to appropriately align the forefoot relative to the hindfoot when taking a mold, changes in subtalar joint angles do not lead to significant alterations in the plantar surface shapes of the molds taken. This study tested this presumption with 20 subjects between 22 and 46 years old. During non-weight-bearing casting, the subtalar joints were aligned at positions of 4° of eversion, 2° of eversion, 2° of inversion, and in neutral. At each orientation, forces were applied over the forefoot such that the metatarsal heads were aligned with the rearfoot. Digital scanning was used to analyze the shape of each negative mold. There were significant changes in projection volume in different subtalar joint orientations. However, the changes in arch heights, navicular height, and protrusion were insignificant and very small. It is therefore suggested that as long as the forefoot and hindfoot are appropriately aligned, variations in the orientation of the subtalar joint would be acceptable.
制作足部矫形器的模具时,通常的做法是将距下关节置于中立位。然而,足部矫形器并不与距骨接触,这就引出了一个假设:在取模时,只要有方法能适当地使前足相对于后足对齐,距下关节角度的变化不会导致所取模具足底表面形状的显著改变。本研究对20名年龄在22至46岁之间的受试者进行了测试。在非负重铸型过程中,距下关节分别处于外翻4°、外翻2°、内翻2°和中立位。在每个位置,在前足施加力,使跖骨头与后足对齐。使用数字扫描分析每个阴模的形状。不同距下关节方向的投影体积有显著变化。然而,足弓高度、舟骨高度和突出度的变化不显著且非常小。因此,建议只要前足和后足适当对齐,距下关节方向的变化是可以接受的。