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足底筋膜炎患者行走时多节段足部运动学和地面反作用力。

Multi-segment foot kinematics and ground reaction forces during gait of individuals with plantar fasciitis.

机构信息

Biomechanics Laboratory, Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA 01003, USA.

Biomechanics Laboratory, Department of Kinesiology, University of Massachusetts Amherst, Amherst, MA 01003, USA; New Balance Sports Research Laboratory, Lawrence, MA 01843, USA.

出版信息

J Biomech. 2014 Aug 22;47(11):2571-7. doi: 10.1016/j.jbiomech.2014.06.003. Epub 2014 Jun 11.


DOI:10.1016/j.jbiomech.2014.06.003
PMID:24992816
Abstract

BACKGROUND: Clinically, plantar fasciitis (PF) is believed to be a result and/or prolonged by overpronation and excessive loading, but there is little biomechanical data to support this assertion. The purpose of this study was to determine the differences between healthy individuals and those with PF in (1) rearfoot motion, (2) medial forefoot motion, (3) first metatarsal phalangeal joint (FMPJ) motion, and (4) ground reaction forces (GRF). METHODS: We recruited healthy (n=22) and chronic PF individuals (n=22, symptomatic over three months) of similar age, height, weight, and foot shape (p>0.05). Retro-reflective skin markers were fixed according to a multi-segment foot and shank model. Ground reaction forces and three dimensional kinematics of the shank, rearfoot, medial forefoot, and hallux segment were captured as individuals walked at 1.35 ms(-1). RESULTS: Despite similarities in foot anthropometrics, when compared to healthy individuals, individuals with PF exhibited significantly (p<0.05) (1) greater total rearfoot eversion, (2) greater forefoot plantar flexion at initial contact, (3) greater total sagittal plane forefoot motion, (4) greater maximum FMPJ dorsiflexion, and (5) decreased vertical GRF during propulsion. CONCLUSION: These data suggest that compared to healthy individuals, individuals with PF exhibit significant differences in foot kinematics and kinetics. Consistent with the theoretical injury mechanisms of PF, we found these individuals to have greater total rearfoot eversion and peak FMPJ dorsiflexion, which may put undue loads on the plantar fascia. Meanwhile, increased medial forefoot plantar flexion at initial contact and decreased propulsive GRF are suggestive of compensatory responses, perhaps to manage pain.

摘要

背景:临床上,足底筋膜炎(PF)被认为是过度旋前和过度负重的结果和/或延长的结果,但几乎没有生物力学数据支持这一说法。本研究的目的是确定健康个体与 PF 个体之间在(1)后足运动、(2)中足前足运动、(3)第一跖趾关节(FMPJ)运动和(4)地面反作用力(GRF)方面的差异。 方法:我们招募了年龄、身高、体重和足型相似的健康个体(n=22)和慢性 PF 个体(n=22,症状持续三个月以上)(p>0.05)。根据多节足和小腿模型固定反光皮肤标记物。当个体以 1.35 ms(-1) 的速度行走时,捕获小腿、后足、中足前足和大脚趾段的地面反作用力和三维运动学。 结果:尽管足部人体测量学相似,但与健康个体相比,PF 个体表现出明显(p<0.05)(1)更大的总后足外翻、(2)初始接触时更大的前足跖屈、(3)更大的总矢状面前足运动、(4)更大的 FMPJ 最大背屈度和(5)推进时垂直 GRF 降低。 结论:与健康个体相比,PF 个体的足部运动学和动力学存在明显差异。与 PF 的理论损伤机制一致,我们发现这些个体的总后足外翻和 FMPJ 最大背屈度更大,这可能会给足底筋膜带来不必要的负荷。同时,初始接触时中足前足跖屈增加和推进时 GRF 降低表明存在代偿反应,可能是为了缓解疼痛。

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引用本文的文献

[1]
Running Distance and Biomechanical Risk Factors for Plantar Fasciitis: A 1-yr Prospective 4HAIE Cohort Study.

Med Sci Sports Exerc. 2025-4-1

[2]
Foot kinematics and kinetics data for different static foot posture collected using a multi-segment foot model.

Sci Data. 2024-11-30

[3]
Non-linear interactions among hip and foot biomechanical factors predict foot pronation during walking in women.

Braz J Phys Ther. 2024

[4]
A preliminary investigation into the impact of shock wave therapy and sonotherapy on postural control of stepping tasks in patients with Achilles tendinopathy.

Front Neurol. 2023-6-2

[5]
Effects of customized insoles with medial wedges on lower extremity kinematics and ultrasonographic findings in plantar fasciitis persons.

Sci Rep. 2023-5-27

[6]
Plantar Fasciitis in Soccer Players-A Systemic Review.

Int J Environ Res Public Health. 2022-11-3

[7]
Effects of Foot-Core Training on Foot-Ankle Kinematics and Running Kinetics in Runners: Secondary Outcomes From a Randomized Controlled Trial.

Front Bioeng Biotechnol. 2022-4-14

[8]
Effect of Long-Distance Running on Inter-segment Foot Kinematics and Ground Reaction Forces: A Preliminary Study.

Front Bioeng Biotechnol. 2022-3-4

[9]
Relationships between Plantar Pressure Distribution and Rearfoot Alignment in the Taiwanese College Athletes with Plantar Fasciopathy during Static Standing and Walking.

Int J Environ Res Public Health. 2021-12-8

[10]
Time-integrated propulsive and braking impulses do not depend on walking speed.

Gait Posture. 2021-7

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