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65岁以上女性足部畸形与姿势控制的关系

The foot deformity versus postural control in females aged over 65 years.

作者信息

Drzal-Grabiec Justyna, Rachwał Maciej, Trzaskoma Zbigniew, Rykała Justyna, Podgórska-Bednarz Justyna, Cichocka Izabela, Truszczyńska Aleksandra, Rąpała Kazimierz

机构信息

Institute of Physiotherapy, Medical Faculty, University of Rzeszów, Rzeszów, Poland.

Physiotherapy Department, Faculty of Rehabilitation, Józef Piłsudski University of Physical Education in Warsaw, Warsaw, Poland.

出版信息

Acta Bioeng Biomech. 2014;16(4):75-82.

PMID:25597322
Abstract

PURPOSE

Correct foot structure is important due to locomotion and postural stability. The aim of this study was to determine the relationships between morphological foot structure and balance indices in a quiet standing position in women over 65 years of age.

METHODS

The study included 116 women aged 65-90 years. The mean age was 70.6 ± 8.4 years and BMI 29.1 ± 3.4 m/kg2. The measured indices included postural control while standing on both feet and photogrammetric foot evaluation. An analysis was performed of the selected foot and balance indices.

RESULTS

There were no significant differences observed in the feet structure. Certain correlations between some foot indices and the indices of postural control were noted. The increased differences in the width indices between the right and the left foot lead to balance deterioration. Larger angles of valgity and varus deformity of toes and indices describing the longitudinal arch and transverse front arch of the foot have the greatest impact on the deterioration of balance in the medio-lateral axis.

CONCLUSIONS

The differences between the indices and morphological indices for the right and the left foot are not significant, which indicates the proportionate formation of feet in the individual life. The increased differences in the width indices between the right and the left foot lead to balance deterioration. Larger angles of valgity and varus deformity of toes and indices describing the longitudinal arch and transverse front arch of the foot have the greatest impact on the deterioration of balance in the medio-lateral axis.

摘要

目的

由于运动和姿势稳定性,正确的足部结构很重要。本研究的目的是确定65岁以上女性在安静站立姿势下足部形态结构与平衡指标之间的关系。

方法

该研究纳入了116名65 - 90岁的女性。平均年龄为70.6±8.4岁,体重指数为29.1±3.4m/kg²。测量指标包括双脚站立时的姿势控制和足部摄影测量评估。对选定的足部和平衡指标进行了分析。

结果

足部结构未观察到显著差异。注意到一些足部指标与姿势控制指标之间存在一定的相关性。左右脚宽度指标差异的增加会导致平衡能力下降。脚趾外翻和内翻畸形的角度增大以及描述足部纵弓和横弓前部的指标对内外侧轴平衡能力的下降影响最大。

结论

左右脚指标与形态学指标之间的差异不显著,这表明在个体生命中足部形成比例正常。左右脚宽度指标差异的增加会导致平衡能力下降。脚趾外翻和内翻畸形的角度增大以及描述足部纵弓和横弓前部的指标对内外侧轴平衡能力的下降影响最大。

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