Zhai Jun Na, Wang Jue, Qiu Yu Sheng
Key Laboratory of Biomedical Information Engineering of Ministry of Education, Research Center of Rehabilitation Science and Technology, School of Life Science and Technology, Xi'an Jiaotong University, National Engineering Research Center of Health Care and Medical Devices, Xi'an Jiaotong University Branch, China.
Department of Orthopaedics, The First Affiliated Hospital of Xi'an Jiaotong University, China.
J Phys Ther Sci. 2017 Apr;29(4):641-646. doi: 10.1589/jpts.29.641. Epub 2017 Apr 20.
[Purpose] This study observed the plantar pressure between flexible flatfoot and normal foot on different walking conditions to find out if flexible flatfoot needs the treatment and how the plantar pressure change while walking upstairs and downstairs. [Subjects and Methods] Fifteen adults with mild flexible flatfoot, fifteen adults with severe flexible flatfoot and fifteen adults with normal foot were examined while walking on a level surface, walking up and down 10 cm and 20 cm stairs. The max force and the arch index were acquired using the RSscan system. The repeated measures ANOVA was performed to analyze the data. [Results] Compared with normal foot, both max force and arch index of severe flatfoot were significantly increased on different walking conditions. When walking down 10 cm and 20 cm stairs, the plantar data of both normal foot and flatfoot were significantly increased. [Conclusion] The plantar pressure of severe flexible flatfoot were significantly larger than that of normal foot on different walking conditions. In addition, the arches of both normal foot and flatfoot were obviously deformed when walking downstairs. It is therefore necessary to be treated for severe flexible flatfoot to prevent further deformation.
[目的] 本研究观察了柔韧性扁平足与正常足在不同行走条件下的足底压力,以确定柔韧性扁平足是否需要治疗,以及上下楼梯时足底压力如何变化。[对象与方法] 选取15例轻度柔韧性扁平足成年人、15例重度柔韧性扁平足成年人及15例正常足成年人,在水平地面行走、上下10 cm和20 cm楼梯时进行检查。使用RSscan系统获取最大力和足弓指数。采用重复测量方差分析进行数据分析。[结果] 与正常足相比,重度扁平足在不同行走条件下的最大力和足弓指数均显著增加。在下10 cm和20 cm楼梯时,正常足和扁平足的足底数据均显著增加。[结论] 重度柔韧性扁平足在不同行走条件下的足底压力明显大于正常足。此外,正常足和扁平足在下楼梯时足弓均明显变形。因此,重度柔韧性扁平足有必要进行治疗以防止进一步变形。