Thompson M A, Hoffman K M
Exercise Science Department, Fort Lewis College, Durango, CO 81301, United States.
Department of Orthopedics, Denver Health Medical Center, Denver, CO 80204, United States; Department of Vascular Surgery/Podiatry University of Colorado Medical School, Denver, CO 80045, United States.
Gait Posture. 2017 Sep;57:305-309. doi: 10.1016/j.gaitpost.2017.06.269. Epub 2017 Jun 27.
It has long been proposed that the gait alterations associated with barefoot running are mediated by alterations in sensory feedback, yet there has been no data to support this claim. Thus, the purpose of this study was to examine the role of superficial plantar cutaneous feedback in barefoot and shod running.
10 healthy active subjects (6 male, 4 female); mass: 65.2+9.7kg; age: 27+7.1years participated in this study. 10 over-ground running trials were completed in each of the following conditions: barefoot (BF), shod (SHOD), anesthetized barefoot (ANEST BF) and anesthetized shod (ANEST SHOD). For the anesthetized conditions 0.1-0.3mL of 1% lidocaine was injected into the dermal layer of the plantar foot below the metatarsal heads, lateral column and heel. 3-dimensional motion analysis and ground reaction force (GRF) data were captured as subjects ran over a 20m runway with a force plate at 12m. Kinematic and kinetic differences were analyzed via two-way repeated measure ANOVAs.
The differences in gait between the BF and SHOD conditions were consistent with previous research, with subjects exhibiting a significant decrease in stride length and changing from rearfoot strike when SHOD to fore/midfoot strike when BF. Additionally, BF running was associated with decreased impact peak magnitudes and peak vertical GRFs. Despite anesthetizing the plantar surface, there was no difference between the BF and ANEST BF conditions in terms of stride length, foot strike or GRFs.
Superficial cutaneous sensory receptors are not primarily responsible for the gait changes associated with barefoot running.
长期以来,人们一直认为与赤足跑步相关的步态改变是由感觉反馈的改变介导的,但一直没有数据支持这一说法。因此,本研究的目的是探讨足底皮肤浅层反馈在赤足和穿鞋跑步中的作用。
10名健康的活跃受试者(6名男性,4名女性);体重:65.2±9.7kg;年龄:27±7.1岁参与了本研究。在以下每种条件下完成10次地面跑步试验:赤足(BF)、穿鞋(SHOD)、麻醉赤足(ANEST BF)和麻醉穿鞋(ANEST SHOD)。对于麻醉条件,将0.1 - 0.3mL的1%利多卡因注射到跖骨头、外侧柱和足跟下方的足底真皮层。当受试者在20米跑道上跑步,在12米处设有测力台时,采集三维运动分析和地面反作用力(GRF)数据。通过双向重复测量方差分析来分析运动学和动力学差异。
BF和SHOD条件下的步态差异与先前的研究一致,受试者的步幅显著减小,并且从穿鞋时的后足着地变为赤足时的前足/中足着地。此外,赤足跑步与冲击峰值大小和垂直GRF峰值的降低有关。尽管麻醉了足底表面,但BF和ANEST BF条件在步幅、着地方式或GRF方面没有差异。
皮肤浅层感觉受体并非赤足跑步相关步态改变的主要原因。