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成人柔性扁平足的患病率:一项横断面研究。

Prevalence of Flexible Flat Foot in Adults: A Cross-sectional Study.

作者信息

Aenumulapalli Ashok, Kulkarni Manoj Mohan, Gandotra Achleshwar Ramnarain

机构信息

Assistant Professor, Department of Anatomy, SBKS Medical Institute and Research Centre, Vadodara, Gujarat, India.

Associate Professor, Department of Anatomy, SBKS Medical Institute and Research Centre, Vadodara, Gujarat, India.

出版信息

J Clin Diagn Res. 2017 Jun;11(6):AC17-AC20. doi: 10.7860/JCDR/2017/26566.10059. Epub 2017 Jun 1.

Abstract

INTRODUCTION

Flat foot (pes planus) is a commonly observed disorder in clinical practice. The height of Medial Longitudinal Arch (MLA) determines the degree of pes planus. Majority of the previous studies on prevalence of flexible flat foot were done among children.

AIM

The present study was undertaken to determine the prevalence of flexible flat foot among 18-21-year-old Indian adults using Navicular Drop Test (NDT) which is regarded as reliable and valid method to characterise MLA.

MATERIALS AND METHODS

The present study was a cross-sectional study in which Brody's Navicular Drop Test was performed in five hundred healthy subjects (250 males and 250 females) aged 18-21-year-old. Navicular Drop (ND) of ≥ 10 mm was regarded as flexible flat foot. Statistical analysis was done using SPSS version 23.0.

RESULTS

The prevalence of flexible flat foot was 13.6% (for males-12.8%; for females-14.4%). The median with Inter Quartile Range (IQR) for ND among males was 6 mm (4-8) and 6 mm (4-9) for right and left foot respectively. The median with IQR for ND among females was 6mm (4-10) and 7mm (3-8) for right & left respectively. The correlation of Right Side Navicular Drop (RND) with height and weight was significant, but insignificant correlation was found between RND and BMI. The correlation of Left Side Navicular Drop (LND) with height, weight and BMI of individuals was statistically not significant. The difference between the ND of males and female group was statistically not significant.

CONCLUSION

The present study quantified the prevalence of flexible flat foot and gender wise normative values of ND among 18-21-year-old Indian adults. The information obtained by this study will be useful in the field of orthopaedics.

摘要

引言

扁平足在临床实践中是一种常见病症。内侧纵弓(MLA)的高度决定了扁平足的程度。此前大多数关于柔韧性扁平足患病率的研究是在儿童中进行的。

目的

本研究旨在使用舟骨下降试验(NDT)确定18至21岁印度成年人中柔韧性扁平足的患病率,该试验被认为是表征MLA的可靠且有效的方法。

材料与方法

本研究为横断面研究,对500名年龄在18至21岁的健康受试者(250名男性和250名女性)进行了布罗迪舟骨下降试验。舟骨下降(ND)≥10毫米被视为柔韧性扁平足。使用SPSS 23.0版本进行统计分析。

结果

柔韧性扁平足的患病率为13.6%(男性为12.8%;女性为14.4%)。男性中ND的中位数及四分位间距(IQR),右脚为6毫米(4 - 8),左脚为6毫米(4 - 9)。女性中ND的中位数及IQR,右脚为6毫米(4 - 10),左脚为7毫米(3 - 8)。右侧舟骨下降(RND)与身高和体重的相关性显著,但RND与体重指数(BMI)之间的相关性不显著。个体左侧舟骨下降(LND)与身高、体重和BMI之间的相关性在统计学上不显著。男性和女性组的ND差异在统计学上不显著。

结论

本研究量化了18至21岁印度成年人中柔韧性扁平足的患病率以及按性别划分的ND标准值。本研究获得的信息将在骨科领域有用。

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