Varol Tuncay, Göker Aslı, Cezayirli Enis, Özgür Serkan, Tuç Yücel Ayşe
Turk J Med Sci. 2017 Aug 23;47(4):1104-1108. doi: 10.3906/sag-1601-185.
Background/aim: Hormonal and structural changes that occur during pregnancy cause alterations in body biomechanics. These alterations reach their peak in the last trimester. Adaptive changes that appear in the foot result in pain in the foot and ankle. Pedobarography is a noninvasive measurement method that can be used to understand the origin of such pain. Materials and methods: One hundred and thirty-one pregnant women who did not have a foot or ankle problem prior to pregnancy volunteered to take part in the study. Pain was quantified by a visual analog scale (VAS). A cut-off value of 2.95 was taken to divide the subjects into two groups: Group 1 (n = 70) with VAS scores of <2.95 and Group 2 (n = 61) with VAS scores of ?2.95. Plantar pressure measurements were taken by Tekscan HR Mat using midgait protocol. Results: Forces experienced by the total right foot area, right forefoot, and the midfoot for both feet were significantly higher in Group 2 (P < 0.05). Contact area was significantly larger in Group 2 (P < 0.05). Conclusion: Results indicate that presence and severity of foot pain during pregnancy are related to the force distribution along the foot, especially at midfoot and the contact area.
背景/目的：孕期发生的激素和结构变化会导致身体生物力学改变。这些改变在孕晚期达到顶峰。足部出现的适应性变化会导致足踝疼痛。足底压力测量法是一种可用于了解此类疼痛根源的非侵入性测量方法。材料与方法：131名孕前无足踝问题的孕妇自愿参与本研究。疼痛程度通过视觉模拟评分法（VAS）进行量化。取2.95作为临界值，将受试者分为两组：第1组（n = 70），VAS评分<2.95；第2组（n = 61），VAS评分≥2.95。使用Tekscan HR Mat通过中步态协议进行足底压力测量。结果：第2组右脚总面积、右前足和双足中足所承受的力显著更高（P < 0.05）。第2组的接触面积显著更大（P < 0.05）。结论：结果表明，孕期足痛的存在及严重程度与足部的力分布有关，尤其是中足处和接触面积。
