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短足运动对扁平足足弓形态、疼痛、残疾和足底压力的影响。

Effects of Short-Foot Exercises on Foot Posture, Pain, Disability, and Plantar Pressure in Pes Planus.

出版信息

J Sport Rehabil. 2019 Oct 18;29(4):436-440. doi: 10.1123/jsr.2018-0363. Print 2020 May 1.

Abstract

CONTEXT

Pes planus is a prevalent chronic condition that causes foot pain, disability, and impaired plantar load distribution. Short-foot exercises are often recommended to strengthen intrinsic foot muscles and to prevent excessive decrease of medial longitudinal arch height.

OBJECTIVE

To investigate the effects of short-foot exercises on navicular drop, foot posture, pain, disability, and plantar pressures in pes planus.

DESIGN

Quasi-experimental study.

SETTING

Biomechanics laboratory.

PARTICIPANTS

A total of 41 participants with pes planus were assigned to the short-foot exercises group (n = 21) or the control group (n = 20).

INTERVENTION

Both groups were informed about pes planus, usual foot care, and appropriate footwear. Short-foot exercises group performed the exercises daily for 6 weeks.

MAIN OUTCOME MEASURES

Navicular drop, Foot Posture Index, foot pain, disability, and plantar pressures were assessed at the baseline and at the end of 6 weeks.

RESULTS

Navicular drop, Foot Posture Index, pain, and disability scores were significantly decreased; maximum plantar force of midfoot was significantly increased in short-foot exercises group over 6 weeks (P < .05). No significant differences were determined between the baseline and the sixth week outcomes in control group (P > .05).

CONCLUSIONS

Six-week short-foot exercises provided a reduction in navicular drop, foot pronation, foot pain, and disability and increment in plantar force of medial midfoot in pes planus.

摘要

背景

平足症是一种常见的慢性疾病,会导致足部疼痛、残疾和足底负荷分布受损。通常建议进行短足运动来增强内在足部肌肉,并防止内侧纵弓高度过度下降。

目的

研究短足运动对平足症患者的足舟骨下降、足弓形态、疼痛、残疾和足底压力的影响。

设计

准实验研究。

地点

生物力学实验室。

参与者

共有 41 名平足症患者被分配到短足运动组(n = 21)或对照组(n = 20)。

干预措施

两组均接受了平足症相关知识、常规足部护理和合适鞋具的教育。短足运动组每天进行短足运动,持续 6 周。

主要观察指标

在基线和 6 周后评估足舟骨下降、足弓形态指数、足部疼痛、残疾和足底压力。

结果

短足运动组在 6 周内足舟骨下降、足弓形态指数、疼痛和残疾评分显著降低,中足最大足底压力显著增加(P <.05)。对照组在基线和第 6 周之间的结果没有显著差异(P >.05)。

结论

6 周的短足运动可减少平足症患者的足舟骨下降、足内翻、足部疼痛和残疾,并增加内侧中足的足底压力。

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