Kinoshita Kazuo, Okada Kyoji, Saito Isao, Saito Akira, Takahashi Yusuke, Kimoto Minoru, Wakasa Masahiko
Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita City, Japan; Division of Rehabilitation, Sanno Orthopedic Clinic, Akita City, Japan.
Department of Physical Therapy, Akita University Graduate School of Health Sciences, Akita City, Japan.
Phys Ther Sport. 2019 Jul;38:132-138. doi: 10.1016/j.ptsp.2019.03.011. Epub 2019 Mar 27.
To compare the rearfoot alignment (leg-heel angle, LHA) during standing and walking, and foot pressure during walking between individuals with medial tibial stress syndrome (MTSS) and asymptomatic individuals participating in daily sports.
A cross-sectional study.
Research laboratory.
MTSS (18 legs) and control (15 legs) participants.
The LHA in the frontal plane during walking and standing; partial foot pressures expressed as the percentage of body weight (%PFP); and transverse width of the center of pressure (COP) path expressed as the percentage of foot width (%Trans) on walking.
The LHA while walking was significantly higher in MTSS individuals, whereas the LHA while standing was not significantly different. The %PFPs of medial metatarsal areas were significantly higher in MTSS patients, whereas the %Trans was significantly lower.
In individuals with MTSS, the LHA is similar to controls while standing but higher (more everted) while walking while there is higher pressure under the medial metatarsal areas and the COP is more medial. Rearfoot malalignment in individuals with mild to moderate MTSS can be detected on walking, even if the alignment on standing is normal.
比较胫骨内侧应力综合征（MTSS）患者与参与日常运动的无症状个体在站立和行走时的后足对线情况（腿-跟角，LHA）以及行走时的足部压力。
横断面研究。
研究实验室。
MTSS患者（18条腿）和对照组（15条腿）。
行走和站立时额状面的LHA；以体重百分比（%PFP）表示的部分足部压力；以及行走时以足宽百分比（%Trans）表示的压力中心（COP）路径的横向宽度。
MTSS个体行走时的LHA显著更高，而站立时的LHA无显著差异。MTSS患者中内侧跖骨区域的%PFP显著更高，而%Trans显著更低。
在MTSS个体中，站立时LHA与对照组相似，但行走时更高（外翻更多），同时内侧跖骨区域压力更高且COP更偏向内侧。即使站立时对线正常，轻度至中度MTSS个体在行走时也可检测到后足对线不良。
