Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Thailand; Faculty of Physical Therapy, Mahidol University, Thailand.
Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Thailand.
Phys Ther Sport. 2021 Jul;50:130-137. doi: 10.1016/j.ptsp.2021.04.007. Epub 2021 Apr 30.
To evaluate the factors that influence gait by comparing lower extremity kinematics during the stance phase of the gait cycle between individuals with and without plantar fasciitis.
A cross-sectional study.
Motion analysis research laboratory.
Thirty subjects with plantar fasciitis and 30 aged-matched controls.
MAIN OUTCOME MEASURE(S): Range of motion of the lower extremity and multi-segment foot during gait using a three-dimensional motion analysis system.
The plantar fasciitis group showed significant differences in motion in the multi-segment foot, ankle, knee, and hip from the control group during various subphases of the stance phase. Specifically, relative to the control group, the plantar fasciitis group had more rearfoot adduction, forefoot eversion, ankle abduction, and hip abduction. They also had less midfoot dorsiflexion, forefoot dorsiflexion, knee extension, knee external rotation, and hip extension (all Ps < 0.05).
Individuals with plantar fasciitis exhibited more flexibility in the ankle-foot complex and poorer quality of lower-extremity movement than the group that did not have plantar fasciitis. Thus, differences in structures in both the ankle-foot complex as well as those in the hip and knee joints appear to be associated with the presence of plantar fasciitis.
通过比较足底筋膜炎患者和无足底筋膜炎患者在步态周期支撑相下肢运动学，评估影响步态的因素。
横断面研究。
运动分析研究实验室。
30 名足底筋膜炎患者和 30 名年龄匹配的对照者。
使用三维运动分析系统评估步态时下肢和多节段足部的活动范围。
与对照组相比，足底筋膜炎组在支撑相的各个亚相中，多节段足部、踝关节、膝关节和髋关节的运动均存在显著差异。具体而言，与对照组相比，足底筋膜炎组的后足内收、前足外展、踝关节外展和髋关节外展更多，而中足背屈、前足背屈、膝关节伸展、膝关节外旋和髋关节伸展更少（均 P<0.05）。
与无足底筋膜炎的患者相比，足底筋膜炎患者的踝足部复合体更具柔韧性，下肢运动质量更差。因此，踝关节-足部复合体以及髋关节和膝关节的结构差异似乎与足底筋膜炎的存在有关。
