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胸椎后凸和腰椎前凸对足部地面反作用力分布的影响。

Effect of Thoracic Kyphosis and Lumbar Lordosis on the Distribution of Ground Reaction Forces on the Feet.

作者信息

Żurawski Arkadiusz, Śliwiński Zbigniew, Suliga Edyta, Śliwiński Grzegorz, Wypych Żaneta, Kiebzak Wojciech

机构信息

Collegium Medicum, Jan Kochanowski University, Kielce, Poland.

Engineering, Technical University, Dresden, Germany.

出版信息

Orthop Res Rev. 2022 May 16;14:187-197. doi: 10.2147/ORR.S344972. eCollection 2022.

Abstract

INTRODUCTION

In clinical practice, foot load receptors are very important in shaping the correct vertical posture and optimal equilibrium reactions. They are so important that stimulating them gives measurable effects in improving both balance and posture. Plantar pressure distribution is an important parameter that provides information on changes in a person's posture, also during gait.

AIM

The aim of the work is to assess the effect of thoracic kyphosis and lumbar lordosis on the distribution of ground reaction forces on the feet.

MATERIALS AND METHODS

A total of 211 subjects aged 8-12 were examined. Body posture and distribution of ground reaction forces on the feet were assessed using the following parameters: thoracic kyphosis angle, lumbar lordosis angle, maximum pressure (static), average pressure (static), foot surface, distribution of foot pressure, maximum pressure (dynamic), time load (dynamic). DIERS formetric and DIERS pedoscan methods were used to measure the parameters.

RESULTS

The level of the kyphosis angle correlated positively with the percentage distribution of forefoot load in static conditions. The level of lordosis angle correlated positively with the foot surface and forefoot load. Positive correlation of the lordosis angle is also related to its connection with the difference in leg load during gait. A broader cause and effect view of body posture defects and the distribution of ground reaction forces on the feet can affect a more complete assessment of the correlation between these variables, contributing to more effective treatment of any disorders of the described phenomena.

CONCLUSION

The size of thoracic kyphosis and lumbar lordosis affects the distribution of ground reaction forces on the feet. The effect of lumbar lordosis has a linear value in relation to percentage distribution of forefoot and heel loads.

摘要

引言

在临床实践中,足部负荷感受器对于塑造正确的垂直姿势和优化平衡反应非常重要。它们如此重要,以至于刺激它们会在改善平衡和姿势方面产生可测量的效果。足底压力分布是一个重要参数,它提供了有关一个人姿势变化的信息,在步态过程中也是如此。

目的

这项工作的目的是评估胸椎后凸和腰椎前凸对足部地面反作用力分布的影响。

材料与方法

共检查了211名8至12岁的受试者。使用以下参数评估身体姿势和足部地面反作用力分布:胸椎后凸角度、腰椎前凸角度、最大压力(静态)、平均压力(静态)、足部表面积、足部压力分布、最大压力(动态)、负荷时间(动态)。采用DIERS formetric和DIERS pedoscan方法测量这些参数。

结果

后凸角度水平与静态条件下前足负荷的百分比分布呈正相关。前凸角度水平与足部表面积和前足负荷呈正相关。前凸角度的正相关还与其与步态期间腿部负荷差异的关联有关。对身体姿势缺陷和足部地面反作用力分布有更广泛的因果关系观点,可以影响对这些变量之间相关性的更全面评估,有助于更有效地治疗上述现象的任何紊乱。

结论

胸椎后凸和腰椎前凸的大小会影响足部地面反作用力的分布。腰椎前凸的影响在前足和足跟负荷的百分比分布方面具有线性值。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d274/9121884/a9c374732414/ORR-14-187-g0001.jpg

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