Department of Medical Rehabilitation, Ministry of Health, Riyadh, Saudi Arabia.
Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
J Med Life. 2022 Sep;15(9):1164-1169. doi: 10.25122/jml-2021-0319.
is a common foot and ankle physiologic deformity. The normal medial longitudinal arch is depressed or flattened due to a lack of strength in associated muscles, ligaments, and tendons. This study aimed to investigate how isokinetic hip muscular strength affected normal medial longitudinal arch feet and pea planus. Forty adult subjects participated in this study: 20 with pea planus and 20 with normal medial longitudinal arched feet. Both groups were similar in age (p=.074), weight (p=.324), height (p=.211), and BMI (p=.541). The navicular drop test determined the differences in navicular height. An isokinetic dynamometer was used to determine hip muscular strength (peak torque and total work) during hip flexion, extension, abduction, and adduction at speeds of 90°/s and 180°/s. A Kruskal-Wallis test was computed to determine the comparison between the normal medial longitudinal arch and pea planus. Subjects with normal medial longitudinal arch had more muscle strength than . Hip muscle strength did not show any significant difference between both groups. The abductor and adductor group muscles' total work were higher in subjects with . This study showed that normal medial longitudinal arched foot subjects have higher muscle strength than . However, the hip abductors were significantly lower in after measuring the total work, suggesting that individuals with are easily fatigued, possibly due to the overuse of the muscles that compensate for any changes in lower limb alignment.
是一种常见的足部和踝关节生理畸形。由于相关肌肉、韧带和肌腱无力,正常的内侧纵弓会塌陷或变平。本研究旨在探讨等速髋关节肌力如何影响正常内侧纵弓足和扁平足。 40 名成年受试者参与了这项研究:20 名扁平足和 20 名正常内侧纵弓足。两组在年龄(p=0.074)、体重(p=0.324)、身高(p=0.211)和 BMI(p=0.541)方面相似。舟骨下降试验确定了舟骨高度的差异。使用等速测力计在 90°/s 和 180°/s 的速度下测量髋关节屈伸、外展和内收时的髋关节肌肉力量(峰值扭矩和总功)。计算 Kruskal-Wallis 检验以确定正常内侧纵弓与扁平足之间的比较。正常内侧纵弓足受试者的肌肉力量大于 。髋关节肌肉力量在两组之间没有显示出任何显著差异。在 中,外展肌和内收肌的总功较高。本研究表明,正常内侧纵弓足受试者的肌肉力量大于 。然而,在测量总功后, 的外展肌明显较低,这表明 个体容易疲劳,可能是由于下肢对线改变时过度使用肌肉补偿所致。