University of Wuppertal, Department of Sports Medicine, Moritzstraße 14, 42117 Wuppertal, Germany.
University of Wuppertal, Department of Sports Medicine, Moritzstraße 14, 42117 Wuppertal, Germany.
Gait Posture. 2023 Jun;103:126-132. doi: 10.1016/j.gaitpost.2023.05.006. Epub 2023 May 5.
Foot pressure has an essential impact on the entire musculoskeletal chain. So far, the direct influence of foot pressure onto the spinal posture and vice versa is still unclear.
The aim of this study was to determine the relationship between foot pressure and spinal posture in healthy adults under static and dynamic conditions.
Systematic research was conducted using PubMed to demonstrate the relationship between foot pressure and spinal posture. The search strategy was based on the PICOS selection criteria. The risk of bias within the studies was assessed using SIGN rankings.
Based on the search strategy, 719 articles were identified by screening title and abstract. 11 studies with moderate methodological quality partially showed a relationship between foot pressure and spinal posture (SIGN:2-1- and B-D). Apart from the foot pressure, the included studies analyzed parameters of muscle thickness (sonography), trunk displacement, head position, posterior tilt angle, trunk tilt, pelvic rotation, spinal range of motion, or spinal motion. Strength training and increased muscle thickness in the lumbar spine ensure decreased foot pressure. The head position partly induces a change of foot pressure under static conditions. No correlation was identified between spinal posture and foot pressure during forward and backward walking without manipulation. The static and dynamic measurements only show statistical correlations between foot and back muscles.
Foot pressure and spinal posture seem to be interrelated under static and dynamic conditions. Static and dynamic measurements are necessary for body posture analysis, as the conditions do not always show consistent results. Due to the small number of studies and low sample sizes, further investigations are necessary to gain more precise perception of the interplay of the spine and foot pressure. For better comparison, more homogeneous studies investigating similar spine parameters are needed.
足部压力对整个肌肉骨骼链有重要影响。迄今为止，足部压力对脊柱姿势的直接影响以及反之亦然的影响仍不清楚。
本研究的目的是确定健康成年人在静态和动态条件下足部压力与脊柱姿势之间的关系。
系统检索 PubMed 数据库，以展示足部压力与脊柱姿势之间的关系。检索策略基于 PICOS 选择标准。使用 SIGN 分级评估研究内的偏倚风险。
根据检索策略，通过筛选标题和摘要，共确定了 719 篇文章。11 项研究具有中等方法学质量，部分显示了足部压力与脊柱姿势之间的关系（SIGN：2-1- 和 B-D）。除了足部压力之外，纳入的研究还分析了肌肉厚度（超声）、躯干位移、头部位置、后倾角度、躯干倾斜、骨盆旋转、脊柱活动度或脊柱运动等参数。力量训练和增加腰椎肌肉厚度可降低足部压力。头部位置在静态条件下部分改变足部压力。在没有操作的情况下，前后行走时，脊柱姿势与足部压力之间未发现相关性。静态和动态测量仅显示足部和背部肌肉之间存在统计学相关性。
在静态和动态条件下，足部压力和脊柱姿势似乎相互关联。静态和动态测量对于身体姿势分析是必要的，因为这些条件并不总是显示出一致的结果。由于研究数量少且样本量小，需要进一步研究以更准确地了解脊柱和足部压力之间的相互作用。为了更好地比较，需要进行更多同质的研究来调查类似的脊柱参数。
