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对莫顿氏伸展进行骨科模拟以测试无畸形患者中各跖骨头对足底压力的影响:一项前后测试研究。

Orthopaedic Simulation of a Morton's Extension to Test the Effect on Plantar Pressures of Each Metatarsal Head in Patients without Deformity: A Pre-Post-Test Study.

作者信息

Sánchez-Serena Anna, Losa-Iglesias Marta Elena, Becerro-de-Bengoa-Vallejo Ricardo, Morales-Ponce Ángel, Soriano-Medrano Alfredo, Pérez-Boal Eduardo, Grande-Del-Arco Jessica, Casado-Hernández Israel, Martínez-Jiménez Eva María

机构信息

Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain.

Department of Nursing and Stomatology, Faculty of Health Sciences, King Juan Carlos University, Alcorcon Campus, 28922 Madrid, Spain.

出版信息

Diagnostics (Basel). 2023 Sep 28;13(19):3087. doi: 10.3390/diagnostics13193087.

DOI:10.3390/diagnostics13193087
PMID:37835830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10572333/
Abstract

BACKGROUND

the area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. The aim of this study was to determine the effect of the application of a Morton's extension on the pressure in the metatarsal bones of the foot using a pressure platform.

METHODS

twenty-five subjects without musculoskeletal pathology were selected for this study, and an experiment was conducted with them as the subjects, before and after application of a Morton's extension. The foot regions were divided into the forefoot (transversely subdivided into six areas corresponding to the first, second, third, fourth, and fifth metatarsal heads, and the hallux), midfoot, and rearfoot, and then the maximum and average pressures exerted at each region were measured before and after placing a Morton's extension.

MAIN FINDINGS

we found a pressure reduction, with a -value less than ( < 0.05), in the head of the second and third metatarsals in statics and dynamics.

CONCLUSIONS

we can conclude that the Morton's extension produces a variation in plantar pressures on the lesser metatarsals. The application of a Morton's extension may be beneficial for the management of forefoot pathology. This study will help clinicians consider various tools to treat forefoot disorders. NCT05879094 (ClinicalTrial.gov (accessed on 18 May 2023)).

摘要

背景

跖骨头下方区域是足部疼痛的常见部位,通常与足底压力过高有关。本研究的目的是使用压力平台确定应用莫顿伸展器对足部跖骨压力的影响。

方法

本研究选取了25名无肌肉骨骼病变的受试者,并以他们为对象进行了应用莫顿伸展器前后的实验。足部区域分为前足(横向细分为对应于第一、第二、第三、第四和第五跖骨头以及拇趾的六个区域)、中足和后足,然后在放置莫顿伸展器前后测量每个区域施加的最大压力和平均压力。

主要发现

我们发现,在静态和动态情况下,第二和第三跖骨头处的压力降低,P值小于0.05(P < 0.05)。

结论

我们可以得出结论,莫顿伸展器会使较小跖骨上的足底压力产生变化。应用莫顿伸展器可能有助于治疗前足病变。本研究将帮助临床医生考虑使用各种工具来治疗前足疾病。NCT05879094(ClinicalTrial.gov(于2023年5月18日访问))。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/84f566c022c0/diagnostics-13-03087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/faad0359daeb/diagnostics-13-03087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/2a481b04bf99/diagnostics-13-03087-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/a401a6c2db8c/diagnostics-13-03087-sch002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/84f566c022c0/diagnostics-13-03087-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/faad0359daeb/diagnostics-13-03087-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/2a481b04bf99/diagnostics-13-03087-sch001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/a401a6c2db8c/diagnostics-13-03087-sch002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f5e/10572333/84f566c022c0/diagnostics-13-03087-g002.jpg

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本文引用的文献

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Pilot Study: Effect of Morton's Extension on the Subtalar Joint Forces in Subjects with Excessive Foot Pronation.初步研究:莫顿氏延伸对过度足旋前患者距下关节力的影响。
Sensors (Basel). 2023 Feb 24;23(5):2505. doi: 10.3390/s23052505.
2
Flexor Digitorum Brevis Muscle Dry Needling Changes Surface and Plantar Pressures: A Pre-Post Study.趾短屈肌干针疗法对表面压力和足底压力的影响:一项前后对照研究。
Life (Basel). 2021 Jan 13;11(1):48. doi: 10.3390/life11010048.
3
Immediate Effects of Intermittent Bilateral Ankle Plantar Flexors Static Stretching on Balance and Plantar Pressures.
间歇性双侧踝关节跖屈肌静态拉伸对平衡和足底压力的即时影响
J Manipulative Physiol Ther. 2020 Jan;43(1):24-31. doi: 10.1016/j.jmpt.2019.02.012. Epub 2020 Feb 13.
4
Evaluation of orthotic insoles for people with diabetes who are at-risk of first ulceration.糖尿病高危足溃疡人群矫形鞋垫的评价。
J Foot Ankle Res. 2019 Jun 18;12:35. doi: 10.1186/s13047-019-0344-z. eCollection 2019.
5
The Role of Plantar Fascia Tightness in Hallux Limitus: A Biomechanical Analysis.足底筋膜紧张在拇趾僵硬中的作用:一项生物力学分析。
J Foot Ankle Surg. 2019 May;58(3):465-469. doi: 10.1053/j.jfas.2018.09.019. Epub 2019 Feb 7.
6
Effectiveness of custom-made foot orthoses for treating forefoot pain: a systematic review.定制足部矫形器治疗前足疼痛的有效性:一项系统评价。
Int Orthop. 2018 Aug;42(8):1865-1875. doi: 10.1007/s00264-018-3817-y. Epub 2018 Feb 8.
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Comparison of plantar pressure in three types of insole given to patients with diabetes at risk of developing foot ulcers - A two-year, randomized trial.给予有足部溃疡风险的糖尿病患者三种鞋垫的足底压力比较——一项为期两年的随机试验。
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J Foot Ankle Res. 2016 Nov 16;9:44. doi: 10.1186/s13047-016-0176-z. eCollection 2016.
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