浮趾与儿童的生活方式有关吗？一项横断面研究。
Are floating toes associated with lifestyle in children? A cross-sectional study.
机构信息
Graduate School of Sport Sciences, Waseda University, 2-579-15 Mikajima, Tokorozawa, Saitama, 359-1192, Japan.
Department of Orthopaedic Surgery, Tohoku University, Sendai, Miyagi, Japan.
出版信息
J Foot Ankle Res. 2023 Dec 13;16(1):90. doi: 10.1186/s13047-023-00685-1.
BACKGROUND
Floating toes are a condition and deformity in which some of the toes are afloat. Many functional impairments in floating toes have been previously studied lately and several factors related to floating toes have also been reported. However, no reports have considered the relationship between lifestyle and floating toes among children. The purpose of this study was to reveal the prevalence of floating toes among school children and reveal its relationship with lifestyle.
METHODS
In total, 138 young male baseball players were recruited. Lifestyle was evaluated by using a questionnaire and chosen whether the main lifestyle was Japanese or Western, if the bedding was futons or beds, and if the toilet was Japanese style (a squat toilet) or Western style. Floating toes were defined as toes that were not in contact with the mat. Ankle dorsiflexion in the knee-flexed and knee-extended positions was measured in a weight-bearing position. The relationship between the floating toes and lifestyles, and the comparison of ankle dorsiflexion range of motion between the lifestyles were statistically analyzed.
RESULTS
Players living in a Western style showed a significantly higher prevalence of floating toes on both feet compared with the players living in a Japanese style (throwing side; 39% vs. 19%, p = 0.04, and non-throwing side; 43% vs. 19%, p = 0.01). Players living in a Western style with beds showed a significantly smaller range of motion on both sides of ankle dorsiflexion in the knee-flexed position compared with those who were not (throwing side; 37.2 ± 5.7° vs. 39.0 ± 6.6°, p = 0.04, and non-throwing side; 36.8 ± 5.8° vs. 38.6 ± 6.1°, p = 0.04).
CONCLUSION
Children mainly living in a Western lifestyle showed a significantly higher prevalence of floating toes on both feet compared to those mainly living in a Japanese lifestyle. The prevalence of floating toes may be related to lifestyles among children.
TRIAL REGISTRATION
The study was approved by the institutional review board of the Waseda University Graduate School of Sport Sciences (IRB number 2021-185).
背景
浮趾是一种脚趾悬空的病症和畸形。最近已经研究了浮趾的许多功能障碍，并且还报告了与浮趾相关的几个因素。然而，目前尚无研究考虑儿童生活方式与浮趾之间的关系。本研究旨在揭示在校儿童浮趾的患病率，并揭示其与生活方式的关系。
方法
共招募了 138 名年轻男性棒球运动员。通过问卷调查评估生活方式，并选择主要生活方式是日式还是西式，床垫是被褥还是床，以及厕所是日式（蹲式厕所）还是西式。浮趾定义为脚趾不与垫子接触。在负重位测量膝关节弯曲和伸直时的踝关节背屈。对浮趾与生活方式的关系，以及不同生活方式下踝关节背屈活动范围的比较进行了统计学分析。
结果
生活方式为西式的运动员双脚浮趾的患病率明显高于日式（投球侧为 39%比 19%，p=0.04；非投球侧为 43%比 19%，p=0.01）。睡床的西式生活方式的运动员在膝关节弯曲时，双侧踝关节背屈的活动范围明显小于不睡床的运动员（投球侧为 37.2°±5.7°比 39.0°±6.6°，p=0.04；非投球侧为 36.8°±5.8°比 38.6°±6.1°，p=0.04）。
结论
主要生活方式为西式的儿童双脚浮趾的患病率明显高于主要生活方式为日式的儿童。浮趾的患病率可能与儿童的生活方式有关。
试验注册
该研究得到早稻田大学运动科学研究生院机构审查委员会的批准（IRB 编号 2021-185）。
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