孤立性Chopart损伤后对步态运动学、足底压力测量、功能及主观结果的影响。
Effects on gait kinematics, pedobarography, functional and subjective results after isolated chopart injury.
作者信息
Cibura Charlotte, Lülsdorff Raimund, Rosteius Thomas, Brinkemper Alexis, Bernstorff Maria, Jettkant Birger, Godolias Periklis, Ramczykowski Tim, Königshausen Matthias, Schildhauer Thomas A, Kruppa Christiane
机构信息
Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Ruhr-University, Bochum, Germany, Bürkle-de-la-Camp Platz 1, 44789.
出版信息
BMC Musculoskelet Disord. 2024 Apr 26;25(1):335. doi: 10.1186/s12891-024-07467-1.
BACKGROUND
This study analysed changes in gait and pedobarography and subjective and functional outcomes after isolated Chopart joint injury.
METHODS
The results of 14 patients were reviewed. Kinematic 3D gait analysis, comparative bilateral electromyography (EMG) and pedobarography were performed.
RESULTS
On the injured side, the 3D gait analysis showed a significantly increased internal rotation and decreased external rotation of the hip and significantly decreased adduction and decreased range of motion (ROM) for the ankle. On the healthy side, the pedobarography revealed a significantly increased mean force in the forefoot, an increased peak maximum force and an increased maximum pressure in the metatarsal. When standing, significantly more weight was placed on the healthy side. The EMG measurements showed no significant differences between the healthy and injured legs.
CONCLUSIONS
After isolated Chopart injuries, significant changes in gait and pedobarography can be seen over the long term.
背景
本研究分析了单纯Chopart关节损伤后步态、足底压力测定以及主观和功能结局的变化。
方法
回顾了14例患者的结果。进行了三维运动步态分析、双侧对比肌电图（EMG）和足底压力测定。
结果
在患侧，三维步态分析显示髋关节内旋显著增加、外旋减少，踝关节内收显著减少且活动范围（ROM）减小。在健侧，足底压力测定显示前足平均力显著增加，峰值最大力增加，跖骨最大压力增加。站立时，健侧承受的体重明显更多。肌电图测量显示健侧和患侧腿部之间无显著差异。
结论
单纯Chopart损伤后，长期来看步态和足底压力测定会出现显著变化。
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