Zuil-Escobar Juan Carlos, Martín-Urrialde José Antonio, Gómez-Conesa Antonia, Martínez-Cepa Carmen Belén
Departamento de Fisioterapia, Facultad de Medicina, Universidad San Pablo-CEU, CEU Universities, Urbanización Montepríncipe, 28660 Boadilla del Monte, Spain.
Research Group Research Methods and Evaluation in Social Sciences, Mare Nostrum Campus of International Excellence, University of Murcia, 30100 Murcia, Spain.
J Clin Med. 2024 Jul 11;13(14):4049. doi: 10.3390/jcm13144049.
The objective was to evaluate the prevalence of latent trigger points (LTrPs) in lower limb muscles in participants with a high medial longitudinal arch (MLA) of the foot compared to controls. : Participants with a navicular drop test of 4-9 mm were included in the control group; the high MLA group included navicular drop test values of ≤4 mm. The presence of LTrPs was assessed by palpation techniques. The muscles evaluated were medial gastrocnemius (LTrP1), lateral gastrocnemius (LTrP2), soleus (LTrP1), peroneus longus, peroneus brevis, tibialis anterior, extensor digitorum longus, flexor digitorum longus, rectus femoris, vastus medialis (LTrP1 and LTrP2), and the vastus lateralis of the quadriceps (LTrP1 and LTrP2). : Thirty-seven participants with high MLA and thirty-seven controls were included in the study. Twenty-nine (78.4%) participants in the high MLA group had at least 1 LTrP, compared to twenty-three (62.2%) in the control group. No statistical difference ( < 0.05) was found in the total number of LTrPs between groups (4.46 ± 3.78 vs. 3.24 ± 3.85). There were more participants ( < 0.05) with LTrPs in the tibialis anterior, extensor digitorum longus, and vastus lateralis (LTrP1 and LTrP2) in the high MLA group than in the control group. : Although no differences were found in the number of total LTrPs between groups, the prevalence was statistically significantly higher in the tibialis anterior, extensor digitorum longus, and vastus lateralis of the participants with high MLA of the foot.
目的是评估足内侧纵弓(MLA)高的参与者与对照组相比,下肢肌肉中潜在触发点(LTrP)的患病率。对照组纳入舟骨下降试验为4-9毫米的参与者;高MLA组的舟骨下降试验值≤4毫米。通过触诊技术评估LTrP的存在。评估的肌肉有腓肠肌内侧头(LTrP1)、腓肠肌外侧头(LTrP2)、比目鱼肌(LTrP1)、腓骨长肌、腓骨短肌、胫骨前肌、趾长伸肌、趾长屈肌、股直肌、股内侧肌(LTrP1和LTrP2)以及股四头肌的股外侧肌(LTrP1和LTrP2)。本研究纳入了37名高MLA参与者和37名对照者。高MLA组中有29名(78.4%)参与者至少有1个LTrP,而对照组为23名(62.2%)。两组之间LTrP的总数无统计学差异(P<0.05)(4.46±3.78对3.24±3.85)。高MLA组中胫骨前肌、趾长伸肌和股外侧肌(LTrP1和LTrP2)有LTrP的参与者比对照组更多(P<0.05)。虽然两组之间LTrP的总数没有差异,但足MLA高的参与者中,胫骨前肌、趾长伸肌和股外侧肌的患病率在统计学上显著更高。