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评价并比较足外翻运动员与非足外翻运动员的足底压力分布和步态参数。

Evaluation and comparison of plantar pressure distribution and gait parameters in athletes with and without hallux valgus.

机构信息

MYAS-GNDU Department of Sports Sciences & Medicine, Guru Nanak Dev University, Amritsar, Punjab, India.

出版信息

Foot (Edinb). 2024 Sep;60:102120. doi: 10.1016/j.foot.2024.102120. Epub 2024 Jul 26.

Abstract

The aim of the study was to measure and compare plantar pressures, forces and gait parameters in athletes with and without hallux valgus. It was a cross sectional study with the sample Size: 106 [53 for each group (Hallux valgus and without hallux valgus)]. Hallux valgus angle was calculated with digital photographs uploaded on Karasunpo software. Participants only with the moderate and severe hallux valgus angle were selected. For participant having hallux valgus in both the feet, one with the greater angle of hallux valgus was selected. Participants without hallux valgus were the ones whose hallux valgus angle was less than 15 degrees. The participants of both groups were asked to walk on predetermined speed of 4.8 kmph. The device used was Zebris FDM-T (Zebris® Medical GmbH, Germany) for the pedobarographic and gait parameter measurement. On an average, measurement was recorded for 20 steps during the different phases of gait in all subjects and corresponding mean values were calculated. Mean values for all the readings were documented and statistically calculated. Statistical analysis was done using SPSS (v.27.0.1) with unpaired t-test to compare between both the groups. Shapiro-Wilk test was used to check normality of data. Significant p-values for forefoot forces (0.001), forefoot pressures (<0.001) and midfoot pressures (0.002) were found. There is clear evidence of increased foot loading in young adult athletes with hallux valgus on the forefoot and midfoot regions while performing activities.

摘要

本研究旨在测量和比较拇外翻和非拇外翻运动员的足底压力、力量和步态参数。这是一项横断面研究,样本量为 106 例[每组 53 例(拇外翻和非拇外翻)]。拇外翻角度通过上传至 Karasunpo 软件的数字照片进行计算。仅选择中度和重度拇外翻角度的参与者。对于双脚都有拇外翻的参与者,选择拇外翻角度较大的一只脚。拇外翻角度小于 15 度的参与者被选为非拇外翻组。两组参与者均被要求以 4.8 公里/小时的预定速度行走。使用的设备是 Zebris FDM-T(Zebris® Medical GmbH,德国)进行足底压力和步态参数测量。在所有受试者中,在步态的不同阶段平均记录 20 步的测量值,并计算相应的平均值。记录所有读数的平均值并进行统计计算。使用 SPSS(v.27.0.1)进行统计分析,采用独立样本 t 检验比较两组之间的差异。使用 Shapiro-Wilk 检验检查数据的正态性。在前足力(0.001)、前足压力(<0.001)和中足压力(0.002)方面均发现了具有统计学意义的显著差异。活动时,年轻成年拇外翻运动员的前足和中足区域存在明显的足部负荷增加的证据。

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