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正常内侧纵弓和扁平足参与者的等长肌力、活动范围、踝关节活动度的比较及关系

Comparison and Relationship of Isometric Strength, Range of Motion, Ankle Mobility in Participants with Normal Medial Longitudinal Arch and Flat Foot.

作者信息

Ahsan Mohammad, Abualait Turki

机构信息

Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

Med Arch. 2025;79(1):20-26. doi: 10.5455/medarh.2025.79.20-26.

Abstract

BACKGROUND

The foot arch is an important structural characteristic that plays a key role in supporting weight and facilitating movement. Flat foot might result in difficulties due to changes in biomechanics and muscular imbalances.

OBJECTIVE

The aim of this study was to determine the differences of isometric strength, range of motion, ankle mobility in participants with normal medial longitudinal arch and flat foot.

METHODS

A Comparison cum correlation cross-sectional study was conducted with twenty-eight normal medial longitudinal arch and twenty-eight with flat foot participants were randomly selected for this study. The navicular drop test was employed to identify foot arch. Handheld dynamometer, ankle joint range of motion, and Dorsiflexion Lunge Test were used to assess isometric strength, goniometer, and ankle mobility, respectively. An independent t-test was used to compare between the two independent groups. Pearson correlation coefficient was used to find the relationship between variables.

RESULTS

The findings of this study indicated that there were statistically significant differences between participants' arch height, ankle mobility, muscular strength, and range of motion at dorsiflexion and plantar flexion. There were statistically significant relationships among all variables except calf muscle circumference with foot arch (r=.100,p=.463), and isometric muscular strength at dorsiflexion (r=.190,p=1.61). Arch height with range of motion at dorsiflexion (r=.190,p=.160), range of motion at dorsiflexion with range of motion at plantar flexion (r=.095,p=.486) for participants with normal medial longitudinal arch and participants with flat foot.

CONCLUSION

Findings indicate that normal medial longitudinal arch group had greater scores for all variables than flat foot group. Positive significant correlations between all variables except ankle mobility were found. The relationship between range of motion and isometric strength was less pronounced, indicating that these variables may be influenced by other biomechanical factors.

摘要

背景

足弓是一项重要的结构特征,在支撑体重和促进运动方面发挥着关键作用。扁平足可能由于生物力学变化和肌肉失衡而导致困难。

目的

本研究的目的是确定具有正常内侧纵弓和扁平足的参与者在等长力量、运动范围、踝关节活动度方面的差异。

方法

进行了一项比较兼相关性横断面研究,随机选择了28名具有正常内侧纵弓的参与者和28名扁平足参与者。采用舟骨下降试验来识别足弓。分别使用手持测力计、踝关节活动范围和背屈弓步试验来评估等长力量、角度计和踝关节活动度。使用独立t检验比较两个独立组。使用皮尔逊相关系数来找出变量之间的关系。

结果

本研究结果表明,参与者的足弓高度、踝关节活动度、肌肉力量以及背屈和跖屈的运动范围之间存在统计学上的显著差异。除小腿围与足弓(r = 0.100,p = 0.463)以及背屈等长肌肉力量(r = 0.190,p = 1.61)外,所有变量之间均存在统计学上的显著关系。对于具有正常内侧纵弓的参与者和扁平足参与者,足弓高度与背屈运动范围(r = 0.190,p = 0.160)、背屈运动范围与跖屈运动范围(r = 0.095,p = 0.486)之间存在关系。

结论

研究结果表明,正常内侧纵弓组在所有变量上的得分均高于扁平足组。除踝关节活动度外,所有变量之间均发现了显著的正相关。运动范围和等长力量之间的关系不太明显,表明这些变量可能受到其他生物力学因素的影响。

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