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能否从健康个体的静立姿势估计步态期间的足底压力分布?

Can Plantar Pressure Distribution During Gait Be Estimated from Quiet Stance in Healthy Individuals?

作者信息

Mirando Marta, Pavese Chiara, Pingue Valeria, Sozzi Stefania, Nardone Antonio

机构信息

Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.

Istituti Clinici Scientifici Maugeri IRCCS, Centro Studi Attività Motorie (CSAM) and Neurorehabilitation and Spinal Units of Pavia Institute, 27100 Pavia, Italy.

出版信息

J Funct Morphol Kinesiol. 2025 Aug 5;10(3):301. doi: 10.3390/jfmk10030301.

Abstract

: We assessed the difference between quiet stance and gait in the spatial distribution and intensity of foot plantar pressures and whether it is possible to estimate the distribution during gait from data obtained during stance. : A total of 60 healthy subjects with a mean age of 31.0 ± 9.4 years performed two trials for quiet stance and four trials for gait on a baropodometric walkway with their eyes open. Foot plantar pressures were recorded from 10 areas of the foot sole. : During quiet stance, the highest plantar pressure occurred at metatarsal heads (M2 to M4) and the medial (MH) and lateral halves of the heel (LH). During gait, the profile of plantar pressure values was like that during stance, but significantly higher. The differences concentrated at the big toe (T1), M2 to M4, MH, and LH, whilst toes (T2,3,4,5) and midfoot (MF) showed the smallest difference. A significant positive correlation was found between the corresponding areas of foot pressure during gait and stance. : During quiet stance and gait, the overall profile of plantar pressure distribution was similar. During quiet stance, the subjects loaded more on the heels, in keeping with the known position of the center of pressure just in front of the ankles. During gait, higher pressures on the metatarsal areas are related to the forward propulsion of the center of mass. The correlation between the corresponding areas of foot pressure during gait and stance suggests that the pressure distribution during gait can partly be estimated from that during stance. This finding might be useful in most clinical settings when a single sensorized platform rather than a complete walkway is available.

摘要

我们评估了安静站立和行走时足底压力的空间分布及强度差异,以及是否可以根据站立时获取的数据来估计行走时的压力分布。60名平均年龄为31.0±9.4岁的健康受试者在睁眼状态下,在压力步行道上进行了两次安静站立试验和四次行走试验。记录了足底10个区域的压力。安静站立时,足底最高压力出现在跖骨头(M2至M4)以及足跟的内侧(MH)和外侧(LH)。行走时,足底压力值的分布与站立时相似,但明显更高。差异集中在大脚趾(T1)、M2至M4、MH和LH,而脚趾(T2、3、4、5)和足中部(MF)的差异最小。行走和站立时足部相应区域的压力之间存在显著正相关。安静站立和行走时,足底压力分布的总体轮廓相似。安静站立时,受试者足跟受力更多,这与压力中心位于脚踝前方的已知位置相符。行走时,跖骨区域较高的压力与质心的向前推进有关。行走和站立时足部相应区域压力之间的相关性表明,行走时的压力分布可以部分地从站立时的压力分布估计出来。当只有单个传感平台而非完整的步行道可用时,这一发现可能在大多数临床环境中有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4d8c/12372002/3ed4d7ab534e/jfmk-10-00301-g001.jpg

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