Menz H B
Division of Podiatry, University of Western Sydney-Macarthur, Campbelltown, New South Wales, Australia.
J Am Podiatr Med Assoc. 1998 Mar;88(3):119-29. doi: 10.7547/87507315-88-3-119.
Clinical measurement is a fundamental component of podiatric biomechanics. However, recent research has seriously questioned the reliability and validity of the commonly used approaches to clinical measurement of foot posture. A reevaluation of foot-morphology measurement is therefore warranted. This article discusses alternative clinical techniques of measuring foot type reported in the literature (arch height, footprint indices, the valgus index, and navicular drop) that may prove to be superior to the commonly used podiatric measurement system. On the basis of a critical evaluation of the literature, it would appear that arch height and footprint indices are invalid as means of categorizing foot morphology, while the valgus index and navicular drop offer a number of benefits over traditional frontal-plane measurements. An additional clinical measurement suggested by the author, navicular "drift," is also introduced. The advantages, disadvantages, and clinical application of each of these approaches are discussed in detail.
临床测量是足病生物力学的一个基本组成部分。然而，最近的研究对常用的足部姿势临床测量方法的可靠性和有效性提出了严重质疑。因此，有必要对足部形态测量进行重新评估。本文讨论了文献中报道的测量足型的替代临床技术（足弓高度、足迹指数、外翻指数和舟骨下降），这些技术可能被证明优于常用的足病测量系统。基于对文献的批判性评估，足弓高度和足迹指数作为分类足部形态的方法似乎是无效的，而外翻指数和舟骨下降相对于传统的额面测量有许多优点。作者还介绍了一种额外的临床测量方法，即舟骨“漂移”。详细讨论了每种方法的优缺点及临床应用。
