脚的姿势和脚的扭转作为发展阿基里斯肌痛病和足底筋炎的危险因素:一个病例对照研究
Finn E Johannsen1,2, Julie P Rydahl1, Anna S Jacobsen3
1Institute of Sports Medicine, Department of Orthopedic Surgery M, Bispebjerg Hospital, Copenhagen, Denmark.
Foot & ankle international
|October 18, 2024
概括
脚的姿势,包括超pronation和hypopronation,是足底筋炎和阿基里斯肌病的重要危险因素. 在这项研究中,没有发现有限的脚背部屈曲是危险因素.
科学领域:
- 生物力学和运动医学
- 整形外科和肌肉骨健康
背景情况:
- 脚部带炎 (PF) 和阿基里斯肌病 (AT) 是影响运动员和需要举重活动的个体的普遍伤害.
- 确定可修改的风险因素对于这些常见的下肢疾病的有效预防和治疗策略至关重要.
研究的目的:
- 调查脚的姿势和脚的背部屈曲是否是发展AT或PF的风险因素.
- 为了确定PF和AT患者群体之间风险因素的任何明显差异.
主要方法:
- 一项涉及108名PF患者,114名AT患者和匹配的对照组的病例控制研究.
- 足部姿势通过足部姿势指数 (FPI) 进行评估,将脚分为正常,超pronated或hypopronated.
- 使用重量支脚背部屈曲,测量使用直立和曲膝盖位置的度仪.
主要成果:
- 异常的脚姿势 (超pronation和hypopronation) 显著增加了AT和PF的风险 (ORs从2.6到5.5不等).
- 与对照人群相比,在AT或PF患者中观察到增加的脚背伸缩,而不是减少.
- 脚部带炎主要影响女性,而阿基里斯肌病则影响男性;PF患者年轻,具有更高的职业承重要求.
结论:
- 低pronation和高pronation都被确定为阿基里斯肌病和足部筋膜炎的重要危险因素.
- limited ankle dorsiflexion没有与风险增加相关;相反,受影响个体的背部屈曲增加.
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