由腰椎间盘引起的慢性腰椎根部疼痛患者的足压:一个病例对照观察研究
Pedro V Munuera-Martínez1, María Reina-Bueno2, Carmen Vázquez-Bautista1
1University of Seville, Seville, Spain.
概括
患有腰椎间盘的 sciatica 患者在行走过程中表现出改变的足部压力分布. 这些变化,包括更长的接触时间和特定脚部区域的更高压力,可能表明神经肌肉补偿.
科学领域:
- 生物力学 生物力学
- 神经学 神经学
- 整形外科 整形外科 整形外科
背景情况:
- 腰椎间盘瘤通常会导致腹筋痛,影响步态和生活质量.
- 脚下压力分布是行走过程中下肢生物力学的关键指标.
研究的目的:
- 为了研究腰椎间盘带诱导的坐骨髓炎患者和健康个体之间的脚部压力在步行过程中的差异.
- 为了比较相关因素,如疼痛,残疾和足部生物力学.
主要方法:
- 观察性病例对照研究,包括41名坐骨 sciatica 患者和30名健康对照.
- 用FootScan®在10个区域的3个步行阶段测量脚部压力.
- 收集了关于生活质量,疼痛 (背部,下肢,脚部),残疾,关节运动范围和脚姿势的数据.
主要成果:
- 坐骨髓炎患者的脚接触时间更长,大多数脚区域的平均/峰值压力更高,特别是在推开时.
- 在第三至第五甲四肢中注意到压力升高.
- 坐骨神经炎患者报告说,腰部,下肢和脚部疼痛增加,以及与脚部疼痛相关的残疾;下耳声减少.
结论:
- 在 sciatica 患者中,脚下压力分布的改变表明了潜在的神经肌肉补偿机制.
- 这些生物力学变化可能会导致患有坐骨神经炎的个体所经历的疼痛和残疾.
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