波效应:哈卢克斯瓦尔古斯形如何影响步行过程中的脚和膝关节关节运动
Longzhou Hua1, Chenglin Wu2, Ye Luo1
1School of Exercise and Health, Shanghai University of Sport, 200 Hengren Road, Shanghai 200438, China.
Bioengineering (Basel, Switzerland)
|July 29, 2025
概括
哈卢克斯瓦尔古斯 (HV) 在行走时改变了脚和膝盖的运动,导致脚运动减少和膝盖不稳定性增加. 这些变化可能会增加患有这种常见脚形的人患膝盖病理的风险.
科学领域:
- 生物力学 生物力学
- 整形外科 整形外科 整形外科
- 运动学 运动学
背景情况:
- (HV) 是一种常见的足部形,其特点是大脚在第一个甲足关节的侧向偏差.
- HV可以影响整个下肢运动链,可能导致运动过程中的动态不稳定.
研究的目的:
- 与健康对照人群相比,研究和描述哈卢克斯瓦尔古斯患者在行走时的脚和膝关节关节动力学.
主要方法:
- 23名双边HV患者和匹配的健康对照参与了这项研究.
- 在水平行走过程中,使用运动分析系统记录了脚和膝盖的六度自由度 (6-DOF) 动力学.
主要成果:
- 在初接触 (IC) 时,HV患者表现出显著的脚动力学变化,包括减少,内部旋转和脚flexion.
- 补偿性膝关节变化包括增加轮,减少前部翻译和增加侧面翻译.
- 在第二个峰值功率阶段 (SPF),HV患者表现出增加的脚背和减少的内部旋转,同时增加了膝盖的内部旋转.
结论:
- 在HV患者行走时观察到的脚和膝盖的动力学变化表明,在整个下肢有潜在的"效应".
- 这些生物力学变化可能会增加患膝盖病理的风险.
- 这些发现可以为Hallux Valgus的保守管理和术后康复策略提供信息.
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