在R-AFO中使用自定义的中间和侧面支来增强超脚的静态对齐:试点研究
Bashar Al Qaroot1,2, Mohammad Sobuh1,2,3, Aws Khanfar4,5
1Prosthetics and Orthotics Department, The University of Jordan, Amman, Jordan.
Assistive technology : the official journal of RESNA
|September 24, 2025
概括
集成在刚性脚脚形 (R-AFOs) 中的侧面支有效地改善了 hyperpronation 个体的中侧对齐. 侧支深度为6毫米,可以在不引起不适的情况下优化减少.
科学领域:
- 生物力学 生物力学
- 整形器械和假肢
背景情况:
- 脚-脚部复合体对于稳定性和运动性至关重要.
- 功能障碍可能导致走路异常,硬脚脚节整形 (R-AFOs) 通常用于前后部不稳定.
- 对于静态中侧对齐的R-AFOs的有效性,特别是在超pronation中,尚未得到充分证实.
研究的目的:
- 调查R-AFOs添加中侧和侧侧支对静态中侧对齐的影响.
- 通过分析静止骨姿势位置角度 (RCSPA) 变化,评估这些支是否能改善过度pronation 个体的对齐.
主要方法:
- 招募了9名具有灵活的超pronation的个人.
- 可调节的中间和侧支 (3-12mm) 在R-AFO中进行了测试.
- 测量RCSPA变化和疼痛水平,并使用弗里德曼和威尔科克森签名等级测试进行统计分析.
主要成果:
- 侧支显著减少了位 (p=0.01),6mm深度产生了最佳的校正 (4.83°减少).
- 中间支对对齐的影响最小.
- 支的更高深度 (9mm,12mm) 导致不适增加.
结论:
- 集成到R-AFOs中的侧向支是加强超中侧向对齐的有效干预措施.
- 这种方法提供了一个简单且潜在的成本效益高的解决方案.
- 建议进行进一步的临床验证.
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