脚跟上升时的脚跟反转:儿科平脚脱补偿的一个可靠的迹象
Harald Böhm1, Jakob Ender2, Andreas Brand3
1HAWK University of Applied Sciences and Arts, Faculty of Engineering and Health, Annastr 25, Göttingen 37075, Germany; Orthopaedic Hospital for Children, Behandlungszentrum Aschau GmbH Bernauerstr. 18, Aschau i, Chiemgau 83229, Germany.
Foot (Edinburgh, Scotland)
|September 30, 2025
概括
脚跟升高测试 (HRT) 可靠地表明儿童的脱补偿的柔性平脚. 阳性HRT (中性/扭转的脚跟) 表明脱补偿,但脚跟反转并不总是排除它,强调了测试对足部功能评估的细微解释.
科学领域:
- 生物力学 生物力学
- 儿科整形外科 儿科整形外科
- 临床评估 临床评估
背景情况:
- 脚跟上升测试 (HRT) 对于评估三脚的体外强度和后肌功能障碍在柔性平脚中至关重要.
- 在推开过程中,高跟鞋的反转与儿童的不补偿的平脚有所区别.
- 脱补偿的平脚与步行障碍,脚下功能减弱和平衡缺陷有关.
研究的目的:
- 为了确定在标准化的双边HRT期间的部逆转是否可靠地表明儿童的脱补偿柔性平脚.
- 为了将HRT的发现与3D步态分析相关联,以客观地评估脚部功能.
主要方法:
- 分析儿童和青少年 (358英尺) (7-17岁) 具有特异性柔性平脚.
- 在HRT期间的高跟鞋位置以五分级 (-2至+2) 评分.
- HRT结果与3D步态分析数据的相关性.
主要成果:
- 在HRT评分中观察到高可靠性和一致性.
- 阳性HRT (中性/逆) 在77%的病例中表示脱补偿;100%的逆脱补偿.
- 28%的负HRT (heel inversion) 的脚也没有补偿.
结论:
- HRT评分是评估儿童步行功能和平脚严重性的可靠工具.
- HRT得分与后脚到骨逆转和脚动力学有关.
- 较低的HRT得分与增加的后脚转,前脚置和绑架有关.
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