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从结构到功能:在跑步过程中出现症状的平脚的生物力学标志物和单一的腿下降和跳跃

Nicolas Haelewijn¹, Filip Staes², Evie Vereecke³

¹Department of Rehabilitation Sciences, Musculoskeletal Rehabilitation Research Group, KU Leuven, Spoorwegstraat 12, 8200 Brugge, Belgium.

Clinical biomechanics (Bristol, Avon)

|October 18, 2025

概括

与无症状病例相比,症状灵活的平脚表现出明显的生物机械和肌肉差异. 这些发现强调了需要基于绩效的评估和体育特定的康复,以获得有效的治疗.

科学领域:

生物力学生物力学
整形外科整形外科整形外科
运动医学运动医学

背景情况:

灵活的平脚分类缺乏对症状发展的解释.
有限的研究比较了症状和无症状个体在动态活动期间的足部生物力学.
没有研究研究了体育运动期间症状或无症状的柔性平脚的多段关节动力学.

研究的目的:

为了比较多段生物力学和症状和无症状柔性平脚之间的足部肌肉内在差异.
分析这些差异在运行和单腿跳跳任务.
探索观察到的差异的临床相关性.

主要方法:

17个有症状的和17个无症状的柔性平脚个体的匹配比较.
多段脚动力学和在跑步和跳跃过程中捕获的运动学.
超声波评估内在和外在足部肌肉形态和强度.

主要成果:

有症状的个体表现出脚前面平面动力学变化和斜腰平面运动减少,特别是在跳跃时.
动力缺陷包括脚和Chopart关节的发电/吸收减少,以及在跑步时MTP-I功率吸收减少.
在有症状的个体中,观察到肌肉尺寸减少的四角肌肉和 flexor digitorum longus;没有发现Lisfranc关节的差异.

结论:

症状灵活的平脚是特征任务和关节特定的生物力学和肌肉形态缺陷.
研究结果支持从结构性临床评估转向基于绩效的临床评估.
康复应该专注于神经肌肉控制,关节动力和动态设置中的脚核心功能.

关键词:

生物力学生物力学平脚是一种平脚.脚的核心脚的核心脚的核心足部内在肌肉足部内在肌肉

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