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在患有中膝关节骨关节炎的个体中,脚部压力分布与脚形态的相关性

Kaede Nakazato¹, Todd Pataky², Masashi Taniguchi²

¹Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto; Research Fellow of Japan Society for the Promotion of Science, Tokyo.

Archives of physical medicine and rehabilitation

|November 14, 2025

概括

患有膝关节关节炎 (OA) 的患者在行走时表现出改变的脚下压力 (PP) 分布. 这些PP的变化与特定的脚形态特征有关,这表明新的治疗方法的潜在目标.

科学领域:

整形外科整形外科整形外科
生物力学生物力学
老年学是一门学科.

背景情况:

膝关节骨关节炎 (OA) 是一种普遍影响关节健康和移动性的疾病.
改变的步态模式和足部生物力学通常在患有膝关节OA的个体中观察到.
了解膝关节OA的脚下压力 (PP) 分布对于开发有效的干预措施至关重要.

研究的目的:

为了研究患有症状的中膝关节OA的患者的脚下压力 (PP) 分布.
为了检查PP模式和膝盖OA患者的特定脚形态指数之间的相关性.

主要方法:

一项涉及52名膝关节骨质炎妇女 (Kellgren-Lawrence等级≥2) 和38名对照 (年龄≥60) 的横截面研究.
测量脚形态指数,包括角角,船形/脚的比率,和脚的反转角.
使用专门的平台记录行走期间的PP分布,并通过统计参数映射进行分析.

主要成果:

与对照人群相比,患有膝关节骨质炎的患者在第一个甲足关节,侧面中脚和脚跟区域的PP峰值显著更高.
确定了第一个甲索关节PP和角角之间的正相关性.
在膝关节OA组中,高跟PP与船骨/脚的比率和骨转折角度正相关.

结论:

膝关节OA患者在行走时表现出局部增加的PP.
在膝盖OA中,改变PP分布和脚形态之间存在显著的关联.
这些发现可以为治疗内或鞋类的设计提供信息,以管理脚部形并修改膝盖OA中的PP.

关键词:

卡尔卡尼乌斯 (Calcaneus) 的反转角度.步行方式步行方式哈卢克斯瓦尔古斯角的角度航海口/脚部的比率是多少康复康复康复康复统计参数映射统计参数映射

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