平脚动力学和协调在双边跟鞋上升期间:膝盖角度变化的影响
Yota Abe1, Aimi Tayama2, Tomoki Iizuka3
1Department of Rehabilitation, Asakura Sports Rehabilitation Clinic, Maebashi, Gunma, Japan; Department of Physical Therapy, Faculty of Health Care, Takasaki University of Health and Welfare, Takasaki, Gunma, Japan.
Foot (Edinburgh, Scotland)
|December 16, 2025
概括
平脚会改变脚跟上升时的下肢协调,特别是在膝盖曲时. 平脚患者通过增加膝盖运动和改变脚部协调来补偿,这表明脚部性减少.
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:
- 平脚对齐会影响脚的生物力学和下肢协调.
- 平脚对脚跟起的动态表现的影响,特别是在不同的膝盖条件下,尚不清楚.
研究的目的:
- 为了比较平脚和正常脚的个体的脚跟上升动力学和分段间协调.
- 为了研究膝盖延伸和曲对平脚个体双侧跟鞋升期间动态表现和协调的影响.
主要方法:
- 12名平脚的参与者和12名正常脚的参与者在膝盖伸展和曲的条件下进行了双边脚跟上升.
- 使用12个摄像头的维康系统捕获了三维动态图,分析了上升和下降的阶段.
- 关键指标包括脚跟高度,质量中心位移,膝关节转换,骨盆/脚动力学和腿部-后脚协调.
主要成果:
- 平脚参与者表现出更大的垂直质量中心移位与膝盖延伸.
- 随着膝盖曲,平脚个体表现出前膝转移和延伸的增加.
- 在膝盖曲的早期登过程中,正常的脚表现出近端主导的腿部-后脚合,而平脚表现出远端主导的合.
结论:
- 平脚导致补偿前膝转移和改变/后脚运动,特别是膝曲,这表明脚性减少.
- 修改后跟升高测试,包括膝盖曲和协调分析,可以帮助检测脚度缺陷.
- 这些发现可以为平脚患者提供个性化康复策略.
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