髌股关节疼痛患者足底压力评估模型构建
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1.四川省骨科医院 运动医学科;2.成都体育学院 运动与健康学院

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The Development and Verification of Plantar Loading Assessment for Patellofemoml Pain
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    摘要:

    目的 本研究将通过构建髌股关节疼痛(Patellofemoml Pain,PFP)足底压力模型,为该病康复评定提供理论依据。 方法 本研究为病例对照研究,共纳入126例PFP患者(PFP组),并根据年龄、性别1:1匹配126例健康志愿者纳入对照组,其对应被匹配对象患侧的同侧数据纳入研究。以是否发生PFP为因变量,以受试者自选步速下平地行走时足底12个分区峰值压力和峰值压强为自变量,分别构建峰值压力、峰值压强与PFP的条件logistic回归方程,并绘制对应方程的受试者工作特征曲线(receiver operating characteristic curve,ROC)计算曲线下面积以分析不同方程对PFP的评估效果。 结果 构建受试者足底12个分区峰值压力与PFP的条件logistic回归方程,仅足跟外侧区峰值压力进入回归方程;而通过各个分区峰值压强构建的回归方程中则包括足跟内侧区、中足区、第1跖骨区、第2跖骨区四个区域的变量,同时压强方程ROC曲线下面积大于压力方程曲线下面积。结论 平地行走中PFP患者足底不同分区峰值压力、压强发生改变,可使用这两类指标对PFP进行评估,峰值压强评估效果相对较好。

    Abstract:

    Abstract: Objective To develop a well-screened and convenient Patellofemoml Pain (PFP) assessment tool and evaluate its effect. Methods Totally 126 patients with PFP and 126 healthy controls matched by sex and age were enrolled in the study. The participants were tested for plantar force and pressure when level walking and there were twelve regions of plantar divided and recorded. The data of two categories of variables, peak force and peak pressure of the 12 regions, were analyzed by conditional logistic regression (CLR) analysis in sequence to produce odds ratios (ORs) and 95% confidence intervals. The validity of the prediction models was compared by the area under the receiver-operating characteristic curve (AUC). All statistical tests were two-tailed and the final level of significance was set at 0.05. Results The predictor variables of PFP risk assessment model was peak force of lateral heel, while the AUC was 0.833 (p<0.001). Another risk assessment model was peak pressure of medial heel, middle foot, 1st metatarsal head and 2nd metatarsal head, while the area under the AUC was 0.928 (p<0.001). Conclusion Peak force and pressure of different plantar regions can be used to assessment PFP and the latter may be determined to be more effective.

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  • 收稿日期:2021-08-16
  • 最后修改日期:2021-10-14
  • 录用日期:2021-10-15
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