扁平足患者足底压力与足底感觉特征及相关性研究
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河北师范大学

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A study on the characteristics and correlation between plantar pressure and plantar sensation in patients with flat feet
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    摘要:

    研究目的:探究不同足型人群足底压力与足底感觉之间的关系,为扁平足患者损伤评价以及运动恢复提供理论帮助。 研究方法:通过三维足型扫描仪,对招募的受试者进行初步筛查;根据足弓指数进行组别划分,正常足组16人,扁平足组16人。使用footscan高频足底压力测试系统和Semmes-Weinstein Monofilaments单丝测试分别进行组别间的足底压力和足底感觉测试。对测试结果进行统计描述和相关性分析。 研究结果:扁平足人群左右足弓(P=0.001,T=19.686;P=0.001,T=36.014)与左右足跟内侧区域(P=0.001,T=41.755;P=0.001,T=50.706)的足底压力冲量相较于正常足型人群存在显著增加的趋势(P<0.05);扁平足人群与正常足人群相比,第一跖骨(P=0.004,T=9.87)以及足弓(P=0.001,T=128.35)位置的足底感觉阈值相较于正常足型人群更低(P<0.05);扁平足组左脚和右脚足弓位置的足底感觉与足底压力之间存在显著的正相关(P=0.012,R=0.500)、(P=0.021,R=0.341); 研究结论:扁平足人群足弓和足跟内侧位置的足底压力冲量增加,足底第一趾骨、第一跖骨以及足弓部位的足底感觉敏感性阈值更低;同时分析足底压力与足底感觉的相关性发现,扁平足人群的足弓足底感觉与足底压力具有显著相关性,足弓足底压力冲量负荷越大,足底感觉阈值越低;

    Abstract:

    Objective:To investigate the relationship between plantar pressure and plantar sensation in people with different foot types, and to provide theoretical help for the evaluation of injuries as well as sports recovery in patients with flat feet. Methods: The recruited subjects were initially screened by a three-dimensional footscanner; the groups were divided according to the arch index, 16 in the normal foot group and 16 in the flat foot group. Plantar pressure and plantar sensation tests were performed in different groups using the footscan high frequency plantar pressure test system and Semmes-Weinstein Monofilaments monofilament test, respectively. The test results were analyzed by spss24.0 for statistical description and correlation. Results: The plantar pressure impulses in the right and left arches (P=0.001,T=19.686; P=0.001,T=36.014) and the right and left medial heel regions (P=0.001,T=41.755; P=0.001,T=50.706) of the flat foot population tended to increase significantly (P<0.05) compared to the normal foot population; and there was a tendency for a significant increase (P<0.05) in the right arch and the first metatarsal (P=0.001,T=59.54), the first metatarsal (P=0.004,T=9.87) and the first arch of the right foot in comparison to the normal foot population. Compared with the normal foot population, the first metatarsal (P=0.004, T = 9.087) and the arch (P=0.001, T=128.35) were lower than those of the normal foot population (P <0.05);there was a significant positive correlation (P=0.001, T=0.001, T=0.001, T=128.35) between plantar sensations at the arch position of the left and right feet in the flatfooted group and plantar pressures. positive correlation between plantar sensation and plantar pressure in the left and right arch positions of the flatfoot group (P=0.012,R=0.500), (P=0.021,R=0.341); Conclusion: The pressure impulse of the arch and medial plantar area of the flat foot population increases, and the sensory sensitivity threshold of the first metatarsal bone, first metatarsal bone, and arch area of the plantar area is lower; At the same time, analyzing the correlation between plantar pressure and plantar sensation, it was found that there is a significant correlation between arch plantar sensation and plantar pressure in people with flat feet. The greater the impulse load of arch plantar pressure, the lower the threshold of plantar sensation;

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  • 收稿日期:2023-10-04
  • 最后修改日期:2023-10-24
  • 录用日期:2023-10-30
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