四川医学2024,Vol.45Issue(4) :337-342.DOI:10.16252/j.cnki.issn1004-0501-2024.04.001

成人症状性平足步行支撑相髋关节生物力学的观察研究

An Observational Study of Biomechanics of Hip Joints in Adults with Symptomatic Flat Foot

张静 刘四维 李建钧 王谦
四川医学2024,Vol.45Issue(4) :337-342.DOI:10.16252/j.cnki.issn1004-0501-2024.04.001

成人症状性平足步行支撑相髋关节生物力学的观察研究

An Observational Study of Biomechanics of Hip Joints in Adults with Symptomatic Flat Foot

张静 1刘四维 1李建钧 1王谦1
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作者信息

  • 1. 四川大学华西医院康复医学中心,四川 成都 610041
  • 折叠

摘要

目的 探讨成人症状性平足患者步行支撑相髋关节的生物力学特征.方法 横断面观察性研究2022 年6月至7 月在我院康复医学中心招募21 例成人症状性平足患者和9 例正常足受试者.通过三维步态分析方法,比较两组受试者在步行支撑相髋关节角度、力矩和做功峰值的变化,观察步行支撑相髋关节的运动学和动力学特征.结果 症状性平足患者的年龄、身高、体质量与正常足受试者比较差异均无统计学意义(P>0.05).在步态支撑相末期,症状性平足患者髋关节旋转角度峰值、屈曲内力矩峰值和内收内力矩峰值均显著小于正常受试者(P<0.05).在支撑相末期纵向地反力峰、踝关节蹬地力矩和做功峰值小于正常受试者(P<0.05).结论 本研究通过观察步行中成人症状性平足患者髋关节生物力学特征,发现在步行支撑相末期,患者以髋策略调控为主,髋策略在改善症状性平足患者的症状和功能提高具有重要临床应用意义.

Abstract

Objective To investigate the biomechanical characteristics of hip joints during walking in adults with symp-tomatic flat foot.Methods A cross-sectional observational study,from June to July 2022,21 adults with symptomatic flat feet and 9 subjects with normal feet were recruited in rehabilitation medicine center in our hospital.Through 3D gait analysis,the changes of kinematics and kinetics of hip joint during stance phase were compared between two groups(P>0.05).The role of hip joint during stance phase was emphasized.Results There was no significant difference in age、height or body weight between two groups.During terminal stance phase,the peak hip rotation angle,flexion moment and adduction moment in symptomatic flat feet patients were significantly lower than those in normal subjects(P<0.05).During terminal stance phase,the saggital ground reac-tion force,ankle moment and ankle power during push-off were smaller than those of normal subjects(P<0.05).Conclusion In this study,we observe the biomechanical characteristics of the hip joint in adult patients with symptomatic flat foot during walking,and find that during terminal stance phase,patients are mainly regulated by hip strategy,and hip strategy shows important clinical significance in changing symptoms and improving function.

关键词

成人症状性平足/步态分析/髋关节/生物力学

Key words

adults with symptomatic flat foot/gait analysis/hip/biomechanics

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基金项目

北京市自然科学基金-海淀原始创新联合基金(L232022)

出版年

2024
四川医学
四川省医学会

四川医学

CSTPCD
影响因子:1.174
ISSN:1004-0501
参考文献量9
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