摘要
目的:探讨短足运动联合足弓支撑鞋垫对柔韧性扁平足患者足内侧纵弓(MLA)、动态平衡和近端关节功能的影响.方法:选择2017年3月～2023年3月我院收治的186例柔韧性扁平足患者,采用随机数字表法将患者分为2组,每组各93例.对照组穿戴足弓支撑鞋垫12周,观察组采用短足运动联合穿戴足弓支撑鞋垫12周.比较2组干预前后影像学指标、足姿势指数(FPI)、足内侧纵弓(MLA)高度变化、动态平衡、近端关节功能、疼痛程度、生活质量的变化.结果:2组干预后距骨-第一跖骨角角度(Meary's角)、前后位距跟角(Kite角)、FPI、MLA、平均轨迹误差(ATE)、完成耗时、视觉模拟评分法(VAS)评分均较干预前降低(P＜0.05),跟骨倾斜角(pitch角)、国足与踝关节协会(AOF AS)、Maryland足部评分、健康状况调查简表(SF-36)评分较干预前增高(P＜0.05).观察组干预后Meary's角、Kite角、FPI、MLA、ATE、完成耗时、VAS评分低于对照组(P＜0.05),pitch角、AOFAS评分、Maryland足部评分、SF-36评分高于对照组(P＜0.05).结论:短足运动联合足弓支持鞋垫可有效维持MLA高度,改善动态平衡以及足关节功能,减轻疼痛程度,提高生活质量.
Abstract
Objective:To investigate the effects of short foot exercise combined with arch support insole on the me-dial longitudinal arch(MLA),dynamic balance and proximal joint function in patients with flexible flat feet.Meth-ods:A total of 186 patients with pliable flat foot admitted to our hospital from March 2017 to March 2023 were se-lected and divided into two groups with 93 cases in each group by a random number table method.The control group wore arch support insole for 12 weeks,and the observation group wore arch support insole for 12 weeks with short foot exercise.Imaging indicators,foot postural index(FPI),height change of MLA,dynamic balance,proximal joint function,pain degree,quality of life and inter-group differences were compared between the two groups before and after intervention.Results:After intervention,Meary's angle,Kite angle,postural index(FPI),MLA,mean trajectory error(ATE),completion time and visual analog scale(VAS)score were all decreased in two groups as compared with those before intervention(P＜0.05).Calcaneal inclination angle(pitch angle),National Foot and Ankle Association(AOFAS),Maryland foot score and SF-36 score were higher after intervention than those before intervention(P＜0.05).Meary's angle,Kite angle,FPI,MLA,ATE,completion time and VAS score in the ob-servation group were lower than those in the control group(P＜0.05),while pitch angle,AOFAS score,Maryland foot score and SF-36 score in the observation group were higher than those in the control group(P＜0.05).Conclu-sion:Short foot exercise combined with arch support insole can effectively maintain MLA height,improve dynamic balance and joint function,reduce pain and improve quality of life.
维普
万方数据