首页|改良脚趾伸展训练对女性拇外翻患者的治疗效果

改良脚趾伸展训练对女性拇外翻患者的治疗效果

扫码查看
目的 比较脚趾伸展训练(TSO)和改良TSO对女性拇外翻患者的干预效果.方法 2023年9月至12月,在首都体育学院招募女性拇外翻患者45例,随机分为空白对照组(n=15)、TSO组(n=15)和改良TSO组(n=15).空白对照组不给予任何干预,TSO组接受TSO,改良TSO组在腓骨长肌筋膜松解后进行TSO,共8周.分别在干预前、干预4周和干预8周测量受试者的拇外翻角变化值和拇外展肌横截面积.结果 空白对照组脱落1例.TSO组和改良TSO组拇外翻角的变化值大于空白对照组(F>15.263,P<0.05),并且干预4周时改良TSO组左脚拇外翻角的变化值大于TSO组(P<0.05).时间对拇外展肌横截面积主效应显著(F>13.245,P<0.05),组别对左脚拇外展肌横截面积主效应显著(F=3.798,P<0.05),时间和组别的交互效应均显著(F>4.744,P<0.05).TSO组和改良TSO组干预4周和干预8周时拇外展肌横截面积均大于干预前(P<0.05),干预8周时改良TSO组右脚的拇外展肌横截面积大于空白对照组(P<0.05).结论 TSO和改良TSO均可改善女性拇外翻患者的拇外翻角变化值和拇外展肌横截面积,改良TSO效果更优.
Effect of modified toe-spread-out exercises in female patients with hallux valgus
Objective To compare the effect of toe-spread-out exercises(TSO)and modified TSO in females with hallux valgus.Methods From September to December,2023,a total of 45 females with hallux valgus were recruited in Capital Univer-sity of Physical Education and Sports and randomly divided into blank control group(n=15),TSO group(n=15),and modified TSO group(n=15).The blank control group received no intervention,the TSO group received routine TSO,and the modified TSO group received fibularis longus fascia release followed by TSO,for eight weeks.Changes in the hallux valgus angle(HVA)and the cross-sectional area(CSA)of the abductor hallucis muscle were measured before intervention,and four and eight weeks after intervention,respectively.Results One case dropped out from the blank control group.The changes of HVA in the TSO and modified TSO groups were significantly greater than in the blank control group(F>15.263,P<0.05).After four weeks of interven-tion,the change of left HVA in the modified TSO group was significantly greater than in the TSO group(P<0.05).The main effect of time was significant on the CSA of the abductor hallucis muscle(F>13.245,P<0.05).The main effect of group was significant on the left foot's CSA of the abductor hallucis(F=3.798,P<0.05).The interaction effect of time and group was also significant(F>4.744,P<0.05).The CSA of the abductor hal-lucis in both the TSO and modified TSO groups after four weeks and eight weeks of intervention was significant-ly greater than before intervention(P<0.05).At eight weeks,the CSA of the right foot in the modified TSO group was significantly greater than in the blank control group(P<0.05).Conclusion Both TSO and modified TSO can improve HVA and the CSA of the abductor hallucis muscle in females with hallux valgus,and modified TSO is better.

hallux valgushallux valgus anglesabductor hallucisfascia releasetoe-spread-out exercise

刁连福、周智诚、刘梦婷、张梁、余中起、于瑶、王超

展开 >

首都体育学院运动科学与健康学院,北京市 100191

北京市体育医学工程学新兴交叉学科平台,北京市 100191

首都体育学院体医融合创新中心,北京市 100191

拇外翻 拇外翻角 拇外展肌 筋膜松解 脚趾伸展训练

2024

中国康复理论与实践
中国残疾人康复协会,中国医师协会,中国康复研究中心

中国康复理论与实践

CSTPCD北大核心
影响因子:1.354
ISSN:1006-9771
年,卷(期):2024.30(12)