关键词: Chopart injury Fracture Gait analysis Midfoot Pressure distribution

Mesh : Humans Male Adult Biomechanical Phenomena Female Gait / physiology Middle Aged Young Adult Electromyography Range of Motion, Articular Ankle Injuries / physiopathology Gait Analysis / methods Ankle Joint / physiopathology

来  源:   DOI:10.1186/s12891-024-07467-1   PDF(Pubmed)

Abstract:
BACKGROUND: This study analysed changes in gait and pedobarography and subjective and functional outcomes after isolated Chopart joint injury.
METHODS: The results of 14 patients were reviewed. Kinematic 3D gait analysis, comparative bilateral electromyography (EMG) and pedobarography were performed.
RESULTS: On the injured side, the 3D gait analysis showed a significantly increased internal rotation and decreased external rotation of the hip and significantly decreased adduction and decreased range of motion (ROM) for the ankle. On the healthy side, the pedobarography revealed a significantly increased mean force in the forefoot, an increased peak maximum force and an increased maximum pressure in the metatarsal. When standing, significantly more weight was placed on the healthy side. The EMG measurements showed no significant differences between the healthy and injured legs.
CONCLUSIONS: After isolated Chopart injuries, significant changes in gait and pedobarography can be seen over the long term.
摘要:
背景:这项研究分析了孤立的Chopart关节损伤后步态和足动脉造影的变化以及主观和功能结果。
方法:对14例患者的结果进行回顾性分析。运动学三维步态分析,进行比较双侧肌电图(EMG)和足动脉造影。
结果:在受伤的一侧,3D步态分析显示,髋部内旋和外旋显著增加,踝关节内收和活动范围(ROM)显著减少.在健康的一面,足动脉造影显示前足的平均力显著增加,增加的峰值最大力和增加的最大压力在meta骨。站立时,健康一侧的体重明显增加。EMG测量显示健康腿和受伤腿之间没有显着差异。
结论:在孤立的肖帕特受伤后,从长远来看,可以看到步态和足动脉造影的显着变化。
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