关键词: Forefoot Gait Hallux valgus Midfoot Plantar pressure

来  源:   DOI:10.1016/j.foot.2024.102120

Abstract:
The aim of the study was to measure and compare plantar pressures, forces and gait parameters in athletes with and without hallux valgus. It was a cross sectional study with the sample Size: 106 [53 for each group (Hallux valgus and without hallux valgus)]. Hallux valgus angle was calculated with digital photographs uploaded on Karasunpo software. Participants only with the moderate and severe hallux valgus angle were selected. For participant having hallux valgus in both the feet, one with the greater angle of hallux valgus was selected. Participants without hallux valgus were the ones whose hallux valgus angle was less than 15 degrees. The participants of both groups were asked to walk on predetermined speed of 4.8 kmph. The device used was Zebris FDM-T (Zebris® Medical GmbH, Germany) for the pedobarographic and gait parameter measurement. On an average, measurement was recorded for 20 steps during the different phases of gait in all subjects and corresponding mean values were calculated. Mean values for all the readings were documented and statistically calculated. Statistical analysis was done using SPSS (v.27.0.1) with unpaired t-test to compare between both the groups. Shapiro-Wilk test was used to check normality of data. Significant p-values for forefoot forces (0.001), forefoot pressures (<0.001) and midfoot pressures (0.002) were found. There is clear evidence of increased foot loading in young adult athletes with hallux valgus on the forefoot and midfoot regions while performing activities.
摘要:
这项研究的目的是测量和比较足底压力,有和没有外翻的运动员的力量和步态参数。这是一项横断面研究,样本量为106[每组53例(哈氏外翻和无哈氏外翻)]。使用在Karasunpo软件上上传的数码照片计算Hallux外翻角度。选择仅具有中度和重度外翻角的参与者。对于双脚有外翻的参与者,选择了一个角度较大的外翻。没有外翻的参与者是外翻角度小于15度的参与者。要求两组的参与者以4.8kmph的预定速度行走。所用装置为ZebrisFDM-T(Zebris®MedicalGmbH,德国),用于足动脉造影和步态参数测量。平均而言,在所有受试者的不同步态阶段记录20步的测量值,并计算相应的平均值.记录并统计计算所有读数的平均值。使用SPSS(v.27.0.1)进行统计学分析,并进行非配对t检验,以比较两组之间的差异。Shapiro-Wilk检验用于检查数据的正常性。前足力的显著p值(0.001),发现前足压力(<0.001)和中足压力(0.002)。有明显的证据表明,在进行活动时,前脚和中脚区域有外翻的年轻成年运动员的脚部负荷增加。
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