背景:滑脱的股骨骨epi(SCFE)是婴儿期和青春期最常见的髋关节疾病。我们的研究旨在分析经手术治疗的单侧SCFE儿童的静态足底压力。
方法:通过PoData足底压力分析在三种不同情况下(睁眼,闭上眼睛,和头部后退)。
结果:在所有三种测试条件下,与受影响的肢体相比,未受影响的肢体上的总足负荷显着增加(p<0.05)。在评估测试条件之间的差异时,右脚和左脚载荷没有显着差异,或者重量分布的三个部位,除了右第五meta头(与睁眼相比,闭眼状态下的负荷较低,p=0.0068),左第五跖骨头(与睁眼相比,头部后屈时负荷增加,p=0.0209),和左脚跟(与睁眼相比,头部后屈时负荷较低,p=0.0293)。
结论:即使手术成功,足部负荷的差异会影响不同条件下的姿势静态活动(自然睁眼,闭着眼睛,或头部向后弯曲的姿势)。
BACKGROUND: Slipped capital femoral epiphysis (SCFE) is the most common hip disease during infancy and adolescence. Our study aimed to analyze static plantar pressure in children with surgically treated unilateral SCFE.
METHODS: Twenty-two children with right SCFE with in situ fixation with one percutaneous screw were assessed by PoData plantar pressure analysis under three different conditions (open eyes, eyes closed, and head retroflexed).
RESULTS: The total foot loading was significantly higher on the unaffected limb compared with the affected one for all the three testing conditions (p < 0.05). When assessing the differences between testing conditions, there were no significant differences for the right and left foot loadings, or for the three sites of weight distribution, except for the right fifth metatarsal head (lower loading in eyes-closed condition in comparison to eyes open, p = 0.0068), left fifth metatarsal head (increased loading in head-retroflexed condition in comparison to eyes open, p = 0.0209), and left heel (lower loading in head-retroflexed condition in comparison to eyes open, p = 0.0293).
CONCLUSIONS: Even after a successful surgical procedure, differences in foot loading can impact the postural static activities in different conditions (natural eyes-open, eyes-closed, or head-retroflexed posture).