短足训练对成年扁平足患者干预效果的系统综述

doi:10.3969/j.issn.1006-9771.2023.05.009

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (5): 551-557.doi: 10.3969/j.issn.1006-9771.2023.05.009

短足训练对成年扁平足患者干预效果的系统综述

余中起¹, 王超²(), 贺刚¹, 张梁¹, 王瑞艳¹

1.首都体育学院运动科学与健康学院，北京市 100191
2.首都体育学院体医融合创新中心，北京市 100191

收稿日期:2023-02-06 修回日期:2023-05-06 出版日期:2023-05-25 发布日期:2023-06-19
通讯作者: 王超(1978-)，女，汉族，河北秦皇岛市人，博士，副教授，主要研究方向：身体活动与健康促进。E-mail：wangchao@cupes.edu.cn
作者简介:余中起(1999-)，男，汉族，河北保定市人，硕士研究生，主要研究方向：运动损伤的预防与康复。
基金资助:
北京高等教育本科教学改革创新项目(201910029003)

Effect of short-foot exercise on adult flatfoot: a systematic review

YU Zhongqi¹, WANG Chao²(), HE Gang¹, ZHANG Liang¹, WANG Ruiyan¹

1. School of Kinesiology and Health, Capital University of Physical Education and Sports, Beijing 100191, China
2. Research Center for the Integration of Sports and Medicine, Capital University of Physical Education and Sports, Beijing 100191, China

Received:2023-02-06 Revised:2023-05-06 Published:2023-05-25 Online:2023-06-19
Contact: WANG Chao, E-mail: wangchao@cupes.edu.cn
Supported by:
Beijing Higher Education Undergraduate Teaching Reform Innovation Project(201910029003)

摘要/Abstract

摘要：

目的系统综述短足训练对成年扁平足患者的干预效果。

方法检索2010年1月至2022年12月发表在PubMed、Web of Science、Cochrane、Embase、Scopus、中国知网、万方数据库、中国生物医学文献数据库中短足训练干预治疗扁平足的相关文献，采用物理治疗证据数据库(PEDro)量表进行方法学质量评价，提取相关数据进行系统综述。

结果最终纳入10篇随机对照试验，涉及335例。PEDro量表平均分7.1分。短足训练可降低扁平足患者足舟骨下降高度，提高足姿指数评分，改善平衡能力，增加拇外展肌横截面积，对足底压力无影响。

结论短足训练对成年扁平足患者的足形态、平衡能力和拇外展肌有良好效果，但对足底压力的效果不显著。

关键词: 扁平足, 短足训练, 系统综述

Abstract:

Objective To systematically review the effects of short-foot exercise on adult flatfoot.

Methods Articles related to short-foot exercise for flatfoot were searched from PubMed, Web of Science, Cochrane, Embase, Scopus, CNKI, Wanfang Data and CBM, from January, 2010 to December, 2022. The methodological quality was evaluated with the Physiotherapy Evidence Database (PEDro) scale, and the relevant data were extracted.

Results Ten randomized controlled trials were included, involved 335 individuals. The mean score of the PEDro scale was 7.1. Short-foot exercise improved the navicular drop, posture index score, balance and cross-sectional area of abductor hallucis muscle for patients with flatfoot, but plantar pressure.

Conclusion Short-foot exercise can improve the foot structure, balance and adductor hallucis muscle in adult flatfoot, but plantar pressure.

Key words: flatfoot, short-foot exercise, systematic review

中图分类号:

R684.7

余中起, 王超, 贺刚, 张梁, 王瑞艳. 短足训练对成年扁平足患者干预效果的系统综述[J]. 《中国康复理论与实践》, 2023, 29(5): 551-557.

YU Zhongqi, WANG Chao, HE Gang, ZHANG Liang, WANG Ruiyan. Effect of short-foot exercise on adult flatfoot: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 551-557.

图/表 3

表1

图1

表2

纳入文献的基本特征"

研究	n(T/C)	年龄 (T/C)/岁	干预措施		干预频次	干预周期	干预难度	结局指标	干预效果
研究	n(T/C)	年龄 (T/C)/岁	T	C	干预频次	干预周期	干预难度	结局指标	干预效果
Park等^[26] (2021)	12/12	(23.25±1.22)/ (24.00±1.48)	SFE	PNF	SFE保持15 s，每天20 min，每周 3 d	4周	坐姿-站姿	NDT、静态平衡能力	NDT和静态平衡能力较干预前改善
Moon等^[22] (2021)	16/16	(21.81±3.60)/ (21.56±1.83)	SFE+SMT	SMT	SFE保持5 s，重复20次，每周3 d	6周	站姿	静态平衡能力、动态平衡能力	与C组相比，T组静态和动态平衡能力改善
Yildirim Sahan等^[1](2021)	20/20	(22.75±2.33)/ (23.35±2.36)	虚拟现实训练	SFE	SFE保持5~10 s，每天30 min，每周3 d	4周	坐姿	NDT、动态平衡能力	动态平衡能力和右脚NDT较干预前改善，左脚NDT无显著改善
Jung等^[18](2020)	16/16	(21.94±2.41)/ (22.19±1.60)	导管辅助下SFE	SFE	从拇指到脚踝导管辅助	7 d	站姿	足底压力	足底压力分布无显著改善
Pabon-Carrasco等^[23](2020)	42/43	(19.45±0.38)/ (20.92±1.10)	SFE	足趾关节主动屈伸	SFE保持30 s，共5次，每周7 d	4周	坐姿-坐姿并负重-双足站姿-单足站姿	NDT、FPI-6	FPI-6和右脚NDT较干预前改善，左脚NDT无显著改善
Okamura等^[17](2020)	10/10	(20.20±1.50)/ (19.70±0.90)	SFE	空白对照	SFE保持5 s，每天30次，每周3 d	8周	坐姿-双足站姿-单足站姿	NDT、FPI-6、拇外展肌CSA	T组NDT、FPI-6、拇外展肌CSA改善
Namsawang等^[25](2019)	18/18	(19.78±1.59)/ (20.17±1.20)	SFE	SFE+ NMES	SFE保持5 s，每天30次，每周3 d	4周	坐姿-站姿	拇外展肌CSA	拇外展肌CSA较治疗前改善
Jeong等^[27](2019)	12/12	(22.66±0.98)/ (23.50±1.97)	VSFE	SFE	实时视觉反馈下SFE，每天50 min，每周5 d	6周	坐姿-双足站姿-单足站姿	足底压力	T组足底压力改善，C组足底压力无显著改善
Kim等^[21](2016)	7/7	(24.0±1.90)/ (24.1±1.50)	SFE	足弓支撑鞋垫	SFE保持10 s，每天30 min，每周3 d	5周	坐姿	NDT、动态平衡能力	与C组相比，T组NDT和动态平衡能力改善
Jung等^[24](2011)	14/14	(21.93±2.73)/ (22.36±2.41)	SFE+足部矫形器	足部矫形器	SFE保持5 s，每天30次	8周	单足站姿；保持时间由5 s增加到10 s	拇外展肌CSA	与C组相比，T组拇外展肌CSA改善

表2

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短足训练对成年扁平足患者干预效果的系统综述

Effect of short-foot exercise on adult flatfoot: a systematic review

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