《中国康复理论与实践》

《中国康复理论与实践》

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足过度旋前对人体力线的影响及治疗方法①

杨平，蔡丽飞   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心康复工程研究所，北京市100068。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Foot Overpronation: Influence on Body Alignment and Managements (review)

YANG Ping, CAI Li-fei   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Institute of Rehabilitation Engineering, China Rehabilitation Research Center, Beijing 100068, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 在一个步态周期中，如果旋前超过支撑期25%，可以认为发生过度旋前，可能由于先天和后天因素导致。过度旋前会影响胫骨、膝关节、股骨、脊柱的力线，导致一系列疼痛综合征。舟骨下降高度测试、足部姿势指数是评定足过度旋前的常用方法，临床常基于经验评定。有效的保守治疗方法包括足矫形器、特种鞋、肌力训练和贴扎技术。

关键词: 足, 过度旋前, 力线, 慢性疼痛, 足部矫形器, 贴扎, 综述

Abstract: The foot overpronation is termed as pronation persisting more than 25% of stance phase in a walking cycle, which may result from some antenatal or postnatal conditions. Overpronation would lead to abnormal alignment of ankle, knee, pelvis and spine, and result in a set of syndromes of chronic pain. The Navicular Drop Test and the Foot Posture Index are often used as the assessment tools, however, there are several empirical ways for clinic. Foot orthoses, special shoes, taping and training of muscle strength are effective on overpronation as well as chronic pain.

Key words: feet, overpronation, alignment, chronic pain, foot orthoses, taping, review