《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (11): 1343-1350.doi: 10.3969/j.issn.1006-9771.2024.11.012
收稿日期:
2024-11-08
出版日期:
2024-11-25
发布日期:
2024-12-05
通讯作者:
肖晓飞(1980-),男,汉族,山东荣成市人,博士,副教授,主要研究方向:康复科学。E-mail: 作者简介:
黄兆欣(1997-),女,汉族,山东菏泽市人,硕士研究生,主要研究方向:肌肉骨骼康复。
基金资助:
HUANG Zhaoxin1, TANG Letian2, XIAO Xiaofei2(), LOU Yantao3(
)
Received:
2024-11-08
Published:
2024-11-25
Online:
2024-12-05
Contact:
XIAO Xiaofei, E-mail: Supported by:
摘要:
目的 对穿戴矫形鞋垫干预柔韧性扁平足儿童青少年足弓形态、疼痛和下肢运动功能进行Scoping综述。
方法 检索自建库至2024年10月PubMed、Web of Science、Embase、中国知网、万方数据库、中国生物医学文献数据库、维普数据库中相关文献,提取相关数据进行Scoping综述。
结果 最终纳入10篇文献,包括7篇队列研究,3篇随机对照试验,来自中国、韩国、伊朗、罗马尼亚,涉及520例柔韧性扁平足儿童和青少年。矫形鞋垫能增加跟骨倾斜角,降低距骨第一跖骨角和足弓指数;改善足部和下肢运动功能,提高前后、内侧和整体稳定性,调整步行运动学和地面反作用力;缓解疼痛并降低疼痛发生率。
结论 穿戴矫形鞋垫能改善柔韧性扁平足儿童青少年的足弓形态,提高动态平衡,改善步行,并缓解疼痛。
中图分类号:
黄兆欣, 唐乐天, 肖晓飞, 娄彦涛. 矫形鞋垫干预柔韧性扁平足儿童青少年下肢功能的Scoping综述[J]. 《中国康复理论与实践》, 2024, 30(11): 1343-1350.
HUANG Zhaoxin, TANG Letian, XIAO Xiaofei, LOU Yantao. Effect of orthopedic insoles on lower extremities function in children and adolescents with flexible flatfoot: a scoping review[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(11): 1343-1350.
表2
纳入文献质量评分"
纳入文献 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 总分 |
---|---|---|---|---|---|---|---|---|---|
Kim等[ | √ | √ | √ | √ | √ | √ | 6 | ||
Rusu等[ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
Lee等[ | √ | √ | √ | √ | √ | √ | 6 | ||
Cho等[ | √ | √ | √ | √ | √ | √ | 6 | ||
Yalfani等[ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
Jafarnezhadgero等[ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
Hsieh等[ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
Lee等[ | √ | √ | √ | √ | √ | √ | √ | √ | 8 |
Shu等[ | √ | √ | √ | √ | √ | √ | 6 | ||
Li等[ | √ | √ | √ | √ | √ | √ | 6 |
表3
纳入文献基本特征"
纳入文献 | 国家 | 样本特征 | 研究类型 | 干预措施(T) | 干预方案 | 比较 | 指标 | 结局 | |
---|---|---|---|---|---|---|---|---|---|
T | C | ||||||||
Kim等[ | 韩国 | n = 200 (6.49±2.96)岁 | 无 | 队列研究 | 定制矫形鞋垫 | 门诊治疗1~6年 | 与干预前比较 | 结构 跟骨倾斜角、距骨第一跖骨角 | 跟骨倾斜角增加,距骨第一跖骨角降低 |
Rusu等[ | 罗马尼亚 | n = 15 (9.37±1.42)岁 | n = 15 (9.37±1.42)岁 | 队列研究 | 运动疗法+矫形鞋垫(热塑性、半刚性) | 每次30 min,每周3次,共12周 | 与对照组比较 | 结构 距下关节柔韧性、AI | 距下关节柔韧性、AI改善 |
Lee等[ | 韩国 | n = 66 (5.0±2.7)岁 | 无 | 队列研究 | 定制刚性矫形鞋垫 | 每天≥ 8 h,共2年 | 与干预前比较 | 结构 静息跟骨站立位置角、跟骨倾斜角、距骨第一跖骨角 | 静息跟骨站立位置角降低,且与距骨第一跖骨角相关 |
Cho等[ | 韩国 | n = 24 (12.06±1.24)岁 | 无 | 队列研究 | 刚性矫形鞋垫 | 每天≥ 6 h,共1年 | 与干预前比较 | 结构 静息跟骨站立位置角、跟骨倾斜角、距骨第一跖骨角、距跟角、踝内翻肌和外翻肌横截面积比率 功能 足功能指数(疼痛、残疾和活动受限) | 静息跟骨站立位置角降低,跟骨倾斜角增加,踝内翻肌和外翻肌横截面积比率增加; 疼痛和残疾评分降低 |
Yalfani等[ | 伊朗 | n = 15 (13.40±2.38)岁 | n = 15 (13.66±1.98)岁 | RCT | 硅胶矫形鞋垫(内侧纵弓支撑) | 跆拳道训练和日常活动中连续使用,共12周 | 与对照组比较 | 功能 压力中心轨迹 | 压力中心轨迹减小 |
Jafarnezhadgero等[ | 伊朗 | n = 15 (10.5±1.4)岁 | n = 15 (10.4±1.5)岁 | RCT | 定制内侧纵弓支撑鞋垫 | 第1天< 1 h,每隔1天增加1 h,直到全天穿戴,共16周 | 与对照组比较 | 功能 步态(运动学和地面反作用力) | 最大踝内旋角,最大膝关节内、外旋角减小,最大前后和垂直地面反作用力降低 |
Hsieh等[ | 中国 | n = 26 (6.9±0.6)岁 | n = 26 (6.2±0.4)岁 | RCT | 定制内侧纵弓支撑的热塑性鞋垫 | 每天≥ 5 h,共12周 | 与对照组比较 | 功能和疼痛 PODCI | 疼痛/舒适度、身体健康、楼梯上升时间、上肢和身体功能、转移和基本活动能力改善 |
Lee等[ | 韩国 | n = 16 (9.16±3.53)岁 | n = 13 (7.73±2.37)岁 | 队列研究 | 3D打印定制矫形鞋垫 | 门诊治疗共16个月 | 与对照组比较 | 结构 跟骨倾斜角、距骨第一跖骨角、距跟角 功能和疼痛 PODCI、VAS | 外侧距跟角、PODCI改善 |
Shu等[ | 中国 | n = 27 (8.0±0.9)岁 | 无 | 队列研究 | 3D打印定制矫形鞋垫 | 每天站立或行走≥ 8 h,共4年 | 与干预前比较 | 结构 AI 疼痛 疼痛频率、VAS | AI、疼痛频率、VAS评分降低 |
Li等[ | 中国 | n = 32 7~12岁 | 无 | 队列研究 | 定制矫形鞋垫 | 每天≥ 8 h,共2年 | 与干预前比较 | 结构 AI 疼痛 疼痛频率、VAS | AI、疼痛频率和VAS评分改善 |
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