《中国康复理论与实践》

《中国康复理论与实践》 ›› 2024, Vol. 30 ›› Issue (12): 1473-1478.doi: 10.3969/j.issn.1006-9771.2024.12.013

• 应用研究 • 上一篇    下一篇

改良脚趾伸展训练对女性拇外翻患者的治疗效果

刁连福1,2, 周智诚1, 刘梦婷1, 张梁1, 余中起1, 于瑶1, 王超3()   

  1. 1.首都体育学院运动科学与健康学院，北京市 100191
    2.北京市体育医学工程学新兴交叉学科平台，北京市 100191
    3.首都体育学院体医融合创新中心，北京市 100191
  • 收稿日期:2024-06-14 修回日期:2024-11-13 出版日期:2024-12-25 发布日期:2024-12-30
  • 通讯作者: 王超(1978-)，女，汉族，河北秦皇岛市人，博士，教授，主要研究方向：慢性病的预防与康复。E-mail： wangchao@cupes.edu.cn E-mail:wangchao@cupes.edu.cn
  • 作者简介:刁连福(2000-)，男，汉族，安徽蚌埠市人，硕士研究生，主要研究方向：慢性病的预防与康复。

Effect of modified toe-spread-out exercises in female patients with hallux valgus

DIAO Lianfu1,2, ZHOU Zhicheng1, LIU Mengting1, ZHANG Liang1, YU Zhongqi1, YU Yao1, WANG Chao3()   

  1. 1. School of Kinesiology and Health, Capital University of Physical Education and Sports, Beijing 100191, China
    2. Emerging Interdisciplinary Platform for Medicine and Engineering in Sports, Beijing 100191, China
    3. Sports & Medicine Integrative Innovation Center, Capital University of Physical Education and Sports, Beijing 100191, China
  • Received:2024-06-14 Revised:2024-11-13 Published:2024-12-25 Online:2024-12-30
  • Contact: WANG Chao E-mail:wangchao@cupes.edu.cn

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摘要：

目的 比较脚趾伸展训练(TSO)和改良TSO对女性拇外翻患者的干预效果。

方法 2023年9月至12月，在首都体育学院招募女性拇外翻患者45例，随机分为空白对照组(n = 15)、TSO组(n = 15)和改良TSO组(n = 15)。空白对照组不给予任何干预，TSO组接受TSO，改良TSO组在腓骨长肌筋膜松解后进行TSO，共8周。分别在干预前、干预4周和干预8周测量受试者的拇外翻角变化值和拇外展肌横截面积。

结果 空白对照组脱落1例。TSO组和改良TSO组拇外翻角的变化值大于空白对照组(F > 15.263, P < 0.05)，并且干预4周时改良TSO组左脚拇外翻角的变化值大于TSO组(P < 0.05)。时间对拇外展肌横截面积主效应显著(F > 13.245, P < 0.05)，组别对左脚拇外展肌横截面积主效应显著(F = 3.798, P < 0.05)，时间和组别的交互效应均显著(F > 4.744, P < 0.05)。TSO组和改良TSO组干预4周和干预8周时拇外展肌横截面积均大于干预前(P < 0.05)，干预8周时改良TSO组右脚的拇外展肌横截面积大于空白对照组(P < 0.05)。

结论 TSO和改良TSO均可改善女性拇外翻患者的拇外翻角变化值和拇外展肌横截面积，改良TSO效果更优。

关键词: 拇外翻, 拇外翻角, 拇外展肌, 筋膜松解, 脚趾伸展训练

Abstract:

Objective To compare the effect of toe-spread-out exercises (TSO) and modified TSO in females with hallux valgus.

Methods From September to December, 2023, a total of 45 females with hallux valgus were recruited in Capital University of Physical Education and Sports and randomly divided into blank control group (n = 15), TSO group (n = 15), and modified TSO group (n = 15). The blank control group received no intervention, the TSO group received routine TSO, and the modified TSO group received fibularis longus fascia release followed by TSO, for eight weeks. Changes in the hallux valgus angle (HVA) and the cross-sectional area (CSA) of the abductor hallucis muscle were measured before intervention, and four and eight weeks after intervention, respectively.

Results One case dropped out from the blank control group. The changes of HVA in the TSO and modified TSO groups were significantly greater than in the blank control group (F > 15.263, P < 0.05). After four weeks of intervention, the change of left HVA in the modified TSO group was significantly greater than in the TSO group (P < 0.05). The main effect of time was significant on the CSA of the abductor hallucis muscle (F > 13.245, P< 0.05). The main effect of group was significant on the left foot's CSA of the abductor hallucis (F = 3.798, P < 0.05). The interaction effect of time and group was also significant (F > 4.744, P < 0.05). The CSA of the abductor hallucis in both the TSO and modified TSO groups after four weeks and eight weeks of intervention was significantly greater than before intervention (P < 0.05). At eight weeks, the CSA of the right foot in the modified TSO group was significantly greater than in the blank control group (P < 0.05).

Conclusion Both TSO and modified TSO can improve HVA and the CSA of the abductor hallucis muscle in females with hallux valgus, and modified TSO is better.

Key words: hallux valgus, hallux valgus angles, abductor hallucis, fascia release, toe-spread-out exercise

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