功能性踝关节不稳足底压力分析

doi:10.3969/j.issn.1006-9771.2022.10.013

Abstract

Abstract:

Objective To observe the distribution characteristics of plantar pressure of patients with functional ankle instability (FAI).

Methods From January to July, 2021, the Freestep plantar pressure analysis system was used to measure plantar pressure of 20 patients with FAI in Department of Rehabilitation, Beijing Tongren Hospital. The data beteen the healthy side and the affected side were compared.

Results When standing with both feet and eyes open, the weight ratio of the forefoot load was less (t = 2.251, P = 0.036), and the weight ratio of the hindfoot load was more (t = 2.251, P = 0.036) in the affected side than in the healthy side. When standing with the affected foot and eyes open, the average longitudinal distance (Y) was more in the affected side than in the healthy side (t = 3.271, P< 0.01); when standing with the affected foot and eyes closed, the length of the ball, the area of the ellipse, the average speed, and the average Y were more in the affected side than in the healthy side (t > 3.140, P< 0.01). When walking, the force area and load of the medial heel were more (t > 2.260, P < 0.05), the maximum pressure and average pressure were significantly less (t > 5.005, P < 0.001), and the line increment of the pressure center and the ratio of foot gait line length/footprint length were significantly more (t > 20.567, P < 0.001) in the affected side than in the healthy side. The contribution of loads of both forefoot and hindfoot was significantly different from the health side (t = 2.153, P < 0.001).

Conclusion For patients with FAI, when standing with both feet, the center of gravity of the affected side is more unevenly distributed; when standing with the affected foot, the posture control stability is obviously weaker, especially when the eyes are closed; when walking, the dynamic stability of the affected side is worse.

Key words: functional ankle instability, plantar pressure, stability

CLC Number:

R684.7

WANG Jianguo,TANG Jia,DONG Jige,CHEN Yaping. Analysis of plantar pressure for functional ankle instability[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(10): 1217-1223.

Figures/Tables 7

References 33

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侧别	n	前足面积/cm²	后足面积/cm²	前足负荷/%	后足负荷/%	前足负荷占体重比/%	后足负荷占体重比/%
健侧	20	47.95±15.46	41.00±9.38	23.35±6.49	26.95±8.15	46.90±13.70	53.10±13.70
患侧	20	46.20±16.85	41.75±8.63	21.15±7.32	28.55±5.74	42.10±12.43	57.90±12.43
t值		0.900	0.521	1.327	0.905	2.251	2.251
P值		0.379	0.608	0.200	0.377	0.036	0.036

状态	侧别	n	球长度/mm	椭圆面积/mm²	平均速度/mm·s^-1	平均X/mm	平均Y/mm
睁眼	健侧	20	371.24±71.00	411.26±324.96	26.99±5.57	0.41±3.69	13.02±7.75
	患侧	20	392.73±82.42	341.93±410.11	29.15±7.75	0.23±32.12	17.65±7.56
闭眼	健侧	20	646.58±122.18	1723.75±910.67	50.78±11.48	14.55±67.65	7.29±7.99
	患侧	20	859.94±343.30	5700.82±12769.24	71.68±7.75	1.41±87.48	18.72±11.44
	t值^a		0.980	0.692	1.200	0.027	3.271
	P值^a		0.339	0.498	0.245	0.979	0.004
	t值^b		3.141	3.323	3.140	0.504	3.911
	P值^b		0.005	0.001	0.005	0.620	0.001
	t值^c		6.086	1.873	5.640	0.078	0.441
	P值^c		< 0.001	0.077	< 0.001	0.939	0.664

足底区域	健侧	患侧	t值	P值
第1足趾	11.33±3.01	10.08±2.70	1.328	0.200
第2~5足趾	2.94±3.05	1.93±2.12	0.853	0.394
第1跖骨	9.91±4.19	9.94±3.70	0.026	0.979
第2~3跖骨	16.85±4.90	16.28±3.45	0.538	0.596
第4~5跖骨	15.76±3.54	15.54±3.27	0.244	0.810
内侧足弓	1.58±1.39	1.81±1.43	0.944	0.345
外侧足弓	12.64±4.61	11.29±4.65	1.048	0.308
内侧足跟	13.46±3.27	15.24±3.57	2.260	0.036
外侧足跟	14.74±2.90	14.03±2.34	0.946	0.356

足底区域	健侧	患侧	t/Z值	P值
第1足趾	9.51±4.54	8.03±2.93	1.730	0.100
第2~5足趾	2.80±5.29	1.46±1.75	1.023	0.306
第1跖骨	9.51±3.90	9.57±4.09	0.060	0.953
第2~3跖骨	19.80±5.49	18.73±3.91	0.836	0.413
第4~5跖骨	16.61±4.85	15.68±3.88	0.724	0.478
内侧足弓	1.25±1.60	1.48±1.29	0.966	0.334
外侧足弓	9.43±3.93	8.70±4.44	0.630	0.536
内侧足跟	15.40±4.56	19.23±5.06	3.008	0.007
外侧足跟	15.77±2.75	17.02±4.82	0.848	0.407

侧别	前足负荷	后足负荷	内侧负荷	外侧负荷
健侧	63.45±5.98	36.55±5.98	45.85±6.90	54.15±6.90
患侧	58.55±7.86	41.45±7.86	48.40±5.90	51.60±5.90
t值	2.153	2.153	1.753	1.753
P值	0.044	0.044	0.080	0.080

Analysis of plantar pressure for functional ankle instability

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侧别	最大压强	平均压强
健侧	2334.80±405.95	939.85±116.35
患侧	1938.60±324.05	824.95±115.85
t值	6.340	5.005
P值	< 0.001	< 0.001

侧别	压力中心连线增量/mm	压力中心连线占脚印长度比/%
健侧	194.25±29.36	80.15±8.74
患侧	203.75±21.59	85.35±5.34
t值	28.306	20.567
P值	< 0.001	< 0.001

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