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

Abstract

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

CLC Number:

R684.7

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.

Figures/Tables 3

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

References 44

[1]	YILDIRIM SAHAN T, AYDOGAN ARSLAN S, DEMIRCI C, et al. Comparison of short-term effects of virtual reality and short foot exercises in pes planus[J]. Foot (Edinb), 2021, 47: 101778. doi: 10.1016/j.foot.2021.101778
[2]	ABDEL-FATTAH M M, HASSANIN M M, FELEMBANE F A, et al. Flat foot among Saudi Arabian army recruits: prevalence and risk factors[J]. East Mediterr Health J, 2006, 12(1-2): 211-217.
[3]	张丽华, 回俊岭, 陈树君, 等. 沧州市1629名儿童青少年足弓发育状况[J]. 中国学校卫生, 2007(6): 532-533.
	ZHANG L H, HUI J L, CHEN S J, et al. Development of foot-arch of 1629 children and adolescents in Cangzhou[J]. Chin J School Health, 2007(6): 532-533.
[4]	PITA-FERNANDEZ S, GONZALEZ-MARTIN C, ALONSO-TAJES F, et al. Flat foot in a random population and its impact on quality of life and functionality[J]. J Clin Diagn Res, 2017, 11(4): Lc22-Lc27.
[5]	TANG C Y K, NG K H, LAI J. Adult flatfoot[J]. BMJ, 2020, 368: m295.
[6]	POHL M B, HAMILL J, DAVIS I S. Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners[J]. Clin J Sport Med, 2009, 19(5): 372-376. doi: 10.1097/JSM.0b013e3181b8c270 pmid: 19741308
[7]	聂茂丹, 张敏, 祁昕征, 等. 扁平足与退化性膝关节炎的相关性研究[J]. 医用生物力学, 2021, 36(S1): 219.
	NIE M D, ZHANG M, QI X Z, et al. Study on the correlation between flatfoot and degenerative knee osteoarthritis[J]. J Med Biomech, 2021, 36(S1): 219.
[8]	KOSASHVILI Y, FRIDMAN T, BACKSTEIN D, et al. The correlation between pes planus and anterior knee or intermittent low back pain[J]. Foot Ankle Int, 2008, 29(9): 910-913. doi: 10.3113/FAI.2008.0910 pmid: 18778669
[9]	ELATAAR F F, ABDELMAJEED S F, ABDELLATIF N M N, et al. Core muscles' endurance in flexible flatfeet: a cross-sectional study[J]. J Musculoskelet Neuronal Interact, 2020, 20(3): 404-410.
[10]	MENZ H B, DUFOUR A B, RISKOWSKI J L, et al. Foot posture, foot function and low back pain: the Framingham Foot Study[J]. Rheumatology (Oxford), 2013, 52(12): 2275-2282. doi: 10.1093/rheumatology/ket298 pmid: 24049103
[11]	GIZA E, CUSH G, SCHON L C. The flexible flatfoot in the adult[J]. Foot Ankle Clin, 2007, 12(2): 251-271, vi. pmid: 17561199
[12]	FRANCISCO R, CHIODO C P, WILSON M G. Management of the rigid adult acquired flatfoot deformity[J]. Foot Ankle Clin, 2007, 12(2): 317-327, vii. pmid: 17561204
[13]	SHEIKH TAHA A M, FELDMAN D S. Painful flexible flatfoot[J]. Foot Ankle Clin, 2015, 20(4): 693-704. doi: 10.1016/j.fcl.2015.07.011 pmid: 26589087
[14]	张秀丽, 刘学贞, 任影萍. 扁平足的研究进展[J]. 河北体育学院学报, 2007(2): 80-82.
	ZHANG X L, LIU X Z, REN Y P. Development of the study on flatfoot[J]. J Hebei Univ Sport, 2007(2): 80-82.
[15]	HOANG N T, CHEN S, CHOU L W. The impact of foot orthoses and exercises on pain and navicular drop for adult flatfoot: a network meta-analysis[J]. Sensors (Basel), 2021, 18(15): 8063.
[16]	JUNG D Y, KIM M H, KOH E K, et al. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises[J]. Phys Ther Sport, 2011, 12(1): 30-35. doi: 10.1016/j.ptsp.2010.08.001
[17]	OKAMURA K, FUKUDA K, OKI S, et al. Effects of plantar intrinsic foot muscle strengthening exercise on static and dynamic foot kinematics: a pilot randomized controlled single-blind trial in individuals with pes planus[J]. Gait Posture, 2020, 75: 40-45. doi: S0966-6362(19)30679-4 pmid: 31590069
[18]	JUNG D, YI C, CHOI W J, et al. Effect of dynamic guidance-tubing short foot gait exercise on muscle activity and navicular movement in people with flexible flatfeet[J]. NeuroRehabilitation, 2020, 47(2): 217-226. doi: 10.3233/NRE-203106 pmid: 32741785
[19]	World Health Organization. International Classification of Functioning, Disability and Health: ICF[M]. Geneva: World Health Organization, 2001.
[20]	MACEDO L G, ELKINS M R, MAHER C G, et al. There was evidence of convergent and construct validity of Physiotherapy Evidence Database quality scale for physiotherapy trials[J]. J Clin Epidemiol, 2010, 63(8): 920-925. doi: 10.1016/j.jclinepi.2009.10.005 pmid: 20171839
[21]	KIM E K, KIM J S. The effects of short foot exercises and arch support insoles on improvement in the medial longitudinal arch and dynamic balance of flexible flatfoot patients[J]. J Phys Ther Sci, 2016, 28(11): 3136-3139. doi: 10.1589/jpts.28.3136
[22]	MOON D, JUNG J. Effect of incorporating short-foot exercises in the balance rehabilitation of flat foot: a randomized controlled trial[J]. Appl Bionics Biomech, 2021, 9(10): 1358.
[23]	PABON-CARRASCO M, CASTRO-MENDEZ A, VILAR-PALOMO S, et al. Randomized clinical trial: the effect of exercise of the intrinsic muscle on foot pronation[J]. Int J Environ Res Public Health, 2020, 17(13): 4882. doi: 10.3390/ijerph17134882
[24]	JUNG D Y, KOH E K, KWON O Y. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial[J]. J Back Musculoskelet Rehabil, 2011, 24(4): 225-231. doi: 10.3233/BMR-2011-0299
[25]	NAMSAWANG J, EUNGPINICHPONG W, VICHIANSIRI R, et al. Effects of the short foot exercise with neuromuscular electrical stimulation on navicular height in flexible flatfoot in Thailand: a randomized controlled trial[J]. J Prev Med Public Health, 2019, 52(4): 250-257. doi: 10.3961/jpmph.19.072 pmid: 31396379
[26]	PARK D J, LEE K S, PARK S Y. Effects of two foot-ankle interventions on foot structure, function, and balance ability in obese people with pes planus[J]. Healthcare (Basel), 2021, 9(6): 667.
[27]	JEONG D. Effects of visual feedback short foot exercise on foot pressure in adults with flexible flat foot[J]. J Int Academy of Physical Therapy Research, 2019, 10(4): 1934-1939. doi: 10.20540/JIAPTR.
[28]	ALAM F, RAZA S, MOIZ J A, et al. Effects of selective strengthening of tibialis posterior and stretching of iliopsoas on navicular drop, dynamic balance, and lower limb muscle activity in pronated feet: a randomized clinical trial[J]. Phys Sportsmed, 2019, 47(3): 301-311. doi: 10.1080/00913847.2018.1553466 pmid: 30517043
[29]	陈泽华, 叶翔凌, 陈伟健, 等. 足姿指数评价足部位置的信效度研究[J]. 中国康复理论与实践, 2020, 26(10): 1193-1197. doi: 10.3969/j.issn.1006-9771.2020.10.012
	CHEN Z H, YE X L, CHEN W J, et al. Reliability and validity of Foot Position Index for foot posture assessment[J]. Chin J Rehabil Theory Pract, 2020, 26(10): 1193-1197.
[30]	宋艳, 郑坤, 魏浩馨, 等. 足姿指数评估扁平足信度及在3D打印鞋垫中的应用[J]. 中国组织工程研究, 2022, 26(3): 344-349.
	SONG Y, ZHENG K, WEI H X, et al. Reliability of flat feet evaluated by foot posture index and its application in three-dimensional printing insoles[J]. Chin J Tissue Eng Res, 2022, 26(3): 344-349.
[31]	JALALI M M, GERAMI H, HEIDARZADEH A, et al. Balance performance in older adults and its relationship with falling[J]. Aging Clin Exp Res, 2015, 27(3): 287-296. doi: 10.1007/s40520-014-0273-4 pmid: 25286899
[32]	KAFRI M, HUTZLER Y, KORSENSKY O, et al. Functional performance and balance in the oldest-old[J]. J Geriatr Phys Ther, 2019, 42(3): 183-188. doi: 10.1519/JPT.0000000000000133 pmid: 28574916
[33]	DILLON C F, GU Q, HOFFMAN H J, et al. Vision, hearing, balance, and sensory impairment in Americans aged 70 years and over: United States, 1999-2006 [J]. NCHS Data Brief, 2010(31): 1-8. pmid: 20377973
[34]	FERN NDEZ-SEGU N L M, DIAZ MANCHA J A, S NCHEZ RODR GUEZ R, et al. Comparison of plantar pressures and contact area between normal and cavus foot[J]. Gait Posture, 2014, 39(2): 789-792. doi: 10.1016/j.gaitpost.2013.10.018
[35]	韩艳坤, 霍洪峰. 扁平足患者足型及步态特征研究[J]. 中国康复医学杂志, 2020, 35(4): 434-439.
	HAN Y K, HUO H F. A study on foot shape and gait characteristics of patients with flat foot[J]. Chin J Rehabil Med, 2020, 35(4): 434-439.
[36]	WAFAI L, ZAYEGH A, WOULFE J, et al. Identification of foot pathologies based on plantar pressure asymmetry[J]. Sensors (Basel), 2015, 15(8): 20392-20408. doi: 10.3390/s150820392
[37]	李韦豪, 许胜强, 刘奕, 等. 静态足底压力分布特征在膝关节损伤评估中的应用[J]. 中国医疗器械杂志, 2018, 42(6): 395-399.
	LI W H, XU S Q, LIU Y, et al. Application of static characteristics of plantar pressure distribution in the assessment of knee joint injury[J]. Chin J Med lnstrument, 2018, 42(6): 395-399.
[38]	MCKEON P O, FOURCHET F. Freeing the foot: integrating the foot core system into rehabilitation for lower extremity injuries[J]. Clin Sports Med, 2015, 34(2): 347-361. doi: 10.1016/j.csm.2014.12.002
[39]	MULLIGAN E P, COOK P G. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function[J]. Man Ther, 2013, 18(5): 425-430. doi: 10.1016/j.math.2013.02.007
[40]	SULOWSKA I, OLEKSY Ł, MIKA A, et al. The influence of plantar short foot muscle exercises on foot posture and fundamental movement patterns in long-distance runners, a non-randomized, non-blinded clinical trial[J]. PLoS One, 2016, 11(6): e0157917. doi: 10.1371/journal.pone.0157917
[41]	MCKEON P O, HERTEL J, BRAMBLE D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function[J]. Br J Sports Med, 2015, 49(5): 290. doi: 10.1136/bjsports-2013-092690
[42]	肖松林, 张希妮, 孙晓乐, 等. 基于足核心系统的足部功能增强研究进展[J]. 中国康复理论与实践, 2020, 26(10): 1186-1192. doi: 10.3969/j.issn.1006-9771.2020.10.011
	XIAO S L, ZHANG X N, SUN X L, et al. Advances in foot function enhancement based on the foot core system[J]. Chin J Rehabil Theory Pract, 2020, 26(10): 1186-1192.
[43]	FIOLKOWSKI P, BRUNT D, BISHOP M, et al. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study[J]. J Foot Ankle Surg, 2003, 42(6): 327-333. doi: 10.1053/j.jfas.2003.10.003 pmid: 14688773
[44]	KELLY L A, KUITUNEN S, RACINAIS S, et al. Recruitment of the plantar intrinsic foot muscles with increasing postural demand[J]. Clin Biomech (Bristol, Avon), 2012, 27(1): 46-51. doi: 10.1016/j.clinbiomech.2011.07.013

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

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