三种足内在肌训练对扁平足患者拇外展肌横截面积和足形态的效果

doi:10.3969/j.issn.1006-9771.2023.08.014

Abstract

Abstract:

Objective To compare the effect of three kinds of intrinsic foot muscle exercise on flatfoot.
Methods From September to November, 2022, 45 subjects with flatfoot from Capital University of Physical Education and Sports were randomly divided into short foot exercise (SFE) group (n = 15), toe-spread-out exercise (TSOE) group (n = 15) and short foot & toe-spread-out exercise (SF+TSOE) group (n = 15), who received SFE, TSOE and SF+TSOE, respectively, for eight weeks. The cross-sectional area of abductor hallucis muscle, navicular drop test (NDT) and Chippaux-Smirak index (CSI) were measured before treatment, four weeks after treatment and eight weeks after treatment.
Results Three subjects dropped out in each group. The main effect of time was significant for left and right cross-sectional area of abductor hallucis muscle, NDT and CSI (F > 13.906, P < 0.001). The main effect of group was not significant for left and right cross-sectional area of abductor hallucis muscle, NDT and CSI (F < 1.934, P > 0.05). The interaction effect of group and time was significant for left and right NDT (F > 3.044，P < 0.05), and it was better in SF+TSOE group than in SFE group and TSOE group (P < 0.05).
Conclusion SF and TSOE can improve the cross-sectional area of abductor hallucis muscle and foot morphology in subjects with flatfoot, and the combination of them may be more effective.

Key words: flatfoot, intrinsic foot muscle exercises, abductor hallucis muscle, foot morphology

CLC Number:

R682.1

YU Zhongqi, WANG Chao, HE Gang, DIAO Lianfu, LIU Mengting, YU Yao, ZHANG Liang, WANG Ruiyan. Effect of three intrinsic foot muscle exercises on cross-sectional area of abductor hallucis muscle and foot morphology in subjects with flatfoot[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 961-966.

Figures/Tables 7

References 40

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组别	n	性别(男/女)/n	年龄/岁	BMI/(kg/m²)	左脚NDT/mm	右脚NDT/mm
SFE组	15	8/7	21.73±1.87	22.77±2.82	11.43±0.95	11.41±0.66
TSOE组	15	8/7	20.33±2.44	22.79±3.08	11.30±0.78	11.29±0.78
SF+TSOE组	15	8/7	21.20±2.01	22.07±3.00	11.27±0.91	11.38±0.89
χ²/F值		0	1.667	0.289	0.104	0.148
P值		1	0.201	0.750	0.901	0.863

组别	n	干预前	干预4周	干预8周
SFE组	12	2.43±0.61	2.50±0.55	2.73±0.57^a,b
TSOE组	12	2.31±0.66	2.40±0.77	2.66±0.60^a,b
SF+TSOE组	12	2.40±0.82	2.55±0.82	2.75±0.79^a,b

组别	n	干预前	干预4周	干预8周
SFE组	12	2.22±0.53	2.45±0.61^a	2.50±0.61^a
TSOE组	12	2.17±0.64	2.37±0.67	2.43±0.62^a
SF+TSOE组	12	2.25±0.72	2.46±0.76	2.52±0.82^a

组别	n	干预前	干预4周	干预8周
SFE组	12	11.42±0.97	10.73±1.04^a	10.50±0.70^a
TSOE组	12	11.26±0.87	10.80±0.38	10.51±0.73^a
SF+TSOE组	12	11.35±1.00	10.68±0.78^a	9.56±0.62^a,b,c,d

组别	n	干预前	干预4周	干预8周
SFE组	12	11.38±0.74	10.95±0.58^a	10.19±0.85^a,b
TSOE组	12	11.31±0.87	10.81±0.77^a	10.48±0.50^a
SF+TSOE组	12	11.42±0.88	10.53±0.74^a	9.33±0.68^a,b,c,d

Effect of three intrinsic foot muscle exercises on cross-sectional area of abductor hallucis muscle and foot morphology in subjects with flatfoot

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组别	n	干预前	干预4周	干预8周
SFE组	12	47.73±12.17	42.95±9.11^a	40.13±5.51^a
TSOE组	12	50.31±13.55	45.25±8.91^a	43.59±8.60^a
SF+TSOE组	12	49.34±13.18	43.76±9.30^a	42.11±9.30^a

组别	n	干预前	干预4周	干预8周
SFE组	12	46.19±9.05	42.59±6.36	40.20±6.92^a
TSOE组	12	49.48±10.63	45.28±8.91	42.92±8.48^a
SF+TSOE组	12	46.76±11.40	41.98±9.15	39.23±5.37^a

[1]	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.
[2]	HUANG Chenglan, HOU Yutong, YANG Yunxiao, ZENG Hong, ZHANG Ziyan, ZHAO Wenkuan, WANG Zanbo, SHAN Chunlei, DAI Kerong, CAI Bin, WANG Jinwu. 3D printed orthopedic insoles for flatfoot: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 416-422.