Effect of Posterior Tibial Tendon Dysfunction on Unipedal Standing Balance Test
Effect of Posterior Tibial Tendon Dysfunction on Unipedal Standing Balance Test
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DOI：
10.1177/1071100714551020
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发表时间：
2015-01-01
影响因子：
2.7
通讯作者：
Noceti-DeWit, Lisa
中科院分区：
文献类型：
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作者：
Kulig, Kornelia;Lee, Szu-Ping;Noceti-DeWit, Lisa
背景：足部疼痛和功能能力下降是胫骨后肌腱功能障碍（TPTD）的特征。本研究测试了以下假设：患有 TPTD 的女性在单足站立平衡测试 (USBT) 中的表现会受到损害，并且平衡表现与单肢脚后跟抬高 (SLHR) 的次数有关。方法：39 名中年女性，其中 19 名患有早期 TPTD（I 期和 II 期），被指示执行 2 项任务； USBT 和重复 SLHR。平衡成功被定义为 10 秒的姿势。对于那些成功的人，记录前后（AP）和内侧-外侧（ML）方向的压力中心（COP）数据作为姿势摇摆的量度。 SLHR 表现分为 3 个组（10 次重复）。使用 Fisher 精确检验 (2 x 3) 分析执行 SLHR 检验的天平间成功率。使用独立 t 检验来比较姿势摇摆的组间差异。使用 Spearman's rho 评估姿势摇摆与脚后跟抬高次数的关系。结果：患有 TPTD 的女性 USBT 的成功率显着低于对照组（47% vs 85%，P = .041）。此外，完成 USBT 的 TPTD 女性表现出 AP COP 位移增加（14.0 +/- 7.4 vs 8.4 +/- 1.3 mm，P = .008），并且 ML COP 位移有明显增加的趋势（8.3 +/- 4.5 vs 6.1 +/- 1.2 mm，P = .050）。 USBT 的成功率与 SLHR 数量相关 (P = .01)。 AP 和 ML COP 位移分别与 SLHR 相关（r = -.538 和 .495）。结论：患有 TPTD 的女性难以进行 USBT。 USBT 和 SLHR 的表现高度相关并且可以相互预测。
Background: Foot pain and diminished functional capacity are characteristics of tibialis posterior tendon dysfunction (TPTD). This study tested the hypotheses that women with TPTD would have impaired performance of a unipedal standing balance test (USBT) and that balance performance would be related to the number of single limb heel raises (SLHR).Methods: Thirty-nine middle-aged women, 19 with early stage TPTD (stage I and II), were instructed to perform 2 tasks; a USBT and repeated SLHR. Balance success was defined as a 10-second stance. For those who were successful, center of pressure (COP) data in anterior-posterior (AP) and medial-lateral (ML) directions were recorded as a measure of postural sway. SLHR performance was divided into 3 bins ( 10 repetitions). The between-balance success on performing the SLHR test was analyzed using the Fisher's exact test (2 x 3). Independent t tests were used to compare between-group differences in postural sway. Relationship of postural sway to the number of heel raises was assessed using Spearman's rho.Results: The success rate of the USBT was significantly lower in women with TPTD than the controls (47% vs 85%, P = .041). In addition, women with TPTD who completed the USBT exhibited increased AP COP displacement (14.0 +/- 7.4 vs 8.4 +/- 1.3 mm, P = .008), and a strong trend of increased ML COP displacement (8.3 +/- 4.5 vs 6.1 +/- 1.2 mm, P = .050). The success rate of USBT was correlated with the number of SLHR (P = .01). The AP and ML COP displacement were correlated with SLHR (r = -.538 and .495), respectively.Conclusions: Women with TPTD have difficulty in performing the USBT. Performance of the USBT and SLHR are highly correlated and predictive of each other.