The effect of pes caves on foot pain and plantar pressure
The effect of pes caves on foot pain and plantar pressure
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DOI：
10.1016/j.clinbiomech.2005.03.006
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发表时间：
2005-11-01
影响因子：
1.8
通讯作者：
Ouvrier, R
中科院分区：
文献类型：
--
作者：
Burns, J;Crosbie, J;Ouvrier, R
背景。由于人们对足部疼痛的机制知之甚少，因此对足部疼痛患者的临床治疗具有挑战性。本研究的目的是探讨不同足底穴位病因对足部疼痛和足底压力特征的影响，并明确足部疼痛与足底压力之间的关系。这项研究招募了七十名受试者。其中包括 30 名患有不明原因（特发性）足洞的受试者、10 名患有神经病因（神经源性）足洞的受试者和 30 名足型正常的受试者。记录足部疼痛的存在和位置，并使用 EMED-SF 平台测量全足、后足、中足和前足区域的赤足足底压力。结果。与具有正常足型的受试者 (23%) 相比，患有特发性或神经源性病因的足部凹陷的受试者报告足部疼痛的比例 (60%) 更高 (P = 0.009)。无论是特发性还是神经源性足部凹陷，全足、后足和前足区域的压力-时间积分均高于正常足型（P < 0.01）。报告足部疼痛的受试者的压力-时间积分高于无痛受试者 (P < 0.001)。压力-时间积分与足部疼痛之间存在显着相关性（r = 0.49，P < 0.001）。解释。足部疼痛是足部凹陷患者的常见症状。无论病因如何，足部凹陷的特点是压力-时间积分异常高，这与足部疼痛显着相关。了解足腔压力模式与足部疼痛之间的关系将改善这些患者的临床管理。 (c) 2005 Elsevier Ltd. 保留所有权利。
Background. Clinical management of patients with painful pes caves is challenging because the mechanism of foot pain is poorly understood. The purpose of this study was to explore the influence of various pes caves aetiologies on foot pain and plantar pressure characteristics, and to identify the relationship between foot pain and plantar pressure.Methods. Seventy subjects were recruited for this study. They included 30 subjects with pes caves of unknown aetiology (idiopathic), 10 subjects with pes caves of neurological aetiology (neurogenic) and 30 subjects with a normal foot type. The presence and location of foot pain was recorded and barefoot plantar pressures were measured using the EMED-SF platform for the whole foot, rearfoot, midfoot and forefoot regions.Findings. Subjects with pes caves of either idiopathic or neurogenic aetiology reported a higher proportion of foot pain (60%) compared to subjects with a normal foot type (23%) (P = 0.009). Pressure-time integrals under the whole foot, rearfoot and forefoot regions in pes caves, of both idiopathic and neurogenic origin, were higher than in the normal foot type (P < 0.01). Pressure-time integrals in subjects reporting foot pain were higher than for pain free subjects (P < 0.001). There was a significant correlation between pressure-time integral and foot pain (r = 0.49, P < 0.001).Interpretation. Foot pain is a common finding among individuals with pes caves. Regardless of aetiology, pes caves is characterized by abnormally high pressure-time integrals which are significantly related to foot pain. An understanding of the relationship between pes caves pressure patterns and foot pain will improve the clinical management of these patients. (c) 2005 Elsevier Ltd. All rights reserved.