Effect of gait protocols and postoperative shoes on off-loading of forefoot in preoperative patients for forefoot disorders
Effect of gait protocols and postoperative shoes on off-loading of forefoot in preoperative patients for forefoot disorders
复制标题
步态方案和术后鞋对术前前足疾病患者前足卸载的影响
DOI：
10.1093/mr/roab093
复制
发表时间：
2021
影响因子：
2.2
通讯作者：
Matsumoto Takumi
中科院分区：
文献类型：
--
作者：
Kasai Taro;Tsuji Marina;Takeda Ryutaro;Chang Song Ho;Anzai Emi;Nakajima Kanako;Tanaka Sakae;Ohta Yuji;Matsumoto Takumi
ObjectivesThe purpose of this study was to clarify the effect of gait protocols and postoperative shoes on forefoot load in preoperative patients for forefoot disorders and comparison footwear comfort between different types of postoperative shoes.MethodsFourteen subjects scheduled to undertake forefoot surgery were recruited.前脚区域下的最大力量进行了测量，在10米直线行走在两种步态模式与六种不同的鞋类型。视觉模拟量表（VAS）评分鞋的舒适性，主观下大腿疼痛，和下大腿肌肉的电活动也evaluated.ResultsThe体重归一化的最大力量下的前脚区域显着下降，在一步到步态相比，正常的步态，无论使用的鞋类型。在相同步态条件下，不同鞋型的前足减载效果无显著差异。显著恶化的VAS评分，胫骨前肌活动显着较高，和投诉的大腿下部疼痛表现在步态与反拱shoe.ConclusionsGait协议的步骤，以步态有更多的前脚卸载效果比术后鞋。术后鞋的前足卸载效果没有差异，表明术后鞋可以选择，重点是鞋类舒适性。
ObjectivesThe purpose of this study was to clarify the effect of gait protocols and postoperative shoes on forefoot load in preoperative patients for forefoot disorders and compare footwear comfort between different types of postoperative shoes.MethodsFourteen subjects scheduled to undergo forefoot surgeries were recruited. The maximum force under the forefoot region was measured during 10 m straight walking in two gait patterns with six different shoe types. Visual analogue scale (VAS) scores for footwear comfort, subjective lower thigh pain, and electrical activities of lower thigh muscles were also evaluated.ResultsThe body weight-normalized maximum force under the forefoot region significantly decreased in step-to gait compared to normal gait regardless of the shoe types used. Under the same gait condition, no significant difference was observed in the forefoot off-loading effect between the different shoe types used. Significantly worse VAS scores, significantly higher tibialis anterior muscle activities, and complaints of lower thigh pain were demonstrated in the gait with the reverse camber shoe.ConclusionsGait protocol of step-to gait had more forefoot off-loading effect than postoperative shoes. The forefoot off-loading effect did not differ among the postoperative shoes, suggesting that postoperative shoes can be selected with an emphasis on footwear comfort.