安徽医学
安徽醫學
안휘의학
Anhui Medical Journal
2015年
11期
1358-1360
,共3页
膝骨性关节炎%足底压力%疼痛
膝骨性關節炎%足底壓力%疼痛
슬골성관절염%족저압력%동통
Knee Osteoarthritis%Plantar Pressure%Pain
目的：探讨膝骨性关节炎患者足底压力改变及疼痛对足底压力的影响。方法运用足底压力测试系统对28例单侧膝骨性关节炎疼痛患者自然行走时的步态进行测试，观察受试者单足支撑分期时段参数、足角及膝关节疼痛指数，对健、患侧足底压力各指标进行统计学分析并分析膝关节疼痛指数与各指标相关性。结果膝骨性关节炎患者患侧前足着地阶段时间百分比为（57.90±32.93）、全足支撑阶段时间百分比为（57.93±2.93）低于健侧对应百分比（60.26±2.66，P =0.007；51.53±3.84，P <0.001）；患侧足角（16.24±4.50）明显高于健侧足角（14.67±4.09），差异有统计学意义（P =0.014）；膝关节疼痛指数与患侧前足着地阶段时间百分比（r =-0.53，P =0.004）、全足支撑阶段时间百分比（r =-0.56，P =0.002）呈负相关；与患侧足角无明显相关性（r =0.245，P =0.193）。结论膝骨性关节炎患者足底压力具有特征性，前足着地时段、全足支撑时段明显缩短、足角变大，疼痛严重影响膝骨性关节炎患者步态。
目的：探討膝骨性關節炎患者足底壓力改變及疼痛對足底壓力的影響。方法運用足底壓力測試繫統對28例單側膝骨性關節炎疼痛患者自然行走時的步態進行測試，觀察受試者單足支撐分期時段參數、足角及膝關節疼痛指數，對健、患側足底壓力各指標進行統計學分析併分析膝關節疼痛指數與各指標相關性。結果膝骨性關節炎患者患側前足著地階段時間百分比為（57.90±32.93）、全足支撐階段時間百分比為（57.93±2.93）低于健側對應百分比（60.26±2.66，P =0.007；51.53±3.84，P <0.001）；患側足角（16.24±4.50）明顯高于健側足角（14.67±4.09），差異有統計學意義（P =0.014）；膝關節疼痛指數與患側前足著地階段時間百分比（r =-0.53，P =0.004）、全足支撐階段時間百分比（r =-0.56，P =0.002）呈負相關；與患側足角無明顯相關性（r =0.245，P =0.193）。結論膝骨性關節炎患者足底壓力具有特徵性，前足著地時段、全足支撐時段明顯縮短、足角變大，疼痛嚴重影響膝骨性關節炎患者步態。
목적：탐토슬골성관절염환자족저압력개변급동통대족저압력적영향。방법운용족저압력측시계통대28례단측슬골성관절염동통환자자연행주시적보태진행측시，관찰수시자단족지탱분기시단삼수、족각급슬관절동통지수，대건、환측족저압력각지표진행통계학분석병분석슬관절동통지수여각지표상관성。결과슬골성관절염환자환측전족착지계단시간백분비위（57.90±32.93）、전족지탱계단시간백분비위（57.93±2.93）저우건측대응백분비（60.26±2.66，P =0.007；51.53±3.84，P <0.001）；환측족각（16.24±4.50）명현고우건측족각（14.67±4.09），차이유통계학의의（P =0.014）；슬관절동통지수여환측전족착지계단시간백분비（r =-0.53，P =0.004）、전족지탱계단시간백분비（r =-0.56，P =0.002）정부상관；여환측족각무명현상관성（r =0.245，P =0.193）。결론슬골성관절염환자족저압력구유특정성，전족착지시단、전족지탱시단명현축단、족각변대，동통엄중영향슬골성관절염환자보태。
Objective To explore the gait characteristics of patients with knee osteoarthritis during natural walking and the impaction of knee pain on plantar foot pressure. Methods The Footscan plate system was used to test the plantar pressure parameters of 28 patients with unilateral knee osteoarthritis during natural walking. The data of gait parameters with single support phases,foot angle and knee joint pain index were evaluated,and the plantar pressure of ipsilateral and contralateral foot were statistically analyzed,the relation between knee joint pain index and those data also being analyzed. Results There were statistically significant differences between ipsilateral and contralat-eral foot of knee osteoarthritis patients for the contacting time percentage of forefoot contact phase(57. 93 ± 2. 93,60. 26 ± 2. 66,P = 0. 007) and foot flat phase(57. 93 ± 2. 93,51. 53 ± 3. 84,P < 0. 001),and for the foot angle(16. 24 ± 4. 50,14. 67 ± 4. 09,P = 0. 014),respec-tively. There was negative correlation between the knee joint pain index and the ipsilateral foot contacting time percentage of forefoot contact phase(r = - 0. 53,P = 0. 004)and foot flat phase(r = - 0. 56,P = 0. 002),but no evident correlation was found between pain index and ipsilateral foot angle. Conclusion The characteristics of abnormal plantar pressure found in knee osteoarthritis patients are remarkably shor-ter contacting time of forefoot contact phase and foot flat phase and larger foot angle,and there is a heavy effect of knee pain on gait character-istics in patients with knee osteoarthritis.
