摘要
目的:应用三维运动解析技术探究推拿手法联合运动疗法对柔韧性扁平足儿童步行功能的干预效果。方法:选取柔韧性扁平足儿童48例(96足)随机分为试验组与对照组各24例(48足),对照组采用运动疗法干预,试验组在运动疗法基础上联合推拿疗法,治疗周期均为3个月,比较两组干预前后MLA峰值、步长、步速、初始着地时膝关节屈曲角度、髋关节外旋力矩峰值、踝关节跖屈力矩峰值、踝关节内翻力矩峰值。结果:干预前后对比,试验组MLA峰值干预后显著减小(P<0.01)、步长增加(P<0.05)、初始着地时膝关节屈曲角度及踝关节跖屈力矩显著增加(P<0.01)、踝关节内翻力矩增加(P<0.05);干预前后对比,对照组干预后MLA峰值减小(P<0.05),初始着地时膝关节屈曲角度增加(P<0.05);组间比较,试验组MLA峰值、踝关节跖屈力矩的改善效果优于对照组(P<0.05),试验组步速、踝关节内翻力矩改善程度与对照组相比有增加趋势,但差异无统计学意义(P>0.05)。结论:推拿手法联合运动疗法可有效提高柔韧性扁平足儿童的步行功能,且在足部形态及踝关节力矩方面的疗效优于单纯运动疗法。
Objective:To explore the intervention effect of massage combined with exercise therapy on the walking function of children with flexible flat foot by three-dimensional motion analysis technology.Methods:A total of 48 children with flexible flat foot(96 foot)were randomly divided into the experimental group and the control group with 24 children(48 foot)in each group.The control group was treated with exercise therapy,and the experimental group was treated with massage therapy on the basis of exercise therapy.The treatment cycle was three months.MLA peak,stride length,stride speed,knee flexion angle at initial landing,hip external rotation moment peak,ankle metatarsal flexion moment peak and ankle varus moment peak before and after intervention were compared between the two groups.Results:Compared before and after intervention,the MLA peak value of experimental group was significantly decreased after intervention(P<0.01),step length was increased(P<0.05),knee flexion angle and ankle plantar flexion moment at initial landing were significantly increased(P<0.01),and ankle varus moment was increased(P<0.05).Compared before and after intervention,the MLA peak value in control group decreased after intervention(P<0.05),and the knee flexion angle increased at initial landing(P<0.05).Compared with the control group,the improvement of MLA peak value and ankle plantar flexion moment in experimental group was better than those in control group(P<0.05),and the improvement of walking speed and ankle varus moment in experimental group had an increasing trend,but the difference is not statistically significant(P>0.05).Conclusion:Massage combined with exercise therapy can effectively improve the walking function of children with flexible flat foot,and the effect is better than that of exercise therapy alone in terms of foot morphology and ankle torque.
作者
张进
姜淑云
李阳
李一瀛
鲁潇莹
俞艳
ZHANG Jin;JIANG Shuyun;LI Yang;LI Yiying;LU Xiaoying;YU Yan(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437;Shanghai University of Traditional Chinese Medicine,Shanghai 201203)
出处
《中医康复》
2025年第6期15-20,共6页
Traditional Chinese Medicine Rehabilitation
基金
国家自然科学基金项目(82105040)。
关键词
柔韧性扁平足
学龄期
推拿
运动疗法
步行功能
flexible flat foot
school age
massage
exercise therapy
walking function
