中国组织工程研究 ›› 2021, Vol. 25 ›› Issue (15): 2315-2320.doi: 10.3969/j.issn.2095-4344.3804

• 骨与关节生物力学 bone and joint biomechanics • 上一篇    下一篇

3-35岁健康男性自然行走时足底压力的特征与变化

林琴琴,李若明,耿元文,元  航,杨小丽   

  1. 燕山大学体育学院,河北省秦皇岛市   066004
  • 收稿日期:2020-07-28 修回日期:2020-07-29 接受日期:2020-09-15 出版日期:2021-05-28 发布日期:2021-01-04
  • 通讯作者: 林琴琴,副教授,博士生导师,燕山大学体育学院,河北省秦皇岛市 066004
  • 作者简介:林琴琴,副教授,博士生导师,主要从事运动干预与健康促进研究。
  • 基金资助:
    国家级大学生创新创业计划(201910216055),项目负责人:杨小丽

Characteristics and changes of plantar pressure of healthy men aged 3-35 years old during natural walking 

Lin Qinqin, Li Ruoming, Geng Yuanwen, Yuan Hang, Yang Xiaoli   

  1. College of Physical Education, Yanshan University, Qinhuangdao 066004, Hebei Province, China 
  • Received:2020-07-28 Revised:2020-07-29 Accepted:2020-09-15 Online:2021-05-28 Published:2021-01-04
  • Contact: Lin Qinqin, Associate professor, Doctoral supervisor, College of Physical Education, Yanshan University, Qinhuangdao 066004, Hebei Province, China
  • About author:Lin Qinqin, Associate professor, Doctoral supervisor, College of Physical Education, Yanshan University, Qinhuangdao 066004, Hebei Province, China
  • Supported by:
    the Innovation and Entrepreneurship Plan for National College Students, No. 201910216055 (to YXL)

摘要:

文题释义:
3-35岁男性:3-6岁为学龄前儿童,7-12岁为学龄儿童,13-18岁为少年,19-25岁为青年,26-35岁为壮年。
足底压力:人体在静止站立或者动态行走时,在自身重力的作用下,足底在垂直方向上受到的地面反作用力。足底压力可以有效反映足的结构、功能、力学特点、身体姿势控制状况等问题。

背景:人体的足底压力特征可以有效反映足的结构、功能、力学特点、身体姿势控制状况等问题,年龄是影响正常人足底压力特征的重要因素。
目的:以3-35岁健康男性自然步态下足底接触时间、压力冲量、接触面积、压强峰值、压力峰值等参数,分析3-35岁健康男性足底压力特征的差异性与变化趋势。
方法:选取200名健康男性作为研究对象,3-6岁学龄前儿童组(A组)、7-12岁学龄儿童组(B组)、13-18岁少年组(C组)、19-25岁青年组(D组)、26-35岁壮年组(E组),每组40人。采用比利时foot scan USB足底压力检测系统对5组受试者自然步态下的足底压力进行检测,观察足底动态接触时间、压力冲量、接触面积、压强峰值、压力峰值。研究方案的实施符合燕山大学对研究的相关伦理要求,所有受试者及家属均对试验过程完全知情同意。
结果与结论:①足底接触时间:在第1趾骨、第1-5跖骨、足跟内侧和足跟外侧区域随年龄增长显著增加(P < 0.05);②足底最大压力冲量:主要分布在第1趾骨、第1、3跖骨区域,最小压力冲量分布在足弓内侧区域;足底第1趾骨、第1-4跖骨、足跟内侧与足跟外侧区域压力冲量随年龄增长显著增加(P < 0.05);③足底接触面积:在第1趾骨、第1-4跖骨、足跟内侧和足跟外侧区域随年龄增长显著增加(P < 0.05);④足底压强峰值:在第1-4跖骨区域A-D组显著增加(P < 0.05),在E组显著减少(P < 0.05);第1、5跖骨、足跟内侧与足跟外侧区域压强峰值呈波动趋势,足底最大压强峰值集中在第1-3跖骨;⑤足底压力峰值:在第1-4跖骨区域随年龄增长显著增加;第5跖骨、足跟内侧与足跟外侧区域呈波动趋势;第1-5趾骨、足跟内侧和足跟外侧区域在A-C组显著增加,在D和E组显著减少;B-E组在双足所有区域压力峰值均显著高于A组(P < 0.05)。提示:随年龄增长,3-35岁健康男性自然步态下足底接触时间延长,足底接触面积最大部位由第1趾骨转移到足跟内侧;随足部发育,足的承重部位呈现前重后轻趋势,前足足底压力参数增加,足底承受压力、冲量、压强最大部位集中在第1-3跖骨。因此针对学龄前儿童至壮年时期足底压力参数变化特点,选择相应的鞋进行日常生活与锻炼,可以有效预防足部损伤。
https://orcid.org/0000-0003-4228-5019 (林琴琴) 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱;骨折;内固定;数字化骨科;组织工程

关键词: 足底压力, 自然行走, 男性, 年龄,

Abstract: BACKGROUND: The plantar pressure characteristics of the human body can effectively reflect the structure, function, mechanical characteristics, and posture control status of the foot. Age is an important factor that affects the characteristics of normal people’s plantar pressure.   
OBJECTIVE: To analyze the parameters such as plantar contact time, pressure impulse, contact area, peak pressure, peak pressure and other parameters of natural gait of 3-35 year-old healthy men, and to explore the differences and trends of plantar pressure characteristics of 3-35 year-old healthy men. 
METHODS: 200 healthy males were selected as the research objects. There were the group of 3-6 years old preschool children (group A), the group of 7-12 years old school children (group B), the group of 13-18 years old children (group C), the group of 19-25 years old youth (group D), and the group of 26-35 years old adult (group E), each group of 40 people. The Belgian foot scan USB plantar pressure detection system was used to detect the plantar pressure of the five groups of subjects under natural gait. The plantar dynamic contact time, pressure impulse, contact area, peak pressure, and peak pressure were observed. The implementation of the research plan complied with the relevant ethical requirements of Yanshan University for research. All subjects and their family members signed informed consent. 
RESULTS AND CONCLUSION: (1) The plantar contact time in the first phalange of toes (T1), metatarsal bones 1-5 (MH1-5), heel medial (RFM), and heel lateral (RFL) regions increased significantly with age (P < 0.05). (2) The plantar maximum pressure impulse mainly appeared in the T1, MH1, and MH3 regions, and the minimum pressure impulse appeared in the foot arch medial (MFM) region. The average plantar pressure impulse in the T1, MH1-4, RFM, and RFL regions increased significantly with age (P < 0.05). (3) The area of plantar contact increased significantly with age in T1, MH1-4, RFM, and RFL regions (P < 0.05). (4) The peak of plantar pressure increased significantly in the MH1-4 areas of the A-D groups (P < 0.05), and decreased significantly in the E group (P < 0.05). The peak of plantar pressure in the MH1, MH5, RFM, and RFL was fluctuating. The maximum pressure peak of the sole was concentrated in the MH1-3 areas. (5) The peak of plantar pressure increased significantly with age in the MH1-4 areas. The MH5, MFM, and MFL areas showed a volatility trend. The T1-5, RFM, and RFL areas increased significantly in the A-C groups and decreased significantly in the D and E groups. The pressure peaks in groups B, C, D, and E were significantly higher than those in group A (P < 0.05). It is indicated that with age, healthy men aged 3-35 years old have a longer plantar contact time under natural gait, and the largest plantar contact area shifts from the first phalanx to the inside of the heel. With the development of the foot, the weight-bearing parts of the foot appear heavy in the front and light in the back. Forefoot plantar pressure parameters increase, and the maximum pressure, impulse, and pressure on the plantar region are concentrated on the first, second, and third metatarsal bones. Therefore, in view of the change characteristics of plantar pressure parameters from preschoolers to mature years, choosing the corresponding shoes for daily life and exercise can effectively prevent foot injuries. 

中国组织工程研究杂志出版内容重点:人工关节;骨植入物;脊柱;骨折;内固定;数字化骨科;组织工程

Key words: plantar pressure, natural walking, male, age, shoes

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