儿童足型分类方法的系统综述  

A systematic review of children’s foot type classification methods

作　　者：汤运启 邹灵秋 李毅[2] 王志康 惠雪 李灵君 郭新宇 Tang Yunqi;Zou Lingqiu;Li Yi;Wang Zhikang;Hui Xue;Li Lingjun;Guo Xinyu(College of Art and Design,Shaanxi University of Science and Technology,Xi’an 710021,Shaanxi Province,China;Department of Foot and Ankle Surgery,Honghui Hospital Affiliated to Medical College of Xi’an Jiaotong University,Xi’an 710054,Shaanxi Province,China)

机构地区：[1]陕西科技大学设计与艺术学院,陕西省西安市710021 [2]西安交通大学附属红会医院足踝外科诊疗中心,陕西省西安市710054

出　　处：《中国组织工程研究》2022年第12期1963-1968,共6页Chinese Journal of Tissue Engineering Research

基　　金：陕西省教育厅重点科研计划项目(21JT002),项目负责人:汤运启;西安市科技局计划项目[SF1512(2)],项目负责人:李毅;陕西省社会发展科技攻关项目(2016SF-333),项目负责人:李毅。

摘　　要：目的:非正常足型的发展会对儿童的生长和生活带来不利的影响,儿童非正常足型的早期诊断有利于对儿童足型的及时矫正。文章对文献中儿童足型分类的方法进行总结与回顾,以期为临床医生在儿童非正常足型的预防与矫正策略的研究上提供有价值的参考信息。方法:在万方、维普、中国知网、Web of Science和PubMed数据库中对儿童足型分类的相关文献进行检索,并对儿童足型分类的方法进行分类、归纳与系统评价。结果:(1)最终纳入12篇文献,其中儿童足型分类方法主要包括足印指数法、放射学评估法、临床检查法和人体测量学检查法共4种;(2)各种分类方法的优缺点:足印法简单快捷,但测量结果具有片面性;放射学评估法具有潜在的辐射风险,且成本高、流程复杂;临床检查法虽快捷、成本低,但具有较强的主观性;人体测量学检查法虽然较为准确,但耗时较长;(3)在以往研究中,研究人员大多数选择经济快捷的足印法作为儿童足型的分类方法,且部分研究采用多种指标相结合的方式以提高儿童足型分类的准确性;(4)目前较为准确的儿童足型的分类方法就是采用多种指标相结合的方式。结论:目前儿童足型的分类缺乏金标准,多数足型分类方法仅显示足部静态的结构特征,未来的研究需建立静态足部结构和动态足部功能之间的关系,以增加儿童足型分类结果的准确性和科学性,从而在儿童骨骺闭合年龄结束前对儿童足部的健康成长和发育提供良好的策略。OBJECTIVE:The development of abnormal foot will bring adverse effects on the growth and life of children.The early diagnosis of abnormal foot in children is conducive to the timely correction of children’s foot.Here,we review the classification methods of children’s foot types in order to provide valuable references for clinicians in the study of prevention and correction strategies of children’s abnormal foot types.METHODS:WanFang,VIP,CNKI,the Web of Science,and PubMed were searched for related literatures on the classification of children’s foot,and the methods for the classification of children’s foot types were summarized and systematically reviewed.RESULTS:(1)A total of 12 articles were finally included.The classification of children’s foot types can be divided into four methods:footprint index,radiological assessment,clinical examination,and anthropometric examination.(2)Each classification method has its own advantages and disadvantages.The footprint method is simple and quick,but the measurement results are one-sided.Radiological assessment method has potential radiation risk,high cost and complicated process.Although clinical examination method is quick and has low cost,it has strong subjectivity.Anthropometric tests are more accurate,but very time-consuming.(3)In the previous studies,the economical and fast foot printing method was selected as the classification method of children’s foot type,and a combination of multiple indicators was also used in some studies to improve the accuracy of children’s foot type classification.(4)The combination of multiple indicators is currently considered to be a accurate classification method.CONCLUSION:Most of foot type classification methods,which only display the structural characteristics of children’s feet in static state,lack gold standards.Future research needs to establish the relationship between static foot structure and dynamic foot function in order to achieve more accurate and scientific results in the classification of children’foot ty

关 键 词：足型分类 儿童 足印指数法 放射学评估法 临床检查法 人体测量学检查法 

分 类 号：R452[医药卫生—治疗学] R319[医药卫生—临床医学]