即刻改变触地方式对着鞋跑时内侧纵弓在体运动学的影响  

Acute Effects of Changing Foot Strike Patterns on in vivo Kinematics of Medial Longitudinal Arch During Shod Running

作　　者：孙晓乐 苏婉妍 叶东强 张希妮 张燊 傅维杰 SUN Xiaole;SU Wanyan;YE Dongqiang;ZHANG Xini;ZHANG Shen;FU Weijie(School of Kinesiology,Shanghai University of Sport,Shanghai 200438,China;School of Elite Sport,Shanghai University of Sport,Shanghai 200438,China)

机构地区：[1]上海体育大学运动健康学院,上海200438 [2]上海体育大学竞技运动学院,上海200438

出　　处：《医用生物力学》2023年第4期777-783,共7页Journal of Medical Biomechanics

基　　金：国家重点研发计划项目(2019YFF0302100);国家自然科学基金项目(12272238,11772201);上海市“曙光学者”计划(19SG47);上海市青年拔尖人才开发计划。

摘　　要：目的探究即刻转换触地方式对着鞋跑步时内侧纵弓在体运动学的影响。方法采用高速双平面荧光透视成像系统采集15名健康男性跑者即刻改变触地方式前后右足在跑步支撑阶段[跑速:(3±0.15)m/s]的荧光图像。根据CT图像重建第1跖骨和跟骨三维骨骼模型及其局部坐标系,并通过3D-2D配准获取内侧纵弓在跑步支撑期的6自由度(six degree of freedom,6 DOF)数据(简化为第1跖骨相对跟骨的运动)。采用一维统计参数映射(statistical parametric mapping,SPM)比较即刻改变触地方式前后内侧纵弓的6 DOF运动趋势,并对其特征值进行配对样本t检验。结果相比后跟跑,即刻前掌跑时,在支撑期的15%~21%第1跖骨相对跟骨的外移、支撑期17%~45%第1跖骨的前移和支撑期的18%~39%第1跖骨的背屈均显著增加(P<0.05)。即刻前掌跑时,第1跖骨相对跟骨的前移最大值、背屈最大值、前后平移活动范围及内侧纵弓压缩变化量均显著增加(P<0.05)。结论由习惯后跟跑即刻转换为前掌跑后,内侧纵弓矢状面的形变显著增加,尤其是内侧纵弓的压缩变化量增加约10%,可能有助于其弹性能量的储存与释放。Objective To investigate the acute effect of changing foot strike patterns on in vivo kinematics of the medial longitudinal arch during shod running.Methods The high-speed dual fluoroscopic imaging system(DFIS)was used to acquire fluoroscopic images of the right foot during stance phase before and after changing foot strike patterns[running speed:(3±0.15)m/s]in 15 healthy male runners.The three-dimensional(3D)model of the first metatarsal bone and calcaneus and the local coordinate system were reconstructed from CT images,and the six degrees of freedom(6 DOF)data of the medial longitudinal arch(simplified as motion of the first metatarsal bone relative to the calcaneus)during stance phase were obtained by 3D-2D registration.Statistical parametric mapping(SPM)was used to compare the 6 DOF data of the medial longitudinal arch before and after changing foot strike patterns,and paired sample t-tests were used to compare the specific values.Results Compared with rearfoot strike,the lateral translation during 15%-21% of stance phase,anterior translation during 17%-45% of stance phase and dorsiflexion during 18%-39% of stance phase for motion of the first metatarsal bone relative to the calcaneus were significantly increased during forefoot strike running(P<0.05).The maximum anterior translation,the maximum dorsiflexion,the anterior-posterior translation,and the compression of the medial longitudinal arch for motion of the first metatarsal bone relative to the calcaneus were significantly increased during forefoot strike running(P<0.05).Conclusions Transitioning from habitual rearfoot strike to immediate forefoot strike resulted in greater deformation of the medial longitudinal arch in sagittal plane,especially the variation of arch compression increased by approximately 10%,which might contribute to the storage and release of elastic energy in the medial longitudinal arch.

关 键 词：高速双平面荧光透视成像系统 6自由度 前掌跑 后跟跑 内侧纵弓 

分 类 号：R318.01[医药卫生—生物医学工程]