综合训练对青少年脊柱侧弯伴弹性扁平足患者舟骨下降高度和内侧纵弓角度的影响研究  

Comprehensive training of adolescent patients with scoliosis with flexible flatfoot scaphoid falling height and Angle of the medial longitudinal arch impact study

作　　者：郭江舟 董继革[1] 白雪竹 王雨生 Guo Jiangzhou;Dong Jige;Bai Xuezhu;Wang Yusheng(Rehabilitation and Treatment Center,Wangjing Hospital,China Academy of Chinese Medical Sciences,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院康复治疗中心,北京100102

出　　处：《足踝外科电子杂志》2023年第3期6-9,共4页Electronic Journal of Foot and Ankle Surgery

摘　　要：目的探究综合训练对青少年脊柱侧弯伴弹性扁平足患者舟骨下降高度和内侧纵弓角度的影响。方法选取2022年9月至2023年8月在中国中医科学院望京医院康复治疗中心就诊的52例脊柱侧弯伴有弹性扁平足的青少年患者作为研究对象,采用简单随机抽样方法分为实验组与对照组,每组随机分配26例患者。实验组实施综合训练,对照组实施基本训练。观察患者舟骨下降高度和内侧纵弓角度的变化情况。结果实验组有1例患者没有完成研究,对照组有2例患者没有完成研究。6周后,实验组患者的舟骨下降高度比对照组高0.4 cm(95%CI 0.4~0.5),纵弓角度的改善程度优于对照组(95%CI 13~19)。结论对于脊柱侧弯并伴有弹性扁平足的青少年,为期6周的综合训练对舟骨下降高度和内侧纵弓角度的改善程度优于单纯的主动背屈和趾屈,且可改善足部的外观。Objective To explore the effects of comprehensive training on scaphoid bone descending height and medial longitudinal arch Angle in adolescent scoliosis patients with flexible flat feet.Methods From September 2022 to August 2023,52 adolescent patients with scoliosis accompanied by elastic flat feet were selected as the study objects,and were divided into experimental group and control group by simple random sampling method,and 26 patients were randomly assigned to each group.The experimental group underwent comprehensive training,the control group received basic training.The descending height of scaphoid bone and the Angle of medial longitudinal arch were observed.Results 1 patient in the experimental group did not complete the study,and 2 patients in the control group did not complete the study.After 6 weeks,the descending height of navicular bone in the experimental group was 0.4 cm higher than that in the control group(95%CI 0.4-0.5),and the improvement of longitudinal arch Angle was better than that in the control group(95%CI 13-19).Conclusion For adolescents with scoliosis and flexible flat feet,6-week comprehensive training can improve navicular height and medial longitudinal arch Angle better than active dorsiflexion and toe flexion alone,and can improve the appearance of the foot.

关 键 词：弹性扁平足 纵弓角度 足舟骨下降高度 物理治疗 运动训练 

分 类 号：R726.8[医药卫生—儿科]