足踝姿势和人体测量特性对杜兴氏肌肉萎缩症患者的运动表现和行走能力的影响。

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Güllü Aydin-Yağcioğlu, Numan Bulut, İpek Alemdaroğlu-Gürbüz, Öznur Yilmaz
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引用次数: 0

摘要

背景:杜兴氏肌肉萎缩症(DMD)患者异常的足部人体测量和姿势可能是影响其运动表现和行走能力的危险因素。本研究旨在探讨从早期开始恶化的足部姿势和人体测量特征对 DMD 患者行走和运动能力的影响:方法:对患者的足弓高度(FAH)、跖骨宽度(MW)、足底前倾角度和踝关节受限程度(ALD)进行评估,以确定患者的足部人体测量特征。足部姿势指数-6(FPI-6)用于评估足部姿势。患者的表现由 6 分钟步行测试(6MWT)、10 米步行测试(10MWT)和上/下标准四步测试来确定,行走能力由北辰行走评估(NSAA)来确定。计算斯皮尔曼相关系数以评估足部人体测量特征和姿势与运动表现之间的关系:样本包括 48 名年龄在 5.5 岁至 12 岁之间的 DMD 患者。左右脚的 FPI-6 评分均与所有参数相关,但下降 4 步除外。左足FAH与6MWT和NSAA相关,左足MW与6MWT相关。右脚的 ALD 与 6MWT、上/下四级台阶和 NSAA 相关,左脚踝受限与 NSAA 相关(结论:这些研究结果表明,体位性障碍患者的踝关节功能障碍与 6MWT、上/下四级台阶和 NSAA 相关:这些研究结果表明,足部和踝关节的姿势障碍可能是导致 DMD 患者运动能力和行走能力下降的原因之一。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Postural and Anthropometric Properties of Foot and Ankle on Physical Performance and Ambulation of Patients with Duchenne Muscular Dystrophy.

Background: Abnormal foot anthropometry and posture of patients with Duchenne Muscular Dystrophy (DMD) can be considered as possible risk factors for performance and ambulation. It was aimed to examine the effects of foot posture and anthropometric characteristics, which deteriorated from the early period, on ambulation and performance of patients with DMD.

Methods: The foot arch height (FAH), the metatarsal width (MW), subtalar pronation angle, and ankle limitation degree (ALD) were evaluated to determine the foot anthropometric characteristics of the patients. Foot Posture Index-6 (FPI-6) was used to evaluate foot posture. The performance of the patients was determined by the 6-minute walk test (6MWT), the 10-meter walk test (10MWT), and ascend/descend a standard 4-step test, and the ambulation was determined by the North Star Ambulatory Assessment (NSAA). Spearman's correlation coefficient was calculated to assess the relationship between foot anthropometric characteristics and posture, and performance and ambulation.

Results: The sample consisted of 48 patients with DMD aged 5.5 to 12 years. Both of the right and left foot FPI-6 scores were associated with all parameters, except descending 4-step. The left FAH was associated with 6MWT and NSAA, and the left MW was associated with 6MWT. The ALD of right foot was associated with 6MWT, ascending/descending 4 steps, and NSAA, and left ankle limitation was associated with NSAA (p<0.05). There was no relationship between other parameters.

Conclusions: These findings suggest that postural disorders in the foot and ankle may contribute to the decrease in performance and ambulation in patients with DMD.

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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
128
审稿时长
6-12 weeks
期刊介绍: The Journal of the American Podiatric Medical Association, the official journal of the Association, is the oldest and most frequently cited peer-reviewed journal in the profession of foot and ankle medicine. Founded in 1907 and appearing 6 times per year, it publishes research studies, case reports, literature reviews, special communications, clinical correspondence, letters to the editor, book reviews, and various other types of submissions. The Journal is included in major indexing and abstracting services for biomedical literature.
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