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IF 2.8 3区医学 Q1 ORTHOPEDICS

Journal of Orthopaedic Surgery and Research Pub Date : 2025-03-01 DOI:10.1186/s13018-025-05649-8

Seyed-Alihossein Nourbakhsh, Rahman Sheikhhoseini, Hashem Piri, Fateme Soltani, Ebrahim Ebrahimi

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引用次数: 0

摘要

目的：足部姿势排列与步态的变化有关。本综述旨在比较灵活型扁平足患者和非灵活型扁平足患者下肢的时空和运动学参数：根据PRISMA指南，通过搜索PubMed、Scopus、Web of Science和Google Scholar数据库中从开始到2024年11月带有选定关键词的原创文章和经同行评审的文章，进行了系统综述和荟萃分析。纳入研究的质量采用乔安娜-布里格斯研究所（Joanna Briggs Institute）的检查表进行评估。统计分析采用 Comprehensive Meta-Analysis 软件版本 3 进行。为评估数据异质性，采用了 Q 检验和 I² 统计量。Egger检验用于评估发表偏倚：在对上述数据库进行搜索后，共找到 5309 篇文章。最后，16 篇文章被纳入本次综述。发现两组在踝关节内翻（效应大小；0.291，95% CI=0.053_0.053，P=0.017）、外翻（效应大小；-0.568，95% CI=-0.784_-0.352，P=0.001）和屈髋（效应大小；-0.348，95% CI=-0.576_-0.120，P=0.003）方面存在明显差异。此外，两组间的步长（效应大小；0.658，95% CI=0.184_1.133，P=0.007）和步速（效应大小；0.447，95% CI=0.120_0.774，P=0.007）也存在显著差异：本研究表明，与中性足受试者相比，扁平足受试者在内翻、外翻、屈髋、步长和行走速度方面均有改变，并在整个步态周期中表现出独特的步态模式。建议保健专家在针对灵活型扁平足患者的肌肉骨骼畸形制定预防和康复计划时，考虑这些研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Spatiotemporal and kinematic gait changes in flexible flatfoot: a systematic review and meta-analysis.

Objectives: Foot postural alignment is linked to changes in gait patterns. This review aimed to compare spatiotemporal and kinematic parameters of the lower extremities in individuals with and without flexible flatfoot.

Methods: Under PRISMA guidelines, a systematic review and meta-analysis were conducted by searching PubMed, Scopus, Web of Science, and Google Scholar databases for original and peer-reviewed articles with selected keywords from inception to November 2024. The quality of the included studies was assessed using the Joanna Briggs Institute checklist. Statistical analysis was conducted with Comprehensive Meta-Analysis software version 3. To evaluate data heterogeneity, the Q-test and I² statistic were applied. Egger's test was used to assess publication bias.

Results: After searching the mentioned databases, 5309 articles were found. Finally, sixteen articles were included in the current review. A significant difference was found between the two groups in ankle inversion (effect size; 0.291, 95% CI = 0.053_0.053, P = 0.017), eversion (effect size; -0.568, 95% CI= -0.784_-0.352, P = 0.001), and hip flexion (effect size; -0.348, 95% CI= -0.576_-0.120, P = 0.003). Also, stride length (effect size; 0.658, 95% CI = 0.184_1.133, P = 0.007) and gait speed (effect size; 0.447, 95% CI = 0.120_0.774, P = 0.007) significantly differed between the two groups.

Conclusion: This study indicated that subjects with flatfoot exhibited alterations in the inversion, eversion, hip flexion, stride length, and walking speed compared to neutral foot participants and demonstrated a distinct gait pattern throughout the entire gait cycle. Health specialists are advised to consider these findings when prescribing prevention and rehabilitation programs for musculoskeletal deformities in individuals with flexible flatfoot.

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来源期刊

Journal of Orthopaedic Surgery and Research ORTHOPEDICS-

CiteScore

4.10

自引率

7.70%

发文量

494

审稿时长

>12 weeks

期刊介绍： Journal of Orthopaedic Surgery and Research is an open access journal that encompasses all aspects of clinical and basic research studies related to musculoskeletal issues. Orthopaedic research is conducted at clinical and basic science levels. With the advancement of new technologies and the increasing expectation and demand from doctors and patients, we are witnessing an enormous growth in clinical orthopaedic research, particularly in the fields of traumatology, spinal surgery, joint replacement, sports medicine, musculoskeletal tumour management, hand microsurgery, foot and ankle surgery, paediatric orthopaedic, and orthopaedic rehabilitation. The involvement of basic science ranges from molecular, cellular, structural and functional perspectives to tissue engineering, gait analysis, automation and robotic surgery. Implant and biomaterial designs are new disciplines that complement clinical applications. JOSR encourages the publication of multidisciplinary research with collaboration amongst clinicians and scientists from different disciplines, which will be the trend in the coming decades.