不同矫形鞋垫对老年人足底的生物力学影响
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泉州邦尼生物科技有限公司资助项目(B19-18)


Biomechanical Effects of Different Orthopedic Insoles on Foot Soles in Older Adults
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    摘要:

    目的 通过3款鞋垫了解老年人步行过程中的足底相关特性,为当前老年人鞋垫设计提供参考,并为厂家生产提供理论依据。方法 选取25名身心健康的老年人,穿戴Pedarx足底压力测试相关设备在跑步机上进行步行测试(4 km/h),以获取足底压力、压强、冲量,并通过问卷调查获得被试者的主观反馈。结果后脚部软硬喜欢程度和后脚部反弹性强度平均分上,鞋垫A、C之间具有非常显著差异(P<0.01);最大压力和平均压强指标上,鞋垫C在各足底分区均显著小于鞋垫A、B(P<0.01);冲量指标上,鞋垫C在M1(足跟)~M7区(第2~5趾骨)都低于鞋垫A、B,且在M1区具有显著差异(P<0.05),M2区(足弓外侧)鞋垫A、C具有显著差异(P<0.05),M5区(第2~4跖骨)鞋垫B、C具有非常显著差异(P<0.01)。结论 通过改变鞋垫设计可以干预老年人步行时足底压力,聚氨酯发泡材料适用于老年人鞋垫,在鞋垫前足与后跟增加类似GEL减震片可以有效降低老年人步行中出现的高压力,但是鞋垫前中后部位物理厚度不一,易造成老年人步行过程中的足部疲劳。

    Abstract:

    Objective To understand relevant characteristics of foot soles in older adults during walking through three types of insoles, so as to provide references for current design of the insoles for older adults, as well as theoretical basis for the manufacturers’ production. Methods A total of 25 physically and mentally healthy older adults were selected. They put on Pedar-x plantar stress test equipment, and performed walking test on a treadmill at the speed of 4 km/h, so as to obtain the plantar force, pressure and pulse. The subjective feedback from the subjects were obtained through questionnaire survey. Results There was a very significant difference between insole A and insole C in the average score of soft and hard liking and rebound strength of rear feet (P<0.01). The maximum force and average pressure of insole C in each plantar region were significantly lower than those of insole A and insole B (P<0.01). The impulse of insole C from M1 region (heel) to M7 region (2nd-5th phalanx) was lower than that of insole A and insole B, and there was a significant difference in M1 region (heel) (P<0.05). The impulse of insole A and insole C in M2 region (lateral arch) had a significant difference (P<0.05), and the impulse of insole B and insole C in M5 region (2nd-4th metatarsal) also had a significant difference (P<0.01). Conclusions Changing the insole design can effectively interfere with plantar pressure of older adults during walking. Polyurethane foam material is suitable for the insole of older adults. Adding gel shock absorber in front foot and heel of the insole can effectively reduce high pressure of older adults during walking. However, the physical thickness of the front, middle and rear part of the insole is different, which is easy to cause foot fatigue of older adults during walking.

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金哲,冯通,王向东,秦壮利.不同矫形鞋垫对老年人足底的生物力学影响[J].医用生物力学,2022,37(5):868-873

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  • 收稿日期:2021-11-30
  • 最后修改日期:2021-12-18
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  • 在线发布日期: 2022-10-25
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