足底筋膜刚度对绞盘机制影响的有限元分析
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浙江省杰出青年科学基金项目(LR22A020002)


Effects of Plantar Fascia Stiffness on Windlass Mechanism: A Finite Elment Analysis
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    摘要:

    目的 探究足底筋膜刚度与绞盘机制之间的关系以及对足弓的影响,为足底筋膜及足弓相关问题提供生物力学机制解释。方法 构建跖趾关节屈曲角度为30°足-板模型,采用肌骨建模联合三维有限元分析方法,结合双平面荧光立体骨透视运动分析系统(dual fluoroscopic imaging system, DFIS) 获取5 km/h速度走路状态下足部的动态数据,对有限元模型进行验证,探究足底筋膜刚度对绞盘机制及足弓相关力学参数的影响。结果 有限元模拟分析结果与DFIS获取的足部数据呈现高度一致性,证实了模型的有效性。随着足底筋膜刚度增加,绞盘效应与足纵弓刚度均呈增加趋势,但跖趾关节屈曲角度减小,足底筋膜远端应力逐渐减小,近端应力增大;足底筋膜刚度在25%~150%,足横弓宽度随足底筋膜刚度增大而增大,横弓高度则随足底筋膜刚度增大而减小;足底筋膜刚度在150%-200%时,足横弓宽度减小,高度增大,刚度也增大。结论 足底筋膜刚度增加会一定程度上提升绞盘机制的效果,但会引起跖趾关节屈曲程度减小。足底筋膜刚度通过影响跖趾关节屈曲,从而对绞盘机制和足底筋膜远端拉力产生影响,并与跖骨远端地面反作用力共同影响足横弓刚度。

    Abstract:

    Objective To explore the relationship between plantar fascia stiffness and windlass mechanism and their impact on the arch, and provide a biomechanical mechanism explanation for plantar fascia and arch-related problems. Methods A foot-plate model with 30° flexion angle at the metatarsophalangeal joint was constructed. The musculoskeletal model combined with the three-dimensional finite element analysis method was used, and the dynamic data of the foot during walking at the speed of 5 km/h was obtained using dual fluoroscopic imaging system (DFIS). The finite element model was verified, and the influence of plantar fascia stiffness on the capstan mechanism and arch-related mechanical parameters was explored. Results The finite element simulation analysis results were highly consistent with the foot data obtained by DFIS, confirming the validity of the model. With the increase of plantar fascia stiffness, the windlass effect and the stiffness of the longitudinal arch of the foot both showed an increasing trend, but the flexion angle of the metatarsophalangeal joint decreased, the distal stress of the plantar fascia gradually decreased, and the proximal stress increased; when the plantar fascia stiffness was 25%–150%, the width of the transverse arch of the foot increased with the increase of plantar fascia stiffness, while the height of the transverse arch decreased with the increase of plantar fascia stiffness; when the plantar fascia stiffness was 150%–200%, the width of the transverse arch of the foot decreased, the height increased, and the stiffness also increased. Conclusions An increase in plantar fascia stiffness can enhance the windlass mechanism to some extent, but it also leads to a reduction in metatarsophalangeal joint flexion. The stiffness of the plantar fascia affects the metatarsophalangeal joint flexion, thereby impacting the windlass mechanism and the distal tensile force of the plantar fascia. Together with the ground reaction force at the distal end of the metatarsals, these factors collectively influence the stiffness of the transverse arch of the foot.

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张峭霖,孙冬,宋杨,陈海荣,岑炫震,Bíró ISTVáN,顾耀东.足底筋膜刚度对绞盘机制影响的有限元分析[J].医用生物力学,2025,40(1):93-99

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  • 收稿日期:2024-07-25
  • 最后修改日期:2024-08-26
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  • 在线发布日期: 2025-02-26
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