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研究生: 簡柏毅
Chien, Po-I
論文名稱: 足弓襪套對功能性扁平足行走與跑步時的步態及足壓的差異
Differences of gait and foot pressure between walking and running with arch socks in patients with flexible flatfeet
指導教授: 李恆儒
Lee, Heng-Ju
口試委員: 王信民
Wang, Hsin-Min
張淳皓
Chang, Chun-Hao
李恆儒
Lee, Heng-Ju
口試日期: 2023/07/20
學位類別: 碩士
Master
系所名稱: 體育與運動科學系
Department of Physical Education and Sport Sciences
論文出版年: 2023
畢業學年度: 111
語文別: 中文
論文頁數: 44
中文關鍵詞: 扁平足功能性扁平足步態週期足壓
英文關鍵詞: flatfeet, flexible flatfeet, gait cycle, foot pressure
研究方法: 實驗設計法
DOI URL: http://doi.org/10.6345/NTNU202301709
論文種類: 學術論文
相關次數: 點閱:138下載:15
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  • 背景:扁平足是一種常見的足部病理現象,定義為足弓平坦或消失,而功能性扁平足也很常在有運動習慣的人身上發現。先前研究已證實,扁平足會影響下肢的生物力學參數,例如:步態週期中站立期較長、跑步時足部內旋角度較大,且具有更高的足底內側壓力。先前研究指出有效的矯正方式有貼紮、鞋墊、復健訓練等,但對於足弓襪套的介入效果,目前仍是未知。目的:探討功能性扁平足在有無足弓襪套支撐下行走與跑步時的步態及足壓的差異。方法:招募20名有規律運動的功能性扁平足受試者,分別檢測有無襪套介入的靜態站立、行走與跑步時的足壓,並同時測量走路時的步態週期及跑步時的足部內旋角度,而足壓數據使用Pedar-X® 足壓測量系統測量、步態週期及足部內旋數據則使用Gait Up Physilog®5 步態分析儀收集。以相依樣本t檢定分析足弓襪套介入前後的差異,顯著水準定為α= .05。結果:足弓襪套可以降低受試者站立時的足底內側壓力,並且可以減少行走時步態的站立期時間以及跑步時足部旋前的角度,但是行走與跑步時的足底內側壓力無顯著差異。結論: 透過本研究的結果可以發現足弓襪套能夠有效的降低功能性扁平足受試者跑步時足部落地的旋前角度、行走時的站立期時間,甚至能達到貼紮以及矯正鞋墊的部分效果,例如降低站立時的足底內側壓力,未來功能性扁平足矯正方式的研究、產品設計可朝此方向發展。

    Background: Flatfeet is a common type of foot conditions, defined as flat or absent arches, and flexible flatfeet also commonly found in people with exercise habits. Previous studies have pointed out that flatfeet affect lower extremity biomechanical parameters such as: longer stance phase in the gait cycle, greater foot pronation during running, and higher medial plantar pressure. Previous studies also suggested that effective correction methods include taping, insole, rehabilitation training, etc., but the intervention effect of arch socks is still unknown. Purpose: To investigate the differences in gait and foot pressure between walking and running with or without arch sock support for flexible flatfeet. Methods: Recruit 20 flexible flatfeet who exercise regularly, and the foot pressure during static standing, walking and running with or without sock intervention will be measured, and the gait cycle during walking and the pronation angle of the foot during running will be measured at the same time. Foot pressure data will be measured by the Pedar-X® Foot Pressure Measurement System, and gait cycle and foot pronation data will be collected by the Gait Up Physilog® 5 Gait Analyzer. Paired sample t-test will be used to analyze the differences before and after the intervention of the arch socks, and the significance level will be defined at α= .05. Results: The arch socks can reduce the medial plantar pressure during standing, as well as decrease the stance phase in the gait cycle and the foot pronation during running. Conclusion: Based on the Results of this study, it can be concluded that arch socks can effectively reduce the foot pronation during running and the stance phase duration during walking in flexible flatfeet . They can even achieve partial effects similar to taping and foot insoles, such as reducing medial plantar pressure during standing. Future research and product designs for the correction of functional flat feet can consider this approach.

    第壹章 緒論 1 第一節 研究背景 1 第二節 研究目的 3 第三節 研究假設 3 第四節 操作性名詞定義 4 第五節 研究限制 6 第貳章 文獻探討 7 第一節 足步的結構與功能 7 第二節 扁平足的介紹 8 第三節 扁平足造成的影響 9 第四節 扁平足常見的矯正方式 10 第五節 Gait Up Physilog®步態分析儀相關研究 12 第六節 文獻探討總結 13 第參章 研究方法 14 第一節 研究對象 14 第二節 研究流程 14 第三節 研究工具 19 第四節 資料處理 22 第五節 統計分析 24 第肆章 結果 25 第一節 受試者基本資料 25 第二節 受試者足底壓力峰值參數 25 第三節 受試者足底接觸面積參數 27 第四節 受試者足底力量峰值參數 28 第五節 受試者步態週期參數 29 第六節 受試者跑步落地時足部旋前角度參數 31 第伍章 討論 32 第一節 站立參數 32 第二節 行走參數 33 第三節 跑步參數 33 第四節 結論與建議 34 . . 參考文獻 35 附錄 42

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