鞋跟高度对慢性踝关节不稳女性平地行走时踝关节运动控制的影响
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1.山东体育学院研究生教育学院;2.山东体育学院运动与健康学院;3.山东省体育训练中心

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The effect of heel height on ankle motion control during level walking in women with chronic ankle instability
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1.College of Graduate Education,Shandong Sport University;2.College of Sports and Health,Shandong Sport University;3.Shandong Sports Training Center

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    摘要:

    目的:本研究旨在探讨慢性踝关节不稳女性(chronic ankle instability, CAI)穿着不同高度的高跟鞋行走时对踝关节运动控制的影响。方法:采用Vicon红外运动捕捉系统和三维测力台同步采集20名健康女性和20名CAI女性穿着1cm、3cm、5cm、7cm四种高跟鞋平地行走时足着地前后200ms内的运动学、动力学参数。应用双因素重复方差分析对数据进行统计分析。结果:研究显示足着地时内翻峰值角速度以及内翻峰值角度存在组别*鞋跟高度的交互效应。经事后检验结果显示,在健康组内,与鞋跟1cm相比,鞋跟5cm(P=0.002)、7cm(P=0.002)在足着地前后200ms内翻峰值角速度显著较大;鞋跟1cm与鞋跟5cm(P=0.018)、7cm(P<0.001)的内翻角度峰值有显著性差异。在CAI组,与鞋跟1cm相比,鞋跟5cm(P=0.002)、7cm(P=0.002)在足着地前后200ms内翻峰值角速度显著较大;鞋跟1cm与鞋跟3cm(P<0.001)、5cm(P<0.001)、7cm(P<0.001)的内翻峰值角度有显著性差异。在足着地前后200ms内的跖屈峰值角度(P<0.001)、外旋峰值角度(P<0.001)、外旋峰值角速度(P<0.001)、跖屈峰值力矩(P=0.048)存在显著的高度主效应;外翻峰值力矩存在显著的组别主效应(P<0.001)。结论:与健康人相比,CAI女性穿着高跟鞋行走时踝关节控制能力较弱,随着跟高增加,踝关节稳定性降低,建议CAI女性穿着3cm以下高度的高跟鞋。

    Abstract:

    Objective: This study aimed to investigate the effects of wearing high heels of different heights on ankle joint motion control during walking in women with chronic ankle instability (CAI). Methods: The Vicon infrared motion capture system and a three-dimensional force plate were used to synchronously collect kinematic and kinetic parameters within 200 milliseconds before and after foot contact for 20 healthy females and 20 CAI females while walking on flat ground wearing high heels of 1cm, 3cm, 5cm, and 7cm heights. Two-way repeated measures ANOVA was applied to analyze the data statistically. Results: The study shows that there is an interaction effect between group and heel height on the peak inversion angular velocity and peak inversion angle during foot strike. Post-hoc tests revealed that within the healthy group, compared to a 1cm heel, the 5cm (P=0.002) and 7cm (P=0.002) heels had significantly greater peak inversion angular velocity within 200ms before and after foot strike; there were significant differences in peak inversion angle between the 1cm and 5cm (P=0.018), and 7cm (P<0.001) heels. In the CAI group, compared to a 1cm heel, the 5cm (P=0.002) and 7cm (P=0.002) heels had significantly greater peak inversion angular velocity within 200ms before and after foot strike; there were significant differences in peak inversion angle between the 1cm and 3cm (P<0.001), 5cm (P<0.001), and 7cm (P<0.001) heels. There was a significant main effect of height on peak plantarflexion angle (P<0.001), peak external rotation angle (P<0.001), peak external rotation angular velocity (P<0.001), and peak plantarflexion torque (P=0.048) within 200ms before and after foot strike; there was a significant main effect of group on peak eversion torque (P<0.001). Conclusion: Compared to healthy individuals, women with CAI have reduced ankle joint control while walking in high heels. As heel height increases, ankle stability decreases, suggesting that it is advisable to wear high heels of 3cm in height or below.

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  • 收稿日期:2024-07-11
  • 最后修改日期:2024-08-31
  • 录用日期:2024-09-03
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