拇外翻矫正手术后部分功能恢复的对照初步研究

IF 0.1 Q4 ORTHOPEDICS International Journal of Physiotherapy Pub Date : 2020-08-01 DOI:10.15621/ijphy/2020/v7i4/746
Jean-Philippe Siracuse, Florian Forelli, J. Mazeas, Jérôme Sadaka, R. Touzard, M. Trousselier, Maude Traullé
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引用次数: 0

摘要

引言:拇外翻是足部最常见的疾病,是由第一次射线稳定手段的逐渐失败引起的。拇外翻,第一跖骨内翻,它们的结合导致第一趾趾关节半脱位。手术是纠正这种情况的常用治疗方法。那么,矫正手术后,静态姿势平衡会改变吗?材料与方法:23名受试者均为女性,分为对照组和拇外翻组。拇外翻组术后3个月进行评估。两足试验在一个稳定测量平台上进行,一只眼睛睁开,一只眼睛闭上。记录并分析压力中心参数,如压力中心的长度或面积。结果:所得结果两组间差异有统计学意义,p值为0.05。拇外翻组压力中心值较高。结论:部分文献结果与本研究结果一致。矫正手术后3个月有明显的静态姿势平衡缺陷。可能需要进行其他更大样本的研究来证实或否定本研究的结果。
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A PARTIAL FUNCTIONAL RESTORATION AFTER HALLUX VALGUS CORRECT SURGERY - A CONTROLLED PRELIMINARY STUDY
Introduction: Hallux valgus is the most common condition found in the foot, caused by a progressive failure of the first ray stabilization means. The hallux is deviated into valgus, the first metatarsal into varus, and their association leads to a subluxation of the metatarsophalangeal joint of the first ray. Surgery is a treatment frequently used to correct this condition. So, is the static postural balance altered after corrective surgery? Materials and Method: 23 subjects participated in the study, all women, divided into two groups: control and hallux valgus. The hallux valgus group was evaluated three months post-operatively. Bipodal tests were carried out on a stabilometry platform, one with eyes open and one with eyes closed. The pressure center parameters were recorded and analyzed, such as the length or the area of the pressure center. Results: The results obtained showed significant differences between the two groups and were statistically significant, with a p-value of 0,05. The pressure center values are higher in the hallux valgus group. Conclusion: Some results found in the literature agree with the results of the present study. There are significant deficits in the static postural balance three months after corrective surgery. Other studies with a larger sample may be performed to confirm or not the results of this study.
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