使用光學式足底壓力機對內側膝退化性關節炎病患的評估

林伯堅

doi:10.6840/cycu201600952

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使用光学式足底压力机对内侧膝退化性关节炎病患的评估

Evaluation of Patients Bearing Medial Knee Joint Osteoarthritis by Using Optical Foot Pressure Measuring System

林伯坚 , 硕士　　导师：谢明发　　

繁体中文 DOI： 10.6840/cycu201600952

退化性关节炎；足底压力；主成分分析；足底压力行进线； osteoarthritis ； plantar pressure ； center of pressure path ； principal component analysis

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摘要 │ 参考文献 (88) │ 国际计量

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The purpose of this study is to measure plantar dynamic and static parameters, to build a model to predict knee osteoarthritis, and to discuss changes of foot pressure parameters associated with degenerative arthritis. 30 patients with medial knee osteoarthritis were enrolled to the experiment group while 35 non-symptomatic healthy individuals were enrolled to the control group. The present study used the optical foot pressure measurement system to collect the path of the center of foot pressure in the gait cycle, to measure the travel time and offset angle of plantar pressure changes between gait cycle, and to estimate the static pressure of the plantar six districts along with the measurement of other clinical parameters and information. The results show that the mid-stance phase time of the left foot of osteoarthritis patients (0.20 seconds) is significantly longer than that of the control group (0.12 seconds) (p<0.05), and yet the mid-stance phase time of the right foot of osteoarthritis patients (0.19 seconds) is also significantly longer than that of the control group (0.15 seconds) (p<0.05). The individuals in the control (healthy group) prefer early toe-off in terminal stage of gait cycle and the toes used less force to finish the gait cycle. The center of pressure progression of the individuals in the control group is biased toward the big toe, while that of the osteoarthritis group tends to be biased toward the second toe. At the terminal stage of gait cycle, the metatarsal head stress distribution of osteoarthritis group tends to move to big toe, and the individuals in the control group tend to move to fifth toe. The independent-samples t-test compared the means of pressure of six districts regions of plantar area between two groups. It was found that the left foot medial longitudinal arch area, the lateral heel region and the inner heel region of the control group are significant different. The statistics of the modified balance line also showed obvious differences in the left side of the foot, but the right side of the foot was not statistically significant. This finding may be related to pain compensation of standing posture. SPSS was used to reduce three variables of the foot pressure in the six districts regions using the principal component analysis, and then mid-stance phase period, body mass index and center of pressure excursion index variables were included for logistic regression model. The analysis resulted in 90% of the positive predictive logistic regression and a negative predictive value of 88.6% indicating that the static and dynamic plantar pressure variables are statistically different between two groups. Therefore, it is concluded that the optic foot pressure measuring system combined with physical measurements of body height and weight measurements can predict whether the individual is bearing medial knee osteoarthritis or not.

参考文献 ( 88 ) 〈TOP〉

23. Galica, A. M., T. J. Hagedorn, A. B. Dufour, J. L. Riskowski, H. J. Hillstrom, V. A. Casey and M. T. Hannan (2013). "Hallux valgus and plantar pressure loading: the Framingham foot study." J Foot Ankle Res 6(1): 42.
连结：
24. Gaudreault, N., N. Mezghani, K. Turcot, N. Hagemeister, K. Boivin and J. A. de Guise (2011). "Effects of physiotherapy treatment on knee osteoarthritis gait data using principal component analysis." Clin Biomech (Bristol, Avon) 26(3): 284-291.
连结：
25. HésoJyg Gley Pereira Da Silva, A. C. J., Alessandro Rozim Zorzi, João Batista De Miranda (2012). "Biomechanical changes in gait of subjects with medial knee osteoarthritis." Acta Ortop Bras. 20(3): 150-156.
连结：
26. Hawker, G. A., S. Mian, T. Kendzerska and M. French (2011). "Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)." Arthritis Care Res (Hoboken) 63 Suppl 11: S240-252.
连结：
27. Hirotaka, M., O. Tomoyuki, M. Koichi and W. Yasuyoshi (2016). "Relationships between the center of pressure and the movements of the ankle and knee joints during the stance phase in patients with severe medial knee osteoarthritis." The Knee.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。