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跑步对男性业余跑者足部形态与足底压力分布的影响

Effect of Running on the Foot Morphology and Plantar Pressure Distribution of Male Amateur Runners

  • 摘要: 为了探讨10 km跑步对男性业余跑者足部形态及足底压力分布的即刻影响。通过三维足部扫描和压力分布测试,分析15名受试者10 km跑步前后数据。结果显示:跑步后足背高度显著降低((67.53±4.06)mm vs (65.33±3.99 )mm,p=0.006),前足宽度增加((98.73±3.75)mm vs (99.94±3.73)mm,p=0.024)。足弓结构参数呈现显著变化:舟骨高度降低7.5%((46.43±4.43)mm vs (42.97±5.50)mm,p<0.001),足弓高度指数下降3.8%((36.05±2.55)vs (34.67±2.65),p=0.003),舟骨高度差增加34.9%((4.31±1.49)mm vs (5.81±2.22)mm,p=0.048)。足底压力分布显示前足内侧第一跖骨区(M1)负荷百分比增加24%(6.68% vs 8.28%,p=0.017),外侧第五跖骨区(M5)降低21%(6.09% vs 4.81%,p=0.008)。其他区域无显著变化(p>0.05)。足部形态学改变表明跑步后足弓塌陷伴随旋前趋势,长距离跑步可能导致足-鞋空间动态失配。建议优化长跑鞋中足包裹支撑系统,前掌区域宽度容差应适量增加,以缓解生物力学负荷异常分布。

     

    Abstract: This study investigated acute effects of 10 km running on the foot morphology and plantar pressure distribution of male amateur runners. Three-dimensional foot scanning and plantar pressure analyses were performed for 15 participants before and after 10 km running. Results show that after running, foot dorsal height significantly decreased ((67.53±4.06)mm vs (65.33±3.99) mm, p=0.006) and forefoot width increased ((98.73±3.75)mm vs (99.94±3.73) mm, p=0.024) with no change in foot length/metatarsal parameters (p>0.05). The structure parameters of foot arch exhibited 7.5% reduction in navicular height ((46.43±4.43)mm vs (42.97±5.50)mm, p<0.001), 3.8% decline in arch height index ((36.05±2.55) vs (34.67±2.65), p=0.003), and 34.9% increase in navicular height difference ((4.31±1.49)mm vs (5.81±2.22)mm, p=0.048). Plantar pressure redistribution showed 24% elevation at medial first metatarsal region (6.68% vs 8.28%, p=0.017), 21% reduction at lateral fifth metatarsal region (6.09% vs 4.81%, p=0.008), and unchanged loading in other regions (p>0.05). Morphological alterations correlated with foot pronation tendency. These findings indicate that arch collapse and forefoot expansion after long-distance running may exacerbate abnormal biomechanical loading. We propose redesigning long-distance running shoes with enhanced midfoot containment systems and forefoot width allowance to mitigate injury risks and improve comfort.

     

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