摘要
背景:矫形鞋垫是一种常用的治疗扁平足的手段,具有无创性和持续干预的优点,相比于预制型矫形鞋垫,定制型矫形鞋垫适配性更高,能更好地发挥支撑足弓、调整足底压力分布和调节生物力线的作用。目的:介绍近年来定制型矫形鞋垫在扁平足治疗中的临床应用情况,及其在设计制作方式上的创新。方法:在PubMed、Web of Science、Embase、万方数据库、维普数据库、CNKI中国期刊全文数据库检索2006年1月至2020年12月发表的相关文献,英文检索词为“flatfeet;orthopedic insoles;foot orthoses;customized;personalized;effect;biomechanics;Plantar Pressure;mechanism”,中文检索词为“扁平足;矫形鞋垫;足矫形器;定制;个性化;疗效;生物力学;足底压力;机制”。对筛选出的72篇文章进行总结分析。结果与结论:①定制型矫形鞋垫治疗扁平足的作用原理是通过选择合适的材料和形状来恢复足弓形态和代偿足弓功能,具体的生物力学作用机制仍有待探索。②随着计算机辅助设计/制造和3D打印技术的发展,定制型矫形鞋垫的设计制作更趋于数字化和精准化,但也存在不足之处,仍需升级优化。③扁平足患儿比成年人更能从定制型矫形鞋垫获益,临床症状明显或合并多种足踝膝疾病的患者也应优先考虑定制型矫形鞋垫,未来需要开展更多方案严谨且大样本量的临床研究来评估定制型矫形鞋垫在不同扁平足人群中的疗效。
BACKGROUND:Orthopedic insole is widely used in the treatment of flatfeet,for the advantages of non-invasion and continuous intervention.Compared with prefabricated orthopedic insole,customized orthopedic insole has better adaptability,which can effectively support the arch height,adjust the plantar pressure distribution and correct the biological force line.OBJECTIVE:To introduce the clinical application of customized orthopedic insoles in the treatment of flatfeet in recent years,and the innovations in design and production methods.METHODS:Related articles were searched in PubMed,Web of Science,Embase,Wanfang,VIP and CNKI from January 2006 to December 2020,with the key words of“flatfeet;orthopedic insoles;foot orthoses;customized;personalized;effect;biomechanics;plantar pressure;mechanism”in English and Chinese,separately.Eventually,72 articles that met the criteria were included.RESULTS AND CONCLUSION:(1)The key of custom-made orthopedic insoles in the treatment of flatfeet is to restore and compensate the foot arch function by selecting appropriate materials and shapes.The specific biomechanical mechanism remains to be explored.(2)With the development of computer-aided design/computer-aided manufacturing and 3D printing technology,the design and production of customized orthopedic insoles tend to be more digital and precise,but there are still shortcomings that need to be optimized.(3)Children with flatfeet can benefit from customized orthopedic insoles more than adults.Patients with obvious clinical symptoms or with multiple foot,ankle and knee diseases should also give priority to customized orthopedic insoles.In the future,more rigorous clinical comparison trials are needed to evaluate the efficacy of customized orthopedic insoles in different flatfoot populations.
作者
周湘莹
曾庆
廖政文
路鹏程
邹积华
李士林
黄国志
Zhou Xiangying;Zeng Qing;Liao Zhengwen;Lu Pengcheng;Zou Jihua;Li Shilin;Huang Guozhi(Department of Rehabilitation Medicine,Zhujiang Hospital of Southern Medical University,Guangzhou 510280,Guangdong Province,China;Medical College of Rehabilitation,Southern Medical University,Guangzhou 510280,Guangdong Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2022年第28期4587-4592,共6页
Chinese Journal of Tissue Engineering Research
基金
国家自然科学基金面上项目(81874032,82072528),项目负责人:黄国志
国家自然科学青年科学基金项目(82002380),项目负责人:曾庆。
关键词
矫形鞋垫
足矫形器
定制
扁平足
足弓
设计制作
疗效
orthopedic insole
foot orthoses
custom
flatfoot
arch
design and manufacture
effect
