基于Meta分析的拇外翻足部矫形器的有效性探究

Effectiveness of Foot Orthotics for Hallux Valgus based on Meta-Analysis

为了系统评价矫形器结构对改善拇外翻患者足部畸形与疼痛问题的有效性,研究运用Revman5.4软件对纳入的14篇相关文献进行Meta分析,共涉及拇外翻患者样本量548人,选择了六项指标:拇外翻角、足部疼痛、跖间角、步长、步速以及步宽,来综合评估拇外翻矫形器的有效性。结果显示,拇外翻矫形器对患者足部的拇外翻角、疼痛、步宽和步速均有不同程度影响,而对跖间角与步长呈现了无效干预。合并效应量得出,拇外翻矫形器对患者足部数据的正向改善存在有效性(P<0.05)。文章通过干预前后的指标数据对比,探究了拇外翻足部矫形器结构有效性之间的差异,为该类型矫形器未来的优化设计提出科学的理论依据和新载体视角。

To systematically review the effectiveness of orthotic structure in alleviating foot deformity and pain in people with hallux valgus,this study used Revman 5.4 software to conduct the Meta-analysis of the 14 relevant papers included in this study,which involved a total sample size of 548 patients with hallux valgus.The effectiveness of hallux valgus orthosis was comprehensively evaluated by six indicators,namely hallux valgus,foot pain,interplantar angle,step length,gait speed,and step width.The results showed that the hallux valgus orthosis had different effects on the hallux valgus angle,pain,step width and stride speed of the patients’feet,while the interplantar angle and step length showed no intervention.The pooled effect sizes showed that hallux valgus orthoses were effective in positive improvement of patients'foot data(P<0.05).By comparing the index data before and after intervention,this paper explored the difference between the structural effectiveness of hallux valgus foot orthoses,and put forward a scientific theoretical basis and a new carrier perspective for the future optimization design of this type of orthoses.