步态分析用于足底筋膜炎诊断与功能评定的研究进展

Research Progress on Gait Analysis for the Diagnosis and Functional Assessment of Plantar Fasciitis

摘要: 足底筋膜炎作为常见足底疾患，其准确诊断与功能评定至关重要。本文综合阐述了步态分析在足底筋膜炎诊疗中的研究进展。从发病机制看，足底筋膜炎涉及足底筋膜微损伤与炎症等复杂过程。步态分析涵盖多种技术手段，如基于实验室的三维运动捕捉及足底压力测量系统，以及便捷的可穿戴设备和智能手机应用程序等，可获取时空、动力学、运动学等参数。在临床应用上，早期诊断中能捕捉到足底压力分布、关节运动等早期细微变化；辅助诊断时可结合其他方法提供全面客观信息；病情评估方面，通过量化步态参数与疼痛、功能障碍关联来判断严重程度；治疗监测中可动态跟踪功能恢复情况，众多研究实例证明了其有效性和重要性，为足底筋膜炎的精准诊疗提供了有力支持，有望进一步优化临床实践。

Abstract: Plantar fasciitis, as a common foot disorder, requires accurate diagnosis and functional assessment. This article comprehensively reviews the research progress of gait analysis in the diagnosis and treatment of plantar fasciitis. From the perspective of pathogenesis, plantar fasciitis involves complex processes such as micro-injury and inflammation of the plantar fascia. Gait analysis encompasses various technical means, including laboratory-based three-dimensional motion capture and plantar pressure measurement systems, as well as convenient wearable devices and smartphone applications, which can obtain parameters such as spatiotemporal, dynamic, and kinematic data. In clinical application, it can capture early subtle changes in plantar pressure distribution and joint movement in the early diagnosis; in auxiliary diagnosis, it can provide comprehensive and objective information in combination with other methods; in disease assessment, it can determine the severity by quantifying the correlation between gait parameters and pain and functional impairment; in treatment monitoring, it can dynamically track functional recovery. Numerous research examples have demonstrated its effectiveness and importance, providing strong support for the precise diagnosis and treatment of plantar fasciitis and holding the promise of further optimizing clinical practice.