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題名:運動員的拇趾外翻與保守治療
書刊名:大專體育
作者:王乾勇黃啟煌 引用關係
作者(外文):Wang, Chien-yungHuang, Chi-huang
出版日期:2014
卷期:130
頁次:頁47-53
主題關鍵詞:輔具貼匝徒手治療運動治療OrthosesTapingManual therapyExercise therapy
原始連結:連回原系統網址new window
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  • 點閱點閱:17
拇趾外翻是運動員常見的足部問題之一,它除會造成外觀上的影響外,也有可能造成疼痛並影響功能表現。文獻指出拇趾外翻是多重原因造成,包括外在不正常鞋具的壓迫與內在因素如遺傳,後足外翻、扁平足等結構問題,以及關節鬆弛與疾病等因素。處理的方式包含外科手術與保守治療二大類,手術治療的效果明顯,但有併發症與高復發率的風險,保守治療則是在手術前的一種選擇,目前保守治療的種類繁多,分為:一、改善鞋具,減輕腳趾壓迫;二、利用外力矯正受力方式,如鞋墊、副木或貼紮;三、徒手治療與運動治療調整關節與軟組織,改善肌肉的不平衡等。保守治療原理各有不同,治療也可交互並用可達到更多效果。文獻回顧發現保守治療對拇趾外翻患者的疼痛與功能表現是有幫助的,但是否能矯正拇趾外翻仍缺乏證據,且即使可以矯正,其改善的幅度也有限,並需要較長時間的治療追蹤。治療選擇要考慮病人的特性、喜好與生活形態、運動形式等,最後決定患者可以接受的方式以達到最好的效果。
Hallus valgus is one of the common foot problems in athletes. It posts not only the cosmetic problems, but also induce their physiological dysfunction. External compression from inappropriate shoes wearing, and internal inheritance, rearfoot valgus, pronated foot, joint laxity and neurological disease are factors found to cause hallus valgus. Conservative and surgical treatments are two main approaches to manage the hallus valgus deformity. The cosmetic outcomes of surgery are significant, but the recurrent rate is high and may have other complications. Patients whose symptoms are not relieved after conservative treatment may need to be referred to surgical intervention. The conservative treatments include: 1. Shoes box modification to relief foot pressure, 2. Add insole, splint and realignment foot structure, 3. Manual and exercise therapies to adjust soft tissue and correct muscle imbalance. Clinicians can combine different approaches for better results. Current researches indicated that conservative approaches may relieve the symptoms and improve function; however, it is still lack of evidence to support that this approach can prevent the worsening or correct the valgus deformation. The conservative treatment took more time to see improvement than surgical intervention. The patients' personal needs, preferred lifestyle, and types of sports also need to be considered when managing a hallux valgus problem.
期刊論文
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2.John, M. M.、Willis, F. B.(2010)。Dynamic splinting for hallux valgus and hallux varus: A pilot study。The Foot and Ankle Online Journal,3(1),1-4。  new window
3.Tang, S. F.、Chen, C. P.、Pan, J. L.、Chen, J. L.、Leong, C. P.、Chu, N. K.(2002)。The effects of a new foot-toe orthosis in treating painful hallux valgus。Archives of Physical Medicine and Rehabilitation,83(12),1792-1795。  new window
4.Tehraninasr, A.、Saeedi, H.、Forogh, B.、Bahramizadeh, M.、Keyhani, M. R.(2008)。Effects of insole with toe-separator and night splint on patients with painful hallux valgus: A comparative study。Prosthetics and Orthotics International,32(1),79-83。  new window
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6.王崇禮(1990)。拇趾外翻症。慈濟醫學雜誌,2(5),445-455。  延伸查詢new window
7.陳書芸、曾國維、李尚儒、吳若萍(20071100)。不同舞蹈類型舞者運動拇趾外翻研究。北體學報,15,371-379。new window  延伸查詢new window
8.謝仕福、石翔至、劉東桓、洪于琇、林冠綸、相子元(20111200)。13至22歲體育班與普通班學生拇趾外翻程度之比較。物理治療,36(4),285-291。  延伸查詢new window
9.Brantingham, W. J.、Guiry, S.、Kretzmann, H.、Globe, G.、Kite, V.(2005)。A pilot study of the efficacy of a conservative chiropractic protocol using graded mobilization, manipulation and ice in the treatment of symptomatic hallux abductovalgus bunion。Clinical Chiropractic,8(3),117-133。  new window
10.Budiman-Mak, E.、Conrad, K. J.、Roach, K. E.、Moore, J. W.、Lertratanakul, Y.、Koch, A. E.(1995)。Can foot orthoses prevent hallux valgus deformity in rheumatoid arthritis? A randomized clinical trial。Journal of Clinical Rheumatology,1(6),313-321。  new window
11.周立偉、陳芬芬、羅瑞寬、楊佩瑜、孟乃欣、林千琳、廖芳瑩、高木榮(20090300)。The Prevalence of Four Common Pathomechanical Foot Deformities in Primary School Students in Taichung County。中臺灣醫學科學雜誌,14(1),1-9。  延伸查詢new window
12.Cong, Y.、Cheung, J. T.、Leung, A. K.、Zhang, M.(2011)。Effect of heel height on in-shoe localized triaxial stresses。Journal of Biomechanics,44(12),2267-2272。  new window
13.du Plessis, M.、Zipfel, B.、Brantingham, J. W.、Parkin-Smith, G. F.、Birdsey, P.、Globe, G.(2011)。Manual and manipulative therapy compared to night splint for symptomatic hallux abducto valgus: An exploratory randomised clinical trial。The Foot,21(2),71-78。  new window
14.Easley, M. E.、Trnka, H. J.(2007)。Current concepts review: Hallux valgus part 1: Pathomechanics, clinical assessment, and nonoperative management。Foot and Ankle International,28(5),654-659。  new window
15.Ferrari, J.、Higgins, J. P.、Prior, T. D.(2009)。Interventions for treating hallux valgus (abductovalgus) and bunions。Cochrane Database of Systematic Reviews,2,CD000964。  new window
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18.Jung, D. Y.、Koh, E. K.、Kwon, O. Y.(2011)。Effect of foot orthoses and short-foot exercise on the crosssectional area of the abductor hallucis muscle in subjects with pes planus: A randomized controlled trial。Journal of Back and Musculoskeletal Rehabilitation,24(4),225-231。  new window
19.Kilmartin, T. E.、Barrington, R. L.、Wallace, W. A.(1991)。Metatarsus primus varus. A statistical study。The Journal of Bone and Joint Surgery,73(6),937-940。  new window
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21.Landsman, A.、Defronzo, D.、Anderson, J.、Roukis, T.(2009)。Scientific assessment of over-thecounter foot orthoses to determine their effects on pain, balance, and foot deformities。Journal of the American Podiatric Medical Association,99(3),206-215。  new window
22.Nix, S.、Smith, M.、Vicenzino, B.(2010)。Prevalence of hallux valgus in the general population: A systematic review and meta-analysis。Journal of Foot and Ankle Research,3(21),10-1186。  new window
23.Reina, M.、Lafuente, G.、Munuera, P. V.(2013)。Effect of custom-made foot orthoses in female hallux valgus after one-year follow up。Prosthetics and Orthotics International,37(2),113-119。  new window
24.Urabe, Y.、Kamiya, N.、Yamanaka, Y.、Shintaku, M.(2011)。New device production for preventive measures against the hallux-valgus deformity。British Journal of Sports Medicine,45(4),378-379。  new window
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學位論文
1.楊天放(2004)。運動貼布包紮對青年舞者之腳大拇趾外翻的矯正效應(碩士論文)。國立陽明大學,臺北市。  延伸查詢new window
 
 
 
 
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