mesЭкстремальная биомедицинаExtreme Medicine3033-89643033-8972Centre for Strategic Planning of the Federal Medical and Biological Agency10.47183/mes.2024.036mes-65Research ArticleОРИГИНАЛЬНОЕ ИССЛЕДОВАНИЕORIGINAL RESEARCHОсобенности распределения подошвенного давления стоп у спортсменов с плантарным фасциитомPlantar pressure distribution features in athletes with plantar fasciitisКармазинВ. В.KarmazinV. V.

ул. Б. Дорогомиловская, д. 5, г. Москва, 121059

B. Dorogomilovskaya, 5, Moscow, 121059

СливинА. В.SlivinA. V.

Антон Вячеславович Сливин

ул. Б. Дорогомиловская, д. 5, г. Москва, 121059

Anton V. Slivin

B. Dorogomilovskaya, 5, Moscow, 121059

anton-slivin@mail.ruПарастаевС. А.ParastaevS. A.

ул. Б. Дорогомиловская, д. 5, г. Москва, 121059

B. Dorogomilovskaya, 5, Moscow, 121059

Федеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентстваРоссияFederal Research and Clinical Center of Sports Medicine and Rehabilitation of the Federal Medical Biological AgencyRussian FederationФедеральный научно-клинический центр спортивной медицины и реабилитации Федерального медико-биологического агентства; Российский национальный исследовательский медицинский университет имени Н. И. ПироговаРоссияFederal Research and Clinical Center of Sports Medicine and Rehabilitation of the Federal Medical Biological Agency; Pirogov Russian National Research Medical UniversityRussian Federation2024231020242628793Copyright © Кармазин В.В., Сливин А.В., Парастаев С.А., 20242024Кармазин В.В., Сливин А.В., Парастаев С.А.Karmazin V.V., Slivin A.V., Parastaev S.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.extrememedicine.ru/jour/article/view/65

Плантарный фасциит (ПФ) — одна из ведущих причин болевого синдрома в пяточной области среди спортсменов. Поскольку этиология и патогенез заболевания непонятны, определение нарушенных биомеханических паттернов позволит разработать эффективные и безопасные терапевтические стратегии. Целью работы было выявить биомеханические изменения, характерные для спортсменов с ПФ. Проведен анализ результатов бароподометрического обследования 60 спортсменов, проходивших обследование и лечение на базе Федерального научно-клинического центра спортивной медицины и реабилитации ФМБА России по поводу патологии стоп (комбинированного плоскостопия 1–2 степени и ПФ). Спортсмены были разделены на две группы в зависимости от наличия/отсутствия у них верифицированного диагноза «плантарный фасциит». В исследовании приняли участие 24 мужчины (40%) и 36 женщин (60%), медиана возраста спортсменов составила 24 (19; 28) года. В ходе исследования было отмечено наличие тенденции к более частому развитию ПФ у спортсменок (р = 0,066). У спортсменов с ПФ часто встречалась молоткообразная деформация пальцев стопы (р < 0,05). У спортсменов с комбинированным плоскостопием и ПФ в статических тестах выявлена перегрузка или недостаточная нагрузка на задний отдел пораженной стопы, в зависимости от степени выраженности болевого синдрома (r = 0,592, р = 0,001). В динамических тестах определялись деформация общего вектора давления и изменения скорости общего центра давления (р < 0,01). У спортсменов с ПФ по результатам бароподометрического обследования наблюдались дефицит или избыточное повышение подошвенного давления в пяточной области на пораженной стопе и деформация общего вектора давления.

Plantar fasciitis (PF) is one of the leading causes of heel pain in athletes. Since the disease etiology and pathogenesis are poorly understood, determination of impaired biomechanical patterns will make it possible to develop effective and safe therapeutic strategies. The study was aimed to reveal biomechanical changes typical for athletes with PF. Analysis of the results of baropodometric examination of 60 athletes, who were assessed and treated at the Federal Research and Clinical Center of Sports Medicine and Rehabilitation of FMBA of Russia due to foot disorders (1–2 degree combined platypodia and PF), was conducted. Athletes were divided into two groups based on the fact of having/not having a verified diagnosis of PF. The study involved 24 males (40%) and 36 females (60%), the athletes’ median age was 24 (19; 28) years. During the study we noted a trend towards higher incidence of PF in female athletes (р = 0.066). Hammertoe deformity was often found in athletes with PF (р < 0.05). Athletes with combined platypodia and PF showed overload or insufficient load in the posterior part of the affected foot, depending on pain severity, in static tests (r = 0.592, р = 0.001). The dynamic tests revealed deformation of the general pressure vector and changes in the general center of pressure velocity (р < 0.01). Baropodometric examination showed that athletes with PF had deficit or excess increase of plantar pressure in the heel of the affected foot, along with deformation of the general pressure vector.

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The authors declare that there are no conflicts of interest present.