兒童扁平足量測方法之準確度評估應用研究

The Assessment and Applied Study of the Accuracy of the Children Flatfoot Measurement Method

林百也(Pai-Yeh Lin) ； 黎淑媛(Shu-Yuan Lee) ； 黃立仁(Lih-Ren Hwang) ； 陳妙甄(Miao-Zen Chen)

《運動與遊憩研究》 9卷2期 (2014/12) Pp. 67-82

https://doi.org/10.29423/JSRR.201412_9(2).0005

摘要

本論文主要目的為比較油墨紙張壓印及足壓掃描足印影像之測量信度來探討兒童扁平足量測方法之準確度，以提供在判斷足部問題之參考。本研究共收錄93位年齡3至6歲之學齡前兒童，首先記錄受試者的基本資料，即年齡、性別、身高、體重、身體質量指數。本研究分別為油墨足印採集及足壓掃描的測量兩個部分，將所得的足印作足長、前足寬、中足寬、後足寬、足弓角度、CSI指數和足弓指數等數據量測，並以級內相關係數來呈現相同施測者重覆測試信度及不同施測者間之測試信度，藉以比較油墨紙張壓印法與足壓掃描儀器之測試信度。本研究利用比較油墨紙張壓印法與足壓掃描足印影像之測量信度來探討足壓掃瞄儀器之足印影像在判斷足印數據及兒童扁平足的測量準確性，結果顯示兩種方法均有良好的測試信度，而足壓掃瞄儀器表現尤佳，在測量足印數據及判斷扁平足上均具有高度的重覆測試信度與施測者間信度，可用來測量足部足印數據並可作為判斷足部問題之工具使用，而扁平足判斷方法中以足弓指數在判斷足部問題的結果較一致，建議未來可使用足壓掃瞄儀器來判斷扁平足問題，並使用足弓指數的方法來作為判斷的標準。

關鍵字

扁平足 ； 足底壓力掃描器 ； 足弓

並列摘要

Our aim in this study was to analyze the reliability of footprint and foot scanning machines to discuss the accuracy of flatfoot measurements. Our findings should provide reference information for clinical staff in diagnosing foot problems. A total of 62 children (15 girls and 47 boys), aged from 3 to 7 years, were included in this study. Background information, including age, gender, height, weight and body mass index (BMI) was collected. Our study demonstrates two parts, footprint and foot scanning machines. Assessments were conducted using the footprints and digital images, and the foot length, maximum width of forefoot, midfoot and hindfoot. The CSI index and arch index were calculated using software. To analyze the reliability of footprint and foot scanning machines to discuss the accuracy of flatfoot measurements. Intra-class correlation coefficient (ICC) was used to analyze the intra-rater and inter-rater reliability of footprint and foot scanning machines. The study was to examine the reliability of footprint and foot scanning machines to discuss the accuracy of flatfoot measurements. The two measurements show high reliability and the foot scanning machine was highly reliable for measuring flatfoot in preschool-aged children. The arch index was consistency of diagnosing flatfoot. It is recommended that foot scanning machine as the measuring tool of choice and the arch index for diagnosing criteria for flatfoot in preschool-aged children.

並列關鍵字

flatfoot ； foot pressure scanner ； arch

參考文獻

吳心慈(2003)。內側足弓墊於扁平足病例站立平衡之效應(碩士論文)。國立陽明大學工程研究所。

周玉萍(2002)。以足底壓力參數探討唐氏症兒童之步行特徵(碩士論文)。國立陽明大學醫學工程研究所。

張志清(1997)。足弓墊對扁平足後足運動與足底壓力影響之研究(碩士論文)。國立中央大學機械工程研究所。

鄭凱文(2008)。不同類型矯正鞋墊對扁平足兒童步態之影響(碩士論文)。國立清華大學工業工程與工程管理學系。

魏寶翁(2008)。淺談常見足部症狀及糖尿病足與鞋品的關聯性。台灣鞋訊。