不同足弓形态下的足部生物力学比较及三维有限元分析
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1.浙江理工大学;2.同济大学附属上海市养志康复医院(上海市阳光康复中心)

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Biomechanical Comparison and Three-dimensional Finite Element Analysis of Foot under Different Arch Morphologies
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1.Zhejiang Sci-Tech University;2.Shanghai Yangzhi Rehabilitation Hospital Affiliated to Tongji University, Shanghai Sunshine Rehabilitation Center,

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    摘要:

    目的 建立不同足弓形态的足部三维有限元模型,探讨高、中、低三种足弓形态下足底压力分布与足骨应力,揭示足弓形态对足部生物力学性能的影响。 方法 通过三维足部扫描和 CT 扫描采集足部形态数据和骨骼形态数据,建立了 3 种不同足弓形态的足部三维有限元模型,并在模型上施加 0.5 倍人体体重的载荷来模拟人体双足站立时的状态。对比模型计算的足底接触面积与实验测量结果,其相对误差值均小于 10%,证明了有限元模型的有效性。 结果 模拟结果显示 3 种足弓形态下的足底压力峰值均位于后足区域,高弓足与低弓足后跟压力比正常弓有不同程度的升高。相比于正常足,高弓足表现为后足区域应力增加明显,其中软组织峰值高出 299.45%,骨骼峰值高出 93.19%。低弓足表现为足底接触面积增大 13.28%,跟骨应力增加 98.09%。同时,通过有限元模拟对足骨内应力的分析,得到三种足型的足骨应力峰值均位于距骨处,分别为 9.903MPa、19.921MPa、36.308 MPa。 结论 这项研究的结果支撑了异常足弓形态与足部疼痛和足部疾病之间的联系,并为异常足设计的矫形鞋垫、足弓支撑结构提供设计基础和方向。

    Abstract:

    Objective To establish a three-dimensional finite element model of foot with different arch shapes, to investigate the distribution of plantar pressure and foot bone stress under high, normal and low arch shapes, and to reveal the influence of arch shapes on foot biomechanical properties. Methods Foot morphology data and bone morphology data were collected by 3D foot scanning and CT scanning, and 3D finite element models of foot with three different arch shapes were established. A load of 0.5 times human body weight was applied to the models to simulate the state of human bipedal standing. Comparing the calculated plantar contact area with the measured results, the relative error values are less than 10%, which proves the validity of the finite element model. Results The simulation results showed that the peak value of plantar pressure in the three types of arches was located in the hind foot region, and the heel pressure of high and low arches was higher than that of normal arches. Compared with normal feet, high arched feet showed a significant increase in stress in the hind foot area, the peak value of soft tissue was 299.45% higher, and the peak value of bone was 93.19% higher. For low arch foot, the plantar contact area increased by 13.28% and calcaneal stress increased by 98.09%. At the same time, the internal stress of foot bone was analyzed by finite element simulation, and the peak stress of foot bone of the three foot types were located at the talus, which were 9.903MPa, 19.921 MPa and 36.308 MPa, respectively. Conclusion The results of this study support the association between abnormal arch morphology, foot pain and foot disease, and provide a basis and direction for the design of orthopedic insole and arch support structures for abnormal feet.

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  • 收稿日期:2024-09-19
  • 最后修改日期:2024-10-28
  • 录用日期:2024-10-30
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