马拉松路跑常用的物理治疗评估与谘询-台大物理治疗学系首页.pptVIP

Physical Therapy ofMarathon Runners’ Injuries-- Assessment, Judgment, and Consultation 2006年ING國際超級馬拉松行前訓練 柴惠敏 台灣大學物理治療學系 951216 Epidemiology of Marathon Runners in US, 2002 375 marathons ~ 450,000 completed one 30,000 in the largest marathon with 43% 40 y/o USA Track and Field Road Running Information Center, 2003 ING Taipei International Marathon, 2005: 60,000 finished time (median) male: 4 hours and 20 minutes female: 4 hours 56 minutes to seek medical attention during or immediately after completing the race: 2% to 8% 17% of them MS problems muscle cramps, blisters, and acute ankle and knee injuries PT of Marathon Runners’ Injuries-- Assessment and Treatment Biomechanical concerns of running injuries Physical therapy assessment Skills required for a PT on race day Running Cycle stance phase swing phase Shock Absorption at Foot Strike ground reaction force at FS = 2.5～3 ?BW biomechanical requirements at FS LE motions knee flexion, tibia internal rotation, and subtalar pronation cartilage or fat pad heel pad, metatarsal pad, meniscus, IVD extrinsic factors running shoes with large heel flare or cushion shoes taping, shoe insole, or FFO running surface Patterns of Foot Strike heel-strike for long-distance runners midfoot- or total-sole strike forefoot- strike for sprinter only long-distance runnner ? metatarsalgia or stress fracture of central rays Lateral Heel Flare Heel Cup Foot Motion during Mid-Support foot pronation at mid-support in order to make the foot more mobile for further shock absorption foot pronation ? medial and inferior glide of talus and internal rotation of tibia ? COG shifting medially ? ? energy consumption and time to re-supinaiton strategy: hard counter for controlling COG motions Re-supination at Take-off re-supination at take-off in order to make the foot rigid and support the body weight LE motions：subtalar joint supinaiton、midtarsal joint locked, first ray plantarflexion, and MP joint full e