f-scan足底分析三：3-Box分析、峰值压力分析、murphy 4P方法

目录

3-Box analysis分析

3-Box 分析步骤

3-Box表格

3-Box报告

peak pressure analysis峰值压力分析

Murphy 4P方法

脚形图

学习感受：

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3-Box analysis分析

3-box analysis把从脚跟接触地面heel strike到脚尖分离整个垂直地面作用力分为两个部分：脚跟heel/rearfoot；前脚掌 forefoot/ metatarsal heads compartment跖头隔室

从以下三个参数获取数据：

• timing（pivoting speed) 足底力度中心的移动时间
• trajectory（COF path）COF力度中心的移动轨迹
• symmetry and slope（gait, heel, forefoot curves）步态的曲线的显示模式（上升，峰值，高峰，下降）

3-Box 分析步骤

1. 点击3-B，然后选择想要使用的stance，一般不选择第一个和最后一个，因为他们都不完整

 

2.显示图如上图所示，会显示整体的步态，以及左右脚分别的步态

会展示最大以及平均的force

以及FTI和PTI

3.点击想要保存的脚的图（激活），然后点击analysis - save template file，就可以保存一个后缀是.f3b

3-Box表格

1.点击 3B table，复制之后可以直接粘贴进excel表格

2.会生成以下两个表格：

3-Box gait parameters

• Cadence (steps/min) 步态节奏: The number of steps taken per minute.

• Step time (sec or %GC)单步时间: The elapsed time from first contact of the foot to the first contact of the opposing foot. The heel may or may not contact first. For some patients, the forefoot will contact first. Be careful of a random sensel flicker. When contact begins, it must be immediately followed by a larger region of contact for several frames. 一只脚触地到另一只脚触地的时间，一些病人有可能不是脚跟触地

        步子是从抬起单只脚到放下这只脚的简单操作

• Stride Time (sec or %GC)步行时间: The elapsed time between the first contacts of two consecutive footfalls of the foot in question, is also the time from first contact of the foot to subsequent first contact of the same foot. 同一只脚的首次触地和第二次触地之间的时间，一整个步行所需要的时间

        步幅是单只脚从第一次触地开始到第二次触底结束的时间

• Gait Cycle Time (sec or %GC): This the elapsed time between the first contacts of two consecutive footfalls of the foot in question, is also the time from first contact of the foot to subsequent first contact of the same foot. 等于stride time

        步态gait是走路的方式，需要让病人走在直线上这个方式来检测步态

• Stance Time (sec or %GC)站立相: The elapsed time from first contact of the foot to last contact of the same foot. 单只脚触地到离地的时间

        站立是单只脚在地面上的时间

        摆动式单只脚在空气里的时间

• Swing Time (sec or %GC)摆动相: The Gait Cycle Time minus the Stance Time. 单只脚整体使用的时间- 单只脚触底到离地的时间

3-Box foot parameters

• COF Deviation差值: The maximum medial-lateral distance of the Center of Force (COF) from the Foot Axis (FA). Measurement is along the rows of the sensor. Lateral values are positive, medial values are negative.

从COF到FA的最大内外侧距离，向外是正的，向内是负的，这是因为你求的是偏差值

• FA (Foot Axis): An axis running from the posterior Mid-Heel through the center of Metatarsal 2.从中脚跟后部穿过跖骨2中心的一条轴。

• COF Excursion Index (%)COF偏移指数: The COF Excursion Index is a measurement of the concavity or medial-lateral deviation of the Center of Force (COF) trajectory relative to the Foot Width. Values are positive. COF偏移指数是测量重心(COF)轨迹相对于脚宽的凹面或内侧-横向偏差。

• 1st Peak (sec or %Stance): The elapsed time from the beginning of stance to the occurrence of the maximum force at the first hump in the Force versus Time Gait curve从站立姿态的开始到第一个驼峰处的最大值的所需时间

• Trough (sec or %Stance): The elapsed time from the beginning of stance to the occurrence of the minimum force at the dip (trough) in the Force versus Time Gait Curve.从站立姿态的开始到第一个低谷处的最小值的所需时间

• 2nd Peak (sec or %Stance): The elapse time from the beginning of stance to the occurrence of the maximum force at the second hump in the Force versus Time Gait curve.从站立姿态的开始到第二个驼峰处的最大值的所需时间

• Gait Curve 2-Peak Force Diff (Kilograms): The difference in force between the maximum force at the first hump or 1st Peak and the maximum force at the second hump or 2nd Peak in the Force versus Time Gait Curve.两个最大值之间的时间

• Heel-Metatarsal Curves Crossing (sec or %Stance): The elapsed time from the Trough in the Force versus Time Gait curve to where the off-loading or falling force in the heel force versus time curve crosses the loading or rising force in the Metatarsal force versus time curve. A negative value indicates that the curves cross to the left or early to the Trough while a positive value indicates that the curves cross to the right or after the Trough.

• Heel Contact Time (sec or %Stance): The elapsed time from first contact to the end of last contact at the heel, where the heel is defined by the Heel Box or Object.力与时间的步态曲线中的谷底到脚跟力与时间的曲线中的卸载或下降力与跖骨力与时间的曲线中的加载或上升力相交的时间。负值表示曲线向左交叉或早于低谷，正值表示曲线向右交叉或在低谷之后。

• Heel Maximum Force (%BW): The maximum loading force in percentage of body weight (BW) during heel contact, where the heel is defined by the Heel Box or Object.最大负载力，通过身体重量的百分比表示

• Heel Maximum Force (kilograms): The maximum loading force during heel contact, where the heel is defined by the Heel Box or Object.最大的脚跟接触负载力，和上面的力其实是一样，但是单位不一样

• Heel COF Time (sec or %Stance): The elapsed time from first contact at the heel to until the Center of Force (COF) reaches the anterior boundary of the Heel Box or Object.

脚跟第一次接触直到COF接触脚跟取样区的前侧界限

• Heel Loading Slope (Kilograms/sec): The upward rise in Force-Time units from first contact at the heel until maximum force at the heel, where there is presence of a plateau or bulge in the rising slope of the Heel Force versus Time curve, as defined by the Heel Box or Object.  在脚跟力vs时间的曲线里面，从脚跟第一次接触开始直到达到一个稳定的高峰，这个上升的时间

• Heel Off-Loading Slope (Pounds/sec): The downward fall in Force-Time units from maximum force at the heel until last contact at the heel, where there is presence of a plateau or bulge in the falling slope of the Heel Force versus Time curve, as defined by the Heel Box or Object. 和上面的相反，从高峰到脚跟不再接触的下降时间

• Midfoot Contact Time (sec or %Stance): The elapsed time from first contact to the end of last contact at the midfoot, where the midfoot is defined between the anterior boundary of the Heel Box or Object and the posterior boundary of the Metatarsal Box or Object. 中足midfoot被定义在脚跟的前侧界限到前脚掌的后侧界限

3.表格里面有很多数据都是不适用，大概是因为没有模拟一个完整的走路步骤

4.可以在脚形图里面自己定义heel和forefoot的区域

5.默认情况下，表中显示的许多值都以秒(绝对时间)为单位。您可以将其切换为相对数据(作为步态周期的百分比-“%GC”，或作为姿态的百分比-“%姿态”;

display relative time values

3-Box报告

 

 

peak pressure analysis峰值压力分析

分析方法和3-Box是一样的，在这里不做详述了，生成的表格如下图所示，同时重点介绍其中显示的数据

 

• Peak Pressure (KPa): The maximum or highest pressure within the Box or Object.

• Pressure (KPa): The pressure contained in the Box or Object.

• PTI (KPa*sec): Pressure-Time-Integral (PTI) is a measure representing the amount of pressure relative to the time that the pressure is present.

• PPG (KPa/centimeters): Peak Pressure Gradient (PPG) is a measure representing the spatial change in pressure around location of the peak pressure.

可以显示峰值压力的变化速度

• Duration above pressure threshold (sec or %GC, 172 KPa): The duration in which the pressure is above a specific value. In the table image above, for AnseR01L, the pressure is above 172 KPa for duration of 0.20 seconds. 显示大于某个压力值的时间

Murphy 4P方法

分析力度中心COF：

1. 首先点击脚形图，激活
2. 点击peak/stance来不让这个peak/stance活动
3. 点击COF/COF trajectory
4. 播放影片，一直点击下一帧，直到脚趾离开地面
5. 点击peak/stance到下一个站立相，重复上面的步骤

显示图像：

可以分析上升时间，峰值，高峰，下降，低谷

脚形图

 

 

学习感受：

大概花了六天的时间学习清楚了这个软件，但是很多地方还是有些迷茫，应该会在以后的应用中深入了解这些知识