Ankle joint dorsi-plantar flexion and recurrence after femoral de-rotation osteotomy

2021 ◽  
Vol 90 ◽  
pp. 221-222
Author(s):  
F. Salami ◽  
M. Goetze ◽  
M. Thielen ◽  
S.I. Wolf
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Rotation Osteotomy

scholarly journals A Custom-Made Lower Limb Dynamometer for Assessing Ankle Joint Torque in Humans: Calibration and Measurement Procedures

Sensors ◽  
2021 ◽  
Vol 22 (1) ◽  
pp. 135
Author(s):  
Iulia Iovanca Drăgoi ◽  
Florina Georgeta Popescu ◽  
Teodor Petrița ◽  
Romulus Fabian Tatu ◽  
Cosmina Ioana Bondor ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Calibration Procedure ◽  
Measurement Procedure ◽  
Joint Torque ◽  
Ankle Torque ◽  
Offset Voltage ◽  
Interclass Correlation ◽  
Custom Made ◽  
Measurement Protocol

Custom-made dynamometry was shown to objectively analyze human muscle strength around the ankle joint with accuracy, easy portability and low costs. This paper describes the full method of calibration and measurement setup and the measurement procedure when capturing ankle torque for establishing reliability of a portable custom-built electronic dynamometer. After considering the load cell offset voltage, the pivotal position was determined, and calibration with loads followed. Linear regression was used for calculating the proportionality constant between torque and measured voltage. Digital means were used for data collection and processing. Four healthy consenting participants were enrolled in the study. Three consecutive maximum voluntary isometric contractions of five seconds each were registered for both feet during plantar flexion/dorsiflexion, and ankle torque was then calculated for three ankle inclinations. A calibration procedure resulted, comprising determination of the pivotal axis and pedal constant. Using the obtained data, a measurement procedure was proposed. Obtained contraction time graphs led to easier filtering of the results. When calculating the interclass correlation, the portable apparatus demonstrated to be reliable when measuring ankle torque. When a custom-made dynamometer was used for capturing ankle torque, accuracy of the method was assured by a rigorous calibration and measurement protocol elaboration.

The Effect of Dry Needling on Pain, Range of Motion of Ankle Joint, and Ultrasonographic Changes of Plantar Fascia in Patients With Plantar Fasciitis

2021 ◽  
pp. 1-6
Author(s):  
Afsaneh Moosaei Saein ◽  
Ziaeddin Safavi-Farokhi ◽  
Atefeh Aminianfar ◽  
Marzieh Mortezanejad
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Visual Analog Scale ◽  
Plantar Fasciitis ◽  
Plantar Flexion ◽  
Plantar Fascia ◽  
Trigger Points ◽  
Dry Needling ◽  
Analog Scale ◽  
Significant Difference

Context: Plantar fasciitis (PF) is a common and devastating disease. Despite different treatments, there is no clear evidence for the effect of these treatments on PF. One of the therapy methods used in physiotherapy is dry needling (DN). So the purpose of this study is to investigate the effect of DN on the pain and range of motion of the ankle joint and plantar fascia thickness in subjects with PF who are suffering from the trigger points of the gastrocnemius and soleus muscles. Methods: In this study, 20 volunteer females with PF were randomly assigned into DN treatment and control groups. Measurements were range of motion in dorsiflexion and plantar flexion, plantar fascia thickness, and visual analog scale measured before, immediately, and 1 month after the end of the intervention in both groups. Results: There were significant differences in the plantar fascia thickness and visual analog scale between the 2 groups. Plantar fascia thickness (P = .016) and visual analog scale (P = .03) significantly decreased in the treatment group. However, there was no significant difference in plantar flexion (P = .582) and dorsiflexion range of motion (P = .173) between groups. Conclusion: The result of this study showed that DN can reduce pain and plantar fascia thickness in women with PF who are suffering from trigger points of the gastrocnemius and soleus muscles. Level of evidence: Level 1, randomized controlled trial.

Is Soleus Muscle-Tendon-Unit Behavior Related to Ground-Force Application During the Sprint Start?

2017 ◽  
Vol 12 (4) ◽  
pp. 448-454 ◽  
Author(s):  
Erik Schrödter ◽  
Gert-Peter Brüggemann ◽  
Steffen Willwacher
Keyword(s):  
Ankle Joint ◽  
High Speed ◽  
Plantar Flexion ◽  
Systematic Observation ◽  
Performance Levels ◽  
Muscle Fascicle ◽  
Wide Range ◽  
Stretch Shortening Cycle ◽  
And Performance ◽  
Upper Ankle

Purpose:To describe the stretch-shortening behavior of ankle plantar-flexing muscle–tendon units (MTUs) during the push-off in a sprint start.Methods:Fifty-four male (100-m personal best: 9.58–12.07 s) and 34 female (100-m personal best: 11.05–14.00 s) sprinters were analyzed using an instrumented starting block and 2-dimensional high-speed video imaging. Analysis was performed separately for front and rear legs, while accounting for block obliquities and performance levels.Results:The results showed clear signs of a dorsiflexion in the upper ankle joint (front block 15.8° ± 7.4°, 95% CI 13.2–18.2°; rear block 8.0° ± 5.7°, 95% CI 6.4–9.7°) preceding plantar flexion. When observed in their natural block settings, the athletes’ block obliquity did not significantly affect push-off characteristics. It seems that the stretch-shortening-cycle-like motion of the soleus MTU has an enhancing influence on push-off force generation.Conclusion:This study provides the first systematic observation of ankle-joint stretch-shortening behavior for sprinters of a wide range of performance levels. The findings highlight the importance of reactive-type training for the improvement of starting performance. Nonetheless, future studies need to resolve the independent contributions of tendinous and muscle-fascicle structures to overall MTU performance.

scholarly journals Arthroscopic Treatment of Flexor Hallucis Longus Tenosynovitis

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0030
Author(s):  
Joseph Labrum ◽  
Thomas Harris ◽  
Stephen Shymon ◽  
Harinee Maiyuran
Keyword(s):  
Ankle Joint ◽  
Outcome Measures ◽  
Classification Scheme ◽  
Short Form ◽  
Plantar Flexion ◽  
Ankle Arthroscopy ◽  
Preoperative Imaging ◽  
Flexor Hallucis Longus ◽  
Effective Treatment Option ◽  
Posterior Ankle Arthroscopy

Category: Arthroscopy Introduction/Purpose: Flexor Hallucis Longus (FHL) tenosynovitis is a common cause of posterior ankle pain, typically associated with repetitive plantar flexion activities. The purpose of this study was to report the results of patients with FHL tenosynovitis treated with posterior ankle arthroscopy using validated outcome measures and develop a zone-based classification of FHL tenosynovitis that demonstrates well correlated preoperative imaging and intraoperative findings. Methods: Posterior ankle arthroscopy was performed in 11 patients (12 ankles) with a diagnosis of FHL tenosynovitis, with patients followed for a minimum of two years (mean 44 months). Outcomes were evaluated using validated scoring measures, including visual analog scales (VAS) for pain, 12-Item Short Form Health Survey (SF-12), and the Foot and Ankle Ability Measure (FAAM). Results: A zonal classification scheme based on anatomic location was developed, divided into three zones: proximal to the ankle joint, posterior to the ankle joint, and from the fibro-osseous tunnel underneath the sustentaculum tali to the FHL insertion. Agreement between preoperative MRI and arthroscopic zonal involvement at time of surgery was present in ten feet (83%), and differed in two feet (17%). VAS scores improved significantly from 7.1 ± 1.4 preoperatively to 1.3 ± 1.3 postoperatively (p <0.001). Mean values for ADL and sports subscales of the FAAM at time of follow up were 87.1 ± 16.2 and 76.5 ± 28.8, respectively. Physical component summary (PCS) and mental component summary (MCS) of the SF-12 yielded means of 51.3 ±12.8 and 52.7 ± 5.0, respectively. Conclusion: FHL pathology can be classified using a zone-based classification scheme, which is highly correlative between preoperative MRI and intraoperative findings. Posterior ankle arthroscopy is an effective treatment option for FHL tenosynovitis, as evaluated using validated outcome measures.

scholarly journals Visual Feedback Control of a Rat Ankle Angle Using a Wirelessly Powered Two-Channel Neurostimulator

Sensors ◽  
2020 ◽  
Vol 20 (8) ◽  
pp. 2210
Author(s):  
Masaru Takeuchi ◽  
Keita Watanabe ◽  
Kanta Ishihara ◽  
Taichi Miyamoto ◽  
Katsuhiro Tokutake ◽  
...  
Keyword(s):  
Feedback Control ◽  
Ankle Joint ◽  
Visual Feedback ◽  
Peripheral Nerves ◽  
Control Method ◽  
Plantar Flexion ◽  
Receiver Coil ◽  
Pass Filter ◽  
Low Pass Filter ◽  
Visual Feedback Control

Peripheral nerve disconnections cause severe muscle atrophy and consequently, paralysis of limbs. Reinnervation of denervated muscle by transplanting motor neurons and applying Functional Electrical Stimulation (FES) onto peripheral nerves is an important procedure for preventing irreversible degeneration of muscle tissues. After the reinnervation of denervated muscles, multiple peripheral nerves should be stimulated independently to control joint motion and reconstruct functional movements of limbs by the FES. In this study, a wirelessly powered two-channel neurostimulator was developed with the purpose of applying selective FES to two peripheral nerves—the peroneal nerve and the tibial nerve in a rat. The neurostimulator was designed in such a way that power could be supplied wirelessly, from a transmitter coil to a receiver coil. The receiver coil was connected, in turn, to the peroneal and tibial nerves in the rat. The receiver circuit had a low pass filter to allow detection of the frequency of the transmitter signal. The stimulation of the nerves was switched according to the frequency of the transmitter signal. Dorsal/plantar flexion of the rat ankle joint was selectively induced by the developed neurostimulator. The rat ankle joint angle was controlled by changing the stimulation electrode and the stimulation current, based on the Proportional Integral (PI) control method using a visual feedback control system. This study was aimed at controlling the leg motion by stimulating the peripheral nerves using the neurostimulator.

Width of the Medial Tibiotalar Joint

1997 ◽  
Vol 38 (4) ◽  
pp. 520-522 ◽  
Author(s):  
B. Fiirgaard ◽  
J. K. Iversen ◽  
A. de Carvalho
Keyword(s):  
Healthy Volunteers ◽  
Ankle Joint ◽  
Plantar Flexion ◽  
Joint Space ◽  
Neutral Position ◽  
Tibiotalar Joint ◽  
Joint Injuries ◽  
Left Ankle

Purpose: To determine the extent to which the width of the space in the medial tibiotalar joint depends on plantar flexion. Material and Methods: Thirty healthy volunteers were studied by means of a.p. roentgenograms of the left ankle both in a neutral position and in plantar flexion. Results: The medial joint space showed significant widening (average 0.65 mm) between the neutral position and plantar flexion. Conclusion: When ankle joint injuries are studied on radiographs, the position of the foot must be taken into consideration.

The Effect of Axial Load on the In Vivo Anterior Drawer Test of the Ankle Joint Complex

2000 ◽  
Vol 21 (5) ◽  
pp. 420-426 ◽  
Author(s):  
Wen Liu ◽  
Murray E. Maitland ◽  
Benno M. Nigg
Keyword(s):  
Ankle Joint ◽  
Axial Load ◽  
Plantar Flexion ◽  
Correlation Coefficients ◽  
Displacement Curve ◽  
Ankle Sprains ◽  
Mechanical Instability ◽  
Anterior Drawer ◽  
Anterior Drawer Test

The anterior drawer test is commonly used in the diagnosis of ankle joint mechanical instability. However, the effect of axial load on the anterior drawer test has not been examined in vivo. The purpose of the study was to assess the effect of axial load on passive anterior instability, and on the diagnostic measurement of the anterior drawer instability of the ankle joint complex. A total of 21 subjects with various degrees of ankle sprains were tested on a device that could continuously record applied anterior force and the resultant displacement of the rear-foot. Anterior drawer flexibility of the ankle joint complex in a neutral dorsi/plantar flexion position was quantified on both feet for all subjects without and with an axial load (385 N). Flexibility of the ankle joint complex in anterior drawer was defined as the slope of a linear load-displacement curve (which fitted test data with high correlation coefficients (r>0.991)). With axial load, anterior drawer flexibility was significantly reduced by 28.8% compared to that without axial load. The difference in anterior drawer flexibility between injured and intact ankles significantly decreased with axial load. An axial load increased the stability of ankle joint complex. However, axial load reduced the sensitivity of anterior drawer test to mechanical instability of the ankle joint complex.

scholarly journals Semi-rigid brace and taping decrease variability of the ankle joint position sense

2014 ◽  
Vol 20 (4) ◽  
pp. 448-453 ◽  
Author(s):  
Márcia Barbanera ◽  
Flávia de Andrade e Souza Mazuchi ◽  
José Paulo Berretta Batista ◽  
Janaina de Moura Ultremare ◽  
Juliana da Silva Iwashita ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Target Position ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Joint Position ◽  
Experimental Conditions ◽  
Ankle Brace

The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old) actively placed the ankle in a target position. The experimental conditions were: 1) wearing no orthosis device, 2) using semi-rigid brace, and 3) wearing ankle taping. Absolute error (AE) and variable error (VE) were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.

Mechanical output about the ankle joint in isokinetic plantar flexion and jumping

1990 ◽  
Vol 22 (5) ◽  
pp. 660-668 ◽  
Author(s):  
MAARTEN F. BOBBERT ◽  
GERRIT JAN VAN INGEN SCHENAU
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion

scholarly journals A Model to Predict the Effect of Ankle Joint Misalignment on Calf Band Movement in Ankle-Foot Orthoses

2007 ◽  
Vol 31 (1) ◽  
pp. 76-87 ◽  
Author(s):  
Stefania Fatone ◽  
Andrew H. Hansen
Keyword(s):  
Ankle Joint ◽  
Walking Speed ◽  
Sagittal Plane ◽  
Plantar Flexion ◽  
Dimensional Model ◽  
Ankle Foot Orthosis ◽  
Ankle Joints ◽  
Ankle Foot Orthoses ◽  
Foot Orthosis ◽  
Anterior Posterior

Accurate alignment of anatomical and mechanical joint axes is one of the major biomechanical principles pertaining to articulated orthoses, yet knowledge of the potential effects of axis misalignment is limited. The purpose of this project was to model the effects of systematic linear (proximal-distal and anterior-posterior) misalignments of single axis mechanical ankle joints in an ankle-foot orthosis (AFO) in order to determine the degree and direction of calf band travel that would occur over a functional range of motion. Sagittal plane misalignments of the ankle joint centres of an AFO were simulated using a simple two-dimensional model for both a range of ankle angles and a typical able-bodied ankle kinematic curve for self-selected normal walking speed. The model assumed that no movement occurred between the foot and the foot-plate of the AFO. The model predicted that for anterior (positive horizontal) misalignments, dorsiflexion movements would cause the calf band to travel proximally (i.e., up the leg) and plantar flexion movements would cause the calf band to travel distally (i.e., down the leg). The opposite was predicted for posterior (negative horizontal) misalignments. Proximal (positive vertical) misalignments would cause only distal movements of the calf band while distal (negative vertical) misalignments would cause only proximal movements of the calf band. Anterior-posterior misalignments were found to have a much larger effect on the amount of calf band travel than proximal-distal misalignments.

Sign in / Sign up

Export Citation Format

Share Document