Achilles tendon moment arms are similar when computed using a single fixed axis versus a moving instantaneous helical axis

2020 ◽  
Vol 109 ◽  
pp. 109907
Author(s):  
Francesca E. Wade ◽  
Lauren J. Hickox ◽  
Stephen J. Piazza
Keyword(s):  
Achilles Tendon ◽  
Helical Axis ◽  
Moment Arms ◽  
Fixed Axis ◽  
Axis Versus

scholarly journals Ankle morphology amplifies calcaneus movement relative to triceps surae muscle shortening

2013 ◽  
Vol 115 (4) ◽  
pp. 468-473 ◽  
Author(s):  
R. Csapo ◽  
J. Hodgson ◽  
R. Kinugasa ◽  
V. R. Edgerton ◽  
S. Sinha
Keyword(s):  
Magnetic Resonance ◽  
Achilles Tendon ◽  
Ankle Joint ◽  
Sagittal Plane ◽  
Triceps Surae ◽  
Myotendinous Junction ◽  
Joint Movement ◽  
Center Of Rotation ◽  
Moment Arms ◽  
Plantarflexor Muscles

The present study investigated the mechanical role of the dorsoventral curvature of the Achilles tendon in the conversion of the shortening of the plantarflexor muscles into ankle joint rotation. Dynamic, sagittal-plane magnetic resonance spin-tagged images of the ankle joint were acquired in six healthy subjects during both passive and active plantarflexion movements driven by a magnetic resonance compatible servomotor-controlled foot-pedal device. Several points on these images were tracked to determine the 1) path and deformation of the Achilles tendon, 2) ankle's center of rotation, and 3) tendon moment arms. The degree of mechanical amplification of joint movement was calculated as the ratio of the displacements of the calcaneus and myotendinous junction. In plantarflexion, significant deflection of the Achilles tendon was evident in both the passive (165.7 ± 7.4°; 180° representing a straight tendon) and active trials (166.9 ± 8.8°). This bend in the dorsoventral direction acts to move the Achilles tendon closer to the ankle's center of rotation, resulting in an ∼5% reduction of moment arm length. Over the entire range of movement, the overall displacement of the calcaneus exceeded the displacement of the myotendinous junction by ∼37%, with the mechanical gains being smaller in dorsi- and larger in plantarflexed joint positions. This is the first study to assess noninvasively and in vivo using MRI the curvature of the Achilles tendon during both passive and active plantarflexion movements. The dorsoventral tendon curvature amplifies the shortening of the plantarflexor muscles, resulting in a greater displacement of the tendon's insertion into the calcaneus compared with its origin.

scholarly journals Shear Wave Predictions of Achilles Tendon Loading during Human Walking

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Emily M. Keuler ◽  
Isaac F. Loegering ◽  
Jack A. Martin ◽  
Joshua D. Roth ◽  
Darryl G. Thelen
Keyword(s):  
Achilles Tendon ◽  
Shear Wave ◽  
Wave Speed ◽  
Inverse Dynamics ◽  
Human Walking ◽  
Cross Sectional ◽  
Moment Arms ◽  
Subject Specific ◽  
S Peak

Abstract The evaluation of in vivo muscle-tendon loads is fundamental to understanding the actuation of normal and pathological human walking. However, conventional techniques for measuring muscle-tendon loads in the human body are too invasive for use in gait analysis. Here, we demonstrate the use of noninvasive measures of shear wave propagation as a proxy for Achilles tendon loading during walking. Twelve healthy young adults performed isometric ankle plantarflexion on a dynamometer. Achilles tendon wave speed, tendon moment arms, tendon cross-sectional area and ankle torque were measured. We first showed that the linear relationship between tendon stress and wave speed squared can be calibrated from isometric tasks. There was no significant effect of knee angle, ankle angle or loading rate on the subject-specific calibrations. Calibrated shear wave tensiometers were used to estimate Achilles tendon loading when walking at speeds ranging from 1 to 2 m/s. Peak tendon stresses during pushoff increased from 41 to 48 MPa as walking speed was increased, and were comparable to estimates from inverse dynamics. The tensiometers also detected Achilles tendon loading of 4 to 7 MPa in late swing. Late swing tendon loading was not discernible in the inverse dynamics estimates, but did coincide with passive stretch of the gastrocnemius muscle-tendon units. This study demonstrates the capacity to use calibrated shear wave tensiometers to evaluate tendon loading in locomotor tasks. Such technology could prove beneficial for identifying the muscle actions that underlie subject-specific movement patterns.

Achilles Tendon Moment Arms Computed Using Ultrasound and Motion Analysis: In Vivo Estimates for Male Subjects

2008 ◽  
Author(s):  
Justin D. Cowder ◽  
Thomas S. Buchanan ◽  
Kurt T. Manal
Keyword(s):  
Achilles Tendon ◽  
Motion Capture ◽  
Hybrid Method ◽  
Lower Limb ◽  
Muscle Force ◽  
Average Weight ◽  
Moment Arm ◽  
Moment Arms ◽  
Male Subjects

Accurate estimates for Achilles tendon moment arm (MA) are essential when computing gastroc-soleus force from the net plantarflexion moment. Errors in approximating the Achilles tendon MA will adversely affect the muscle force estimate. We have noted that Achilles tendon MAs reported by Maganaris [1] and others are significantly greater (> 1 cm) than values used by Delp et al. computed using SIMM [2]. It is important to note that the stature of Delp’s lower limb model was almost identical to the average weight and height of the subjects in a study by Maganaris. This led us to question which MA profiles were more anatomically meaningful. To address this, we calculated Achilles tendon MAs for 10 male subjects using a previously described method. The method combines ultrasound and video-based motion capture, and referred to as the hybrid method. Subjects in our study were chosen to ensure they were of a similar stature to those tested by Maganaris, thereby minimizing confounding effects of subject anthropometrics.

scholarly journals A Hybrid Method for Computing Achilles Tendon Moment Arm Using Ultrasound and Motion Analysis

2010 ◽  
Vol 26 (2) ◽  
pp. 224-228 ◽  
Author(s):  
Kurt Manal ◽  
Justin D. Cowder ◽  
Thomas S. Buchanan
Keyword(s):  
Achilles Tendon ◽  
Motion Capture ◽  
Hybrid Method ◽  
Moment Arm ◽  
Measurement Instruments ◽  
Moment Arms ◽  
Perpendicular Distance ◽  
The Moment ◽  
Joint Center

In this article, we outline a method for computing Achilles tendon moment arm. The moment arm is computed from data collected using two reliable measurement instruments: ultrasound and video-based motion capture. Ultrasound is used to measure the perpendicular distance from the surface of the skin to the midline of the tendon. Motion capture is used to determine the perpendicular distance from the bottom of the probe to the ankle joint center. The difference between these two measures is the Achilles tendon moment arm. Unlike other methods, which require an angular change in joint position to approximate the moment arm, the hybrid method can be used to compute the moment arm directly at a specific joint angle. As a result, the hybrid method involves fewer error-prone measurements and the moment arm can be computed at the limits of the joint range of motion. The method is easy to implement and uses modalities that are less costly and more accessible than MRI. Preliminary testing using a lamb shank as a surrogate for a human ankle revealed good accuracy (3.3% error). We believe the hybrid method outlined here can be used to measure subject-specific moment arms in vivo and thus will potentially benefit research projects investigating ankle mechanics.

scholarly journals Interactive Effects of Joint Angle, Contraction State and Method on Estimates of Achilles Tendon Moment Arms

2013 ◽  
Vol 29 (2) ◽  
pp. 241-244 ◽  
Author(s):  
Florian Fath ◽  
Anthony J. Blazevich ◽  
Charlie M. Waugh ◽  
Stuart C. Miller ◽  
Thomas Korff
Keyword(s):  
Achilles Tendon ◽  
Joint Angle ◽  
Input Parameter ◽  
Maximum Voluntary Contraction ◽  
Muscular Contraction ◽  
Voluntary Contraction ◽  
Interactive Effects ◽  
Moment Arm ◽  
Moment Arms ◽  
Musculoskeletal Models

The muscle-tendon moment arm is an important input parameter for musculoskeletal models. Moment arms change as a function of joint angle and contraction state and depend on the method being employed. The overall purpose was to gain insights into the interactive effects of joint angle, contraction state and method on the Achilles tendon moment arm using the center of rotation (COR) and the tendon excursion method (TE). Achilles tendon moment arms were obtained at rest (TErest, CORrest) and during a maximum voluntary contraction (CORMVC) at four angles. We found strong correlations between TErest and CORMVC for all angles (.72 ≤ r ≤ .93) with Achilles tendon moment arms using CORMVC being 33–36% greater than those obtained from TErest. The relationship between Achilles tendon moment arms and angle was similar across both methods and both levels of muscular contraction. Finally, Achilles tendon moment arms for CORMVC were 1–8% greater than for CORrest.

scholarly journals A Forefoot Strike Requires the Highest Forces Applied to the Foot Among Foot Strike Patterns

2017 ◽  
Vol 01 (02) ◽  
pp. E37-E42 ◽  
Author(s):  
Satoru Hashizume ◽  
Toshio Yanagiya
Keyword(s):  
Achilles Tendon ◽  
Ground Reaction Force ◽  
Reaction Force ◽  
Moment Arm ◽  
Moment Arms ◽  
Joint Reaction Forces ◽  
Force Moment ◽  
Foot Strike ◽  
Reaction Forces ◽  
Joint Reaction

AbstractGround reaction force is often used to predict the potential risk of injuries but may not coincide with the forces applied to commonly injured regions of the foot. This study examined the forces applied to the foot, and the associated moment arms made by three foot strike patterns. 10 male runners ran barefoot along a runway at 3.3 m/s using forefoot, midfoot, and rearfoot strikes. The Achilles tendon and ground reaction force moment arms represented the shortest distance between the ankle joint axis and the line of action of each force. The Achilles tendon and joint reaction forces were calculated by solving equations of foot motion. The Achilles tendon and joint reaction forces were greatest for the forefoot strike (2 194 and 3 137 N), followed by the midfoot strike (1 929 and 2 853 N), and the rearfoot strike (1 526 and 2 394 N). The ground reaction force moment arm was greater for the forefoot strike than for the other foot strikes, and was greater for the midfoot strike than for the rearfoot strike. Meanwhile, there were no differences in the Achilles tendon moment arm among all foot strikes. These differences were attributed mainly to differences in the ground reaction force moment arm among the three foot strike patterns.

Estimation of Achilles Tendon Moment Arms In Vivo: A Novel Hybrid Method Using Ultrasound and Motion Analysis

2008 ◽  
Author(s):  
Justin D. Cowder ◽  
Nicole J. Chimera ◽  
Thomas S. Buchanan ◽  
Kurt T. Manal
Keyword(s):  
Achilles Tendon ◽  
Motion Capture ◽  
Moment Arm ◽  
Measurement Instruments ◽  
Center Of Rotation ◽  
Moment Arms ◽  
Rotation Methods ◽  
Hybrid Methodology ◽  
Tendon Excursion

The musculotendon moment arm (MA) is the perpendicular distance from a muscle’s line of action to the rotational center of a joint. Moment arms are important in muscle modeling [1], and thus their accuracy is of great importance. Current in vivo techniques for computing MAs include the center of rotation and tendon excursion methods [1, 2]. The tendon excursion (TE) method relates the change in musculotendon length to an angular change in joint position [3]. This requires two measurements of musculotendon length for each MA computed. Similarly, the center of rotation method requires multiple image-based geometry measurements to compute the MA for a specific joint angle. The TE and center of rotation methods are both prone to measurement error, and thus it is difficult to ascertain the accuracy of the resulting MA. In this paper we present a novel hybrid methodology combining ultrasound (US) and video-based motion capture to compute the Achilles tendon moment arm. An advantage of this approach is that data used to derive the MA are acquired using highly accurate and reliable measurement instruments (i.e, US & motion capture), which may improve the accuracy of the MA estimate. The purpose of this paper is to present the hybrid methodology and validation results based on testing the method using an animal model.

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