scholarly journals Human plantar fascial dimensions and shear wave velocity change in vivo as a function of ankle and metatarsophalangeal joint positions

Author(s):  
Hiroto Shiotani ◽  
Nana Maruyama ◽  
Keisuke Kurumisawa ◽  
Takaki Yamagishi ◽  
Yasuo Kawakami

The plantar fascia (PF), a primary contributor of the foot arch elasticity, may experience slack, taut, and stretched states depending on the ankle and metatarsophalangeal (MTP) joint positions. Since PF has proximodistal site-difference in its dimensions and stiffness, the response to applied tension can also be site-specific. Furthermore, PF can contribute to supporting the foot arch while being stretched beyond the slack length, but it has never been quantitatively evaluated in vivo. This study investigated the effects of ankle and MTP joint positions on PF length and localized thickness and shear wave velocity (SWV) at three different sites from its proximal to distal end using magnetic resonance and supersonic shear imaging techniques. During passive ankle dorsiflexion, rise of SWV, an indication of slack length, was observed at the proximal site when the ankle was positioned by 10˚-0˚ ankle plantar flexion with up to 3 mm (+1.5%) increase in PF length. On the other hand, SWV increased at the distal site when MTP joint dorsiflexed 40˚ with the ankle 30˚-20˚ plantar flexion, and in this position, PF was lengthened up to 4 mm (+2.3%). Beyond the slack length, SWV curvi-linearly increased at all measurement sites toward the maximal dorsiflexion angle while PF lengthened up to 9 mm (+7.6%) without measurable changes in its thickness. This study provides evidence that the dimensions and SWV of PF change in a site-specific manner depending on the ankle and MTP joint positions, which can diversify foot arch elasticity during human locomotion.

2013 ◽  
Vol 134 (5) ◽  
pp. 4011-4011 ◽  
Author(s):  
Ivan Nenadic ◽  
Matthew W. Urban ◽  
Bo Qiang ◽  
Shigao Chen ◽  
James Greenleaf

2016 ◽  
Vol 53 (10) ◽  
pp. 1600-1611 ◽  
Author(s):  
Sung-Woo Moon ◽  
Taeseo Ku

Shear wave velocity (Vs) in geo-materials is strongly dependent on factors such as stress state, void ratio, and soil structure. Stress-dependency and void-ratio dependency can be represented by the equations [Formula: see text] and Vs = a(e)b (where α and a are material constants; exponents β and b represent the sensitivity of stress and the void dependent effect, respectively; [Formula: see text] is effective confining stress; e is void ratio), respectively. To consider the effect of soil disturbance and stress relief in geo-materials, shear wave velocity is often required to be normalized by adopting the site-specific model parameters (β or b). Based on a special in situ database compiled from 156 well-documented test sites that include various geo-materials, this study presents (i) the apparent relationships of the model parameters α and β for all soil and rock materials as well as a and b for all soil materials, (ii) new global correlations between soil unit weight and two types of stress-normalized shear wave velocities (Vs1 and Vsn), instead of the conventional Vs – soil unit weight relationship for clays, and (iii) the best-fitted multi-regression models between soil unit weight and site-specifically normalized shear wave velocity as well as the plasticity index for plastic soils. Moreover, this study presents the importance of site-specific stress normalization (Vsn) in creating a better correlation model. The proposed relationships offer first-order assessments of soil unit weight within the ranges of available data, which are also approximately guided by a hyperbolic unit weight model with depth.


Author(s):  
Hiroaki Noro ◽  
Naokazu Miyamoto ◽  
Naotoshi Mitsukawa ◽  
Toshio Yanagiya

AbstractLower stiffness of the medial longitudinal arch is reportedly a risk factor for lower leg disorders. The plantar aponeurosis is considered essential to maintaining the medial longitudinal arch. It is therefore expected that medial longitudinal arch stiffness is influenced by plantar aponeurosis stiffness. However, this has not been experimentally demonstrated. We examined the relationship between the plantar aponeurosis stiffness and medial longitudinal arch stiffness in humans in vivo. Thirty young subjects participated in this study. The navicular height and shear wave velocity (an index of stiffness) of the plantar aponeurosis were measured in supine and single-leg standing positions, using B-mode ultrasonography and shear wave elastography, respectively. The medial longitudinal arch stiffness was calculated based on body weight, foot length, and the difference in navicular height between the supine and single-leg standing conditions (i. e., navicular drop). Shear wave velocity of the plantar aponeurosis in the supine and single-leg standing positions was not significantly correlated to medial longitudinal arch stiffness (spine: r=−0.14, P=0.45 standing: r=−0.16, P=0.41). The findings suggest that the medial longitudinal arch stiffness would be strongly influenced by the stiffness of foot structures other than the plantar aponeurosis.


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