scholarly journals Running Characteristics of Plantar Flexor Forces Based on Different Foot Strike Patterns in Medial Tibial Stress Syndrome

2020 ◽  
Vol 22 (4) ◽  
pp. 48-54
Author(s):  
Byungjoo Noh
Keyword(s):  
Traction Force ◽  
Medial Tibial Stress Syndrome ◽  
Plantar Flexor ◽  
Muscle Forces ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Camera System ◽  
Barefoot Running ◽  
Stress Syndrome ◽  
Foot Strike

OBJECTIVES The purpose of this study was to compare plantar flexor force due to different foot strike patterns during running in barefoot and shod condition with and without medial tibial stress syndrome (MTSS).METHODS Fifteen collegiate soccer players who volunteered to participate were divided into MTSS group and controls. Participants’ running at 3.3 m/s with and without shoes were recorded with a 12-camera system at a sampling frequency of 250 Hz. Each subject completed different foot strike patterns of running as the forefoot strike pattern (FFS) and rearfoot strike pattern (RFS) were collected. Plantar flexor forces were investigated by software for interactive musculoskeletal modeling.RESULTS Normalized plantar flexor forces in barefoot running with the FFS pattern had greater soleus and peroneus brevis muscle forces in the MTSS group than in controls during the first half of stance, although there were no statistically significant differences for other plantar flexor muscle forces between groups and shod running. In plantar flexor forces due to foot strike pattern, the FFS pattern showed higher plantar flexor forces than the RFS pattern.CONCLUSIONS The results of musculoskeletal modeling suggest that subjects with MTSS have greater muscle forces of the plantar flexor during running, especially barefoot running with the FFS pattern. It also suggests increased forces in some plantar flexors generated great traction force by repetitively landing on connective tissues in the deep crural fascia causing inflammation at the posteromedial site of the tibia in MTSS.

scholarly journals Series elasticity facilitates safe plantar flexor muscle–tendon shock absorption during perturbed human hopping

2021 ◽  
Vol 288 (1947) ◽  
Author(s):  
Taylor J. M. Dick ◽  
Christofer J. Clemente ◽  
Laksh K. Punith ◽  
Gregory S. Sawicki
Keyword(s):  
Steady State ◽  
Neuromuscular Control ◽  
Ground Contact ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Unpredictable Environments ◽  
Co Activation ◽  
Length Changes

In our everyday lives, we negotiate complex and unpredictable environments. Yet, much of our knowledge regarding locomotion has come from studies conducted under steady-state conditions. We have previously shown that humans rely on the ankle joint to absorb energy and recover from perturbations; however, the muscle–tendon unit (MTU) behaviour and motor control strategies that accompany these joint-level responses are not yet understood. In this study, we determined how neuromuscular control and plantar flexor MTU dynamics are modulated to maintain stability during unexpected vertical perturbations. Participants performed steady-state hopping and, at an unknown time, we elicited an unexpected perturbation via rapid removal of a platform. In addition to kinematics and kinetics, we measured gastrocnemius and soleus muscle activations using electromyography and in vivo fascicle dynamics using B-mode ultrasound. Here, we show that an unexpected drop in ground height introduces an automatic phase shift in the timing of plantar flexor muscle activity relative to MTU length changes. This altered timing initiates a cascade of responses including increased MTU and fascicle length changes and increased muscle forces which, when taken together, enables the plantar flexors to effectively dissipate energy. Our results also show another mechanism, whereby increased co-activation of the plantar- and dorsiflexors enables shortening of the plantar flexor fascicles prior to ground contact. This co-activation improves the capacity of the plantar flexors to rapidly absorb energy upon ground contact, and may also aid in the avoidance of potentially damaging muscle strains. Our study provides novel insight into how humans alter their neural control to modulate in vivo muscle–tendon interaction dynamics in response to unexpected perturbations. These data provide essential insight to help guide design of lower-limb assistive devices that can perform within varied and unpredictable environments.

scholarly journals Intra-and Intermuscular Coherence and Body Acceleration Control in Older Adults during Bipedal Stance

Geriatrics ◽  
2021 ◽  
Vol 6 (4) ◽  
pp. 114
Author(s):  
Tadayoshi Minamisawa ◽  
Noboru Chiba ◽  
Eizaburo Suzuki
Keyword(s):  
Older Adults ◽  
Center Of Mass ◽  
Plantar Flexor ◽  
Frequency Range ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Younger Adults ◽  
Bipedal Stance ◽  
Intermuscular Coherence ◽  
The Relationship

Our aim was to clarify the effect of aging on the coherence of electromyograms of plantar flexor pairs during bipedal stance and to clarify the relationship between coherence and center-of-mass acceleration (COMacc). The subjects were 16 adults and 18 older adults. Intra- and intermuscular coherence and phase analyses were used to analyze the muscle pairs of bilateral and unilateral plantar flexor muscle groups. The relationship between coherence value and anterior–posterior COMacc of the plantar flexor muscle pairs was also examined to determine whether the connectivity of the lower limb muscle pairs is functionally important. The older adults showed higher coherence in the frequency range of 0–4 Hz for muscle pairs than the younger adults. In phase analysis, the older adults showed a phase difference between bilateral heteronymous muscle pairs in the frequency range of 0–6 Hz, which was one of the characteristics not seen in the younger adults. Correlation analysis showed that all the muscle pairs were moderately correlated with COMacc in the older adults. Not only does aging affects the organization of the bilateral and unilateral postural muscle activity of the plantar flexors during bipedal stance, but such organization may also be related to the increased COMacc characteristics of older adults.

scholarly journals Triceps surae torque-length relationships relevant for walking activity levels with and without an ankle exoskeleton

2019 ◽  
Author(s):  
Anthony L. Hessel ◽  
Brent J. Raiteri ◽  
Michael J. Marsh ◽  
Daniel Hahn
Keyword(s):  
Muscle Activity ◽  
Metabolic Cost ◽  
Activity Levels ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Fascicle Length ◽  
Lateral Gastrocnemius ◽  
Work Requirements ◽  
Ankle Exoskeleton

AbstractAnkle exoskeletons have been developed to assist walking by offloading the plantar flexors work requirements, which reduces muscle activity level. However, reduced muscle activity alters plantar flexor muscle-tendon unit dynamics in a way that is poorly understood. We therefore evaluated torque-fascicle length properties of the soleus and lateral gastrocnemius during voluntary contractions at simulated activity levels typical during late stance with and without an ankle exoskeleton. Soleus activity levels (100, 30, and 22% maximal voluntary activity) were produced by participants via visual electromyography feedback at ankle angles ranging from −10° plantar flexion to 35° dorsiflexion. Using dynamometry and ultrasound imaging, torque-fascicle length data of the soleus and lateral gastrocnemius were produced. The results indicate that muscle activity reductions observed with an exoskeleton shift the torque-angle and torque-fascicle length curves to more dorsiflexed ankle angles and longer fascicle lengths where no descending limb is physiologically possible. This shift is in line with previous simulations that predicted a similar increase in the operating fascicle range when wearing an exoskeleton. These data suggest that a small reduction in muscle activity causes changes to torque-fascicle length properties, which has implications for the design and testing of future ankle exoskeletons for assisted walking.Significance StatementAssistive lower-limb exoskeletons reduce the metabolic cost of walking by reducing the positive work requirements of the plantar flexor muscles. However, if the exoskeleton reduces plantar flexor muscle activity too much, then the metabolic benefit is lost. The biological reasons for this are unclear and hinder further exoskeleton development. This research study is the first to directly evaluate if a reduction in plantar flexor muscle activity similar to that caused by wearing an exoskeleton affects muscle function. We found that reduced muscle activity changes the torque-length properties of two plantar flexors, which could explain why reducing muscle activity too much can increase metabolic cost.

scholarly journals EFFECT OF FOOTBALL ON REHABILITATION OF ANKLE INJURY PATIENTS

2022 ◽  
Vol 28 (1) ◽  
pp. 62-64
Author(s):  
Jie Liu
Keyword(s):  
Sports Injuries ◽  
Muscle Tone ◽  
Good Effect ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Flexor Muscle ◽  
Level Of Evidence ◽  
Balance Ability ◽  
Speed Training ◽  
The Right

ABSTRACT Introduction: Brief introduction: Ankle tendon and ligament sports injuries are common in football players. Objective: To continue to improve special strength training related to the characteristics of football after rehabilitation of injured ankle tendons and ligaments. Methods: Two master football sportsmen were rehabilitated by multi-point equal-length, short-arc and long-arc equal-speed training combined with balance ability exercises. Results: There were two long muscle L be maintain muscle tone plantar flexors force four times of 96 n/m, n/m 121, 140 n/m, 145 n/m than back flexors force of 63 n/m, 52 n/m, 60 n/m, 74 n/m tall. Plantar flexor fatigue was 57%, 30%, 29%, 12%, 28%, 18%, 20%, 21%. Conclusions: With the passing of time, the relative peak moment value of the right ankle plantar flexor muscle group of the two patients kept rising, the dorsiflexor muscle was basically flat, and the work fatigue index decreased step by step, indicating that the right ankle muscle strength level was significantly improved, the anti-fatigue ability was improved, and the rehabilitation treatment had a good effect. Level of evidence II; Therapeutic studies - investigation of treatment results.

Can passive stretch inhibit motoneuron facilitation in the human plantar flexors?

2014 ◽  
Vol 117 (12) ◽  
pp. 1486-1492 ◽  
Author(s):  
Gabriel S. Trajano ◽  
Laurent B. Seitz ◽  
Kazunori Nosaka ◽  
Anthony J. Blazevich
Keyword(s):  
Inhibitory Effect ◽  
Triceps Surae ◽  
Medial Gastrocnemius ◽  
Plantar Flexor ◽  
Plantar Flexors ◽  
Stimulation Protocol ◽  
Flexor Muscle ◽  
Motor Unit Firing ◽  
Torque Loss ◽  
Passive Stretch

The purpose of the present study was to examine the possible inhibitory effect of passive plantar flexor muscle stretching on the motoneuron facilitatory system. Achilles tendon vibration (70 Hz) and triceps surae electrical stimulation (20 Hz) were imposed simultaneously in 11 subjects to elicit contraction through reflexive pathways in two experiments. In experiment 1, a vibration-stimulation protocol was implemented with the ankle joint plantar flexed (+10°), neutral (0°), and dorsiflexed (−10°). In experiment 2, the vibration-stimulation protocol was performed twice before (control), then immediately, 5, 10, and 15 min after a 5-min intermittent muscle stretch protocol. Plantar flexor torque and medial and lateral gastrocnemius and soleus (EMGSol) EMG amplitudes measured during and after (i.e., self-sustained motor unit firing) the vibration protocol were used as an indicator of this facilitatory pathway. In experiment 1, vibration torque, self-sustained torque and EMGSol were higher with the ankle at −10° compared with 0° and +10°, suggesting that this method is valid to assess motoneuronal facilitation. In experiment 2, torque during vibration was reduced by ∼60% immediately after stretch and remained depressed by ∼35% at 5 min after stretch ( P < 0.05). Self-sustained torque was also reduced by ∼65% immediately after stretch ( P < 0.05) but recovered by 5 min. Similarly, medial gastrocnemius EMG during vibration was reduced by ∼40% immediately after stretch ( P < 0.05), and EMGSol during the self-sustained torque period was reduced by 44% immediately after stretch ( P < 0.05). In conclusion, passive stretch negatively affected the motoneuronal amplification for at least 5 min, suggesting that motoneuron disfacilitation is a possible mechanism influencing the stretch-induced torque loss.

scholarly journals Foot strike pattern during running alters muscle-tendon dynamics of the gastrocnemius and the soleus

2019 ◽  
Author(s):  
Jennifer R. Yong ◽  
Christopher L. Dembia ◽  
Amy Silder ◽  
Rachel W. Jackson ◽  
Michael Fredericson ◽  
...  
Keyword(s):  
Energy Storage ◽  
Achilles Tendon ◽  
Muscle Mechanics ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Tendon Mechanics ◽  
Foot Strike ◽  
Efficient Gait ◽  
Musculoskeletal Simulations ◽  
Plantar Flexor Muscles

ABSTRACTRunning is thought to be an efficient gait due, in part, to the behavior of the plantar flexor muscles and the elastic energy storage in the Achilles tendon. Although plantar flexor muscle mechanics and Achilles tendon energy storage have been explored during rearfoot striking, they have not been fully characterized during forefoot striking. This study examines how plantar flexor muscle-tendon mechanics during running differ between rearfoot and forefoot striking. We used musculoskeletal simulations, driven by joint angles and electromyography recorded from runners using both rearfoot and forefoot striking running patterns, to characterize plantar flexor muscle-tendon mechanics. The simulations revealed that foot strike pattern affected the soleus and gastrocnemius differently. For the soleus, forefoot striking resulted in decreased tendon energy storage and decreased positive fiber work compared to rearfoot striking. For the gastrocnemius, forefoot striking resulted in greater activation and increased negative fiber work compared to rearfoot striking. The increased activation and negative fiber work in the gastrocnemius during forefoot striking suggest that runners planning to convert to forefoot striking would benefit from a progressive eccentric gastrocnemius strengthening program to avoid injury.

scholarly journals Effect of habitual foot-strike pattern on the gastrocnemius medialis muscle-tendon interaction and muscle force production during running

2019 ◽  
Vol 126 (3) ◽  
pp. 708-716 ◽  
Author(s):  
Wannes Swinnen ◽  
Wouter Hoogkamer ◽  
Tijs Delabastita ◽  
Jeroen Aeles ◽  
Friedl De Groote ◽  
...  
Keyword(s):  
Energy Demand ◽  
Muscle Force ◽  
Force Production ◽  
Metabolic Cost ◽  
Metabolic Energy ◽  
Ground Contact ◽  
Muscle Forces ◽  
Flexor Muscle ◽  
Contraction Velocity ◽  
Foot Strike

The interaction between gastrocnemius medialis (GM) muscle and Achilles tendon, i.e., muscle-tendon unit (MTU) interaction, plays an important role in minimizing the metabolic cost of running. Foot-strike pattern (FSP) has been suggested to alter MTU interaction and subsequently the metabolic cost of running. However, metabolic data from experimental studies on FSP are inconsistent, and a comparison of MTU interaction between FSP is still lacking. We, therefore, investigated the effect of habitual rearfoot and mid-/forefoot striking on MTU interaction, ankle joint work, and plantar flexor muscle force production while running at 10 and 14 km/h. GM muscle fascicles of 9 rearfoot and 10 mid-/forefoot strikers were tracked using dynamic ultrasonography during treadmill running. We collected kinetic and kinematic data and used musculoskeletal models to determine joint angles and calculate MTU lengths. In addition, we used dynamic optimization to assess plantar flexor muscle forces. During ground contact, GM fascicle shortening ( P = 0.02) and average contraction velocity ( P = 0.01) were 40–45% greater in rearfoot strikers than mid-/forefoot strikers. Differences in contraction velocity were especially prominent during early ground contact. Moreover, GM ( P = 0.02) muscle force was greater during early ground contact in mid-/forefoot strikers than rearfoot strikers. Interestingly, we did not find differences in stretch or recoil of the series elastic element between FSP. Our results suggest that, for the GM, the reduced muscle energy cost associated with lower fascicle contraction velocity in mid-/forefoot strikers may be counteracted by greater muscle forces during early ground contact. NEW & NOTEWORTHY Kinetic and kinematic differences between foot-strike patterns during running imply (not previously reported) altered muscle-tendon interaction. Here, we studied muscle-tendon interaction using ultrasonography. We found greater fascicle contraction velocities and lower muscle forces in rearfoot compared with mid-/forefoot strikers. Our results suggest that the higher metabolic energy demand due to greater fascicle contraction velocities might offset the lower metabolic energy demand due to lower muscle forces in rearfoot compared with mid-/forefoot strikers.

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