scholarly journals Associations between ankle dorsiflexion range of motion and foot and ankle strength in young adults

2017 ◽  
Vol 29 (8) ◽  
pp. 1363-1367 ◽  
Author(s):  
Paloma Guillén-Rogel ◽  
Cristina San Emeterio ◽  
Pedro J. Marín
Keyword(s):  
Young Adults ◽  
Range Of Motion ◽  
Ankle Dorsiflexion ◽  
Foot And Ankle ◽  
Ankle Strength

scholarly journals Associations of foot and ankle characteristics with knee symptoms and function in individuals with patellofemoral osteoarthritis

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
Jade M. Tan ◽  
Kay M. Crossley ◽  
Shannon E. Munteanu ◽  
Natalie J. Collins ◽  
Harvi F. Hart ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Knee Pain ◽  
Single Step ◽  
Ankle Dorsiflexion ◽  
Trial Registration ◽  
Patellofemoral Osteoarthritis ◽  
Foot And Ankle ◽  
Patient Reported ◽  
Foot Posture ◽  
And Function

Abstract Background Foot and ankle characteristics are associated with patellofemoral pain (PFP) and may also relate to patellofemoral osteoarthritis (PFOA). A greater understanding of these characteristics and PFOA, could help to identify effective targeted treatments. Objectives To determine whether foot and ankle characteristics are associated with knee symptoms and function in individuals with PFOA. Methods For this cross-sectional study we measured weightbearing ankle dorsiflexion range of motion, foot posture (via the Foot Posture Index [FPI]), and midfoot mobility (via the Foot Measurement Platform), and obtained patient-reported outcomes for knee symptoms and function (100 mm visual analogue scales, Anterior Knee Pain Scale [AKPS], Knee injury and Osteoarthritis Outcome Score, repeated single step-ups and double-leg sit-to-stand to knee pain onset). Pearson’s r with significance set at p < 0.05 was used to determine the association between foot and ankle charateristics, with knee symptoms and function, adjusting for age. Results 188 participants (126 [67%] women, mean [SD] age of 59.9 [7.1] years, BMI 29.3 [5.6] kg/m2) with symptomatic PFOA were included in this study. Lower weightbearing ankle dorsiflexion range of motion had a small significant association with higher average knee pain (partial r = − 0.272, p < 0.001) and maximum knee pain during stair ambulation (partial r = − 0.164, p = 0.028), and lower scores on the AKPS (indicative of greater disability; partial r = 0.151, p = 0.042). Higher FPI scores (indicating a more pronated foot posture) and greater midfoot mobility (foot mobility magnitude) were significantly associated with fewer repeated single step-ups (partial r = − 0.181, p = 0.023 and partial r = − 0.197, p = 0.009, respectively) and double-leg sit-to-stands (partial r = − 0.202, p = 0.022 and partial r = − 0.169, p = 0.045, respectively) to knee pain onset, although the magnitude of these relationships was small. The amount of variance in knee pain and disability explained by the foot and ankle characteristics was small (R2-squared 2 to 8%). Conclusions Lower weightbearing ankle dorsiflexion range of motion, a more pronated foot posture, and greater midfoot mobility demonstrated small associations with worse knee pain and greater disability in individuals with PFOA. Given the small magnitude of these relationships, it is unlikely that interventions aimed solely at addressing foot and ankle mobility will have substantial effects on knee symptoms and function in this population. Trial registration The RCT was prospectively registered on 15 March 2017 with the Australia and New Zealand Clinical Trials Registry (ANZCTRN12617000385347).

scholarly journals Effects of Vibration Rolling with and without Dynamic Muscle Contraction on Ankle Range of Motion, Proprioception, Muscle Strength and Agility in Young Adults: A Crossover Study

2020 ◽  
Vol 17 (1) ◽  
pp. 354 ◽  
Author(s):  
Bo-Jhang Lyu ◽  
Chia-Lun Lee ◽  
Wen-Dien Chang ◽  
Nai-Jen Chang
Keyword(s):  
Young Adults ◽  
Muscle Strength ◽  
Muscle Contraction ◽  
Range Of Motion ◽  
Exercise Performance ◽  
Plantar Flexion ◽  
Ankle Dorsiflexion ◽  
Plantar Flexor ◽  
Flexor Muscle ◽  
Warm Up

Vibration rolling (VR) has emerged as a self-myofascial release (SMR) tool to aid exercise performance when warming up. However, the benefits of VR on exercise performance when combined with dynamic muscle contraction are unclear. The purpose of this study was to investigate the immediate effects of the combination of VR with dynamic muscle contraction (DVR), VR, and static stretching (SS) during warm-up on range of motion (ROM), proprioception, muscle strength of the ankle, and agility in young adults. In this crossover design study, 20 recreationally active adults without musculoskeletal disorders completed three test sessions in a randomized order, with 48 h of rest between each session. Participants completed one warm-up intervention and its measurements on the same day; different warm-up interventions and measurements were performed on each of the three days. The measurements included ankle dorsiflexion and plantarflexion ROM, ankle joint proprioception, muscle strength, and agility. After DVR and VR intervention, ankle dorsiflexion ROM (both DVR and VR, p < 0.001), plantarflexion ROM (both DVR and VR, p < 0.001), plantar flexor muscle strength (DVR, p = 0.007; VR, p < 0.001), and agility (DVR, p = 0.016; VR, p = 0.007) significantly improved; after SS intervention, ankle dorsiflexion and plantar flexion ROM (dorsiflexion, p < 0.001; plantar flexion, p = 0.009) significantly improved, but muscle strength and agility were not enhanced. Compared with SS, DVR and VR significantly improved ankle plantar flexor muscle strength (p = 0.008 and p = 0.001, respectively). Furthermore, DVR significantly improved ankle dorsiflexion compared with VR (p < 0.001) and SS (p < 0.001). In conclusion, either DVR, VR, or SS increased ankle ROM, but only DVR and VR increased muscle strength and agility. In addition, DVR produced considerable increases in ankle dorsiflexion. These findings may have implications for warm-up prescription and implementation in both rehabilitative and athletic practice settings.

Kinematic Analysis of the Coupling Between Calcaneal Eversion and Ankle Dorsiflexion in a Contemporary Dancer’s Demi-Plié

2021 ◽  
Vol 36 (1) ◽  
pp. 45-53
Author(s):  
Anna Schrefl ◽  
Rolf van de Langenberg ◽  
Andrea Schärli
Keyword(s):  
Range Of Motion ◽  
Lower Leg ◽  
Ankle Dorsiflexion ◽  
Foot And Ankle ◽  
Research Focus ◽  
Kinematic Data ◽  
Ankle Joints ◽  
Leg Alignment ◽  
Temporal Coupling ◽  
High Range

BACKGROUND: Dancing requires a high range of motion in the foot as well as a good shock-absorbing system formed by the foot and ankle joints. Although there is a broad consensus in dance that excessive calcaneal eversion can cause injury and should be avoided, calcaneal eversion is discussed controversially in the dance literature. An increased research focus on the biomechanics of dance, particularly research pertaining to the foot and ankle joints, might help to resolve this controversy. OBJECTIVES: The study’s main purpose was to generate hitherto lacking kinematic data of calcaneal eversion in a dancer’s demi-plié. METHODS: Thirty-two contemporary dancers performed three trials in two different conditions: demi-plié in parallel and in turned-out positions. The motion capture system FASTRAK was used to measure calcaneal eversion and foot and lower leg alignment during demi-plié. RESULTS: Maximal calcaneal eversion in turned-out demi-pliés was 3.36°±4° and total range of motion (i.e., maximal minus minimal angle) of calcaneal eversion was 3.73°±1.42°, where the large standard deviations indicate substantial variability across participants. Calcaneal eversion was significantly different between turned-out (3.36°±4°) and parallel (1.17°±4.06°) demi-pliés, as was the alignment of the lower leg and foot, where the lower leg tracked more medially relative to the foot during turned-out pliés. Crucially, both the magnitude of calcaneal eversion and its temporal coupling with ankle dorsiflexion were highly variable across participants. CONCLUSIONS: Average calcaneal eversion is a poor indicator of the role calcaneal eversion plays in the demi-plié of contemporary dancers. Rather, the temporal coupling between calcaneal eversion and ankle dorsiflexion needs to be considered.

Foot and Ankle Strength, Range of Motion, Posture, and Deformity Are Associated With Balance and Functional Ability in Older Adults

2011 ◽  
Vol 92 (1) ◽  
pp. 68-75 ◽  
Author(s):  
Martin J. Spink ◽  
Mohammad R. Fotoohabadi ◽  
Elin Wee ◽  
Keith D. Hill ◽  
Stephen R. Lord ◽  
...  
Keyword(s):  
Older Adults ◽  
Range Of Motion ◽  
Functional Ability ◽  
Foot And Ankle ◽  
Ankle Strength

scholarly journals Lateral open wedge calcaneus osteotomy with bony allograft augmentation in adult acquired flatfoot deformity. Clinical and radiological results

2021 ◽  
Author(s):  
Gabriele Colo’ ◽  
Mattia Alessio Mazzola ◽  
Giulio Pilone ◽  
Giacomo Dagnino ◽  
Lamberto Felli
Keyword(s):  
Range Of Motion ◽  
Case Series ◽  
Deformity Correction ◽  
Tibialis Posterior ◽  
Open Wedge ◽  
Foot And Ankle ◽  
Retrospective Case ◽  
Level Of Evidence ◽  
Adult Acquired Flatfoot Deformity

Abstract The aim of this study is to evaluate the results of patients underwent lateral open wedge calcaneus osteotomy with bony allograft augmentation combined with tibialis posterior and tibialis anterior tenodesis. Twenty-two patients underwent adult-acquired flatfoot deformity were retrospectively evaluated with a minimum 2-year follow-up. Radiographic preoperative and final comparison of tibio-calcaneal angle, talo–first metatarsal and calcaneal pitch angles have been performed. The Visual Analog Scale, American Orthopedic Foot and Ankle Score, the Foot and Ankle Disability Index and the Foot and Ankle Ability Measure were used for subjective and functional assessment. The instrumental range of motion has been also assessed at latest follow-up evaluation and compared with preoperative value. There was a significant improvement of final mean values of clinical scores (p < 0.001). Nineteen out of 22 (86.4%) patients resulted very satisfied or satisfied for the clinical result. There was a significant improvement of the radiographic parameters (p < 0.001). There were no differences between preoperative and final values of range of motion. One failure occurred 7 years after surgery. Adult-acquired flatfoot deformity correction demonstrated good mid-term results and low recurrence and complications rate. Level of evidence Level 4, retrospective case series.

scholarly journals Evaluation of Ankle Mobility Loss in Patients Undergoing Subtalar Arthrodesis

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0011
Author(s):  
Tiago S. Baumfeld ◽  
Roberto Zambelli de A. Pinto ◽  
Fernando Araujo S. Lopes ◽  
Daniel Baumfeld ◽  
Camilo Tavares
Keyword(s):  
Range Of Motion ◽  
Plantar Flexion ◽  
Contralateral Side ◽  
Foot And Ankle ◽  
Lower Range ◽  
Open Chain ◽  
Subtalar Arthrodesis ◽  
Closed Chain ◽  
Ankle Mobility ◽  
Dorsal Flexion

Category: Hindfoot Introduction/Purpose: Objective: To evaluate and quantify the loss of ankle mobility in patients undergoing subtalar arthrodesis compared to the contralateral side, through physical examination. Methods: A total of 12 patients who had only the subtalar arthrodesis procedure from various causes in one foot were selected. The same foot and ankle surgeon performed all measurements of bilateral tibiotarsal range of motion, with loaded closed-chain and unloaded open-chain tests. Then, to assess whether there was a difference between the operated and the non-operated side, statistical analysis was performed with the Mann-Whitney test (Hollander and Wolfe 1999). Results: On the loaded closed-chain test, the operated side had a significantly lower range of motion than the contralateral side, with a mean difference of 5.4 degrees for dorsal flexion and 7.6 degrees for plantar flexion. The open-chain tests showed non- significant differences of 3 degrees for dorsal flexion and 5.3 degrees for plantar flexion. Conclusion: Subtalar joint arthrodesis was shown to cause a loss of mobility in the ipsilateral ankle, which is greater in plantar flexion movement.

scholarly journals Validation of Ankle Strength Measurements by Means of a Hand-Held Dynamometer in Adult Healthy Subjects

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Andrea Ancillao ◽  
Eduardo Palermo ◽  
Stefano Rossi
Keyword(s):  
Clinical Practice ◽  
Healthy Subjects ◽  
Muscle Force ◽  
Low Cost ◽  
Ankle Dorsiflexion ◽  
Force Measurements ◽  
Optoelectronic System ◽  
Clinical Routine ◽  
Strength Assessment ◽  
Ankle Strength

Uniaxial Hand-Held Dynamometer (HHD) is a low-cost device widely adopted in clinical practice to measure muscle force. HHD measurements depend on operator’s ability and joint movements. The aim of the work is to validate the use of a commercial HHD in both dorsiflexion and plantarflexion ankle strength measurements quantifying the effects of HHD misplacements and unwanted foot’s movements on the measurements. We used an optoelectronic system and a multicomponent load cell to quantify the sources of error in the manual assessment of the ankle strength due to both the operator’s ability to hold still the HHD and the transversal components of the exerted force that are usually neglected in clinical routine. Results showed that foot’s movements and angular misplacements of HHD on sagittal and horizontal planes were relevant sources of inaccuracy on the strength assessment. Moreover, ankle dorsiflexion and plantarflexion force measurements presented an inaccuracy less than 2% and higher than 10%, respectively. In conclusion, the manual use of a uniaxial HHD is not recommended for the assessment of ankle plantarflexion strength; on the contrary, it can be allowed asking the operator to pay strong attention to the HHD positioning in ankle dorsiflexion strength measurements.

A Mechanical Equinometer to Measure the Range of Motion of the Ankle Joint: Interobserver and Intraobserver Reliability

2006 ◽  
Vol 27 (3) ◽  
pp. 202-205 ◽  
Author(s):  
Dominik C. Meyer ◽  
Clement M.L. Werner ◽  
Tobias Wyss ◽  
Patrick Vienne
Keyword(s):  
Range Of Motion ◽  
Ankle Joint ◽  
Precise Measurement ◽  
Knee Extension ◽  
Measurement Tool ◽  
Foot And Ankle ◽  
Reliable Technique ◽  
Plantar Surface ◽  
Clinical Measurements ◽  
Very High

Background: Clinical measurement of passive dorsiflexion of the ankle joint is essential for the diagnosis of various pathologic conditions of the foot and ankle but is of unreliable precision with high interobserver variability in nonweightbearing tests. This work was designed to develop and test a precise, standardized, and reliable technique for measurement of passive and active ankle range of motion. Methods: The proposed measurement tool is composed of two mobile parallelograms, one attached to the tibia, the second one to the plantar surface of the foot. The parallelograms are connected with a hinge with an angular scale to measure the angle between the foot and tibia. Results: Interobserver correlation between clinical measure-ments for maximal passive foot dorsiflexion were 0.03 with knee extension and 0.38 with knee flexion, while for measurements with the proposed tool they reached 0.89 and 0.97, respectively, with a mean measurement error of 0.9 degrees. Intraobserver correlations reached values of r = 0.98 and 0.99. Conclusions: The proposed tool allows measurement of the ankle range of motion with very high precision and reproducibility far superior to clinical measurements. Clinical Relevance: Precise measurement of ankle range of motion is clinically challenging. With the use of the proposed tool, measurement precision and reliability are decisively improved.

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