Relationship Between Weightbearing Ankle Dorsiflexion Passive Range of Motion and Ankle Kinematics During Gait

2017 ◽  
Vol 107 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Min-Hyeok Kang ◽  
Jae-Seop Oh

Background: Measurement of weightbearing ankle dorsiflexion (DF) passive range of motion (PROM) has been suggested as a way to estimate ankle kinematics during gait; however, no previous study has demonstrated the relationship between ankle DF during gait and ankle DF PROM with knee extension. We examine the relationship between maximum ankle DF during gait and nonweightbearing and weightbearing ankle DF PROM with knee extension. Methods: Forty physically active individuals (mean ± SD age, 21.63 ± 1.73 years) participated in this study. Ankle DF PROM with knee extension was measured in the nonweightbearing and weightbearing conditions; maximum ankle DF during gait was assessed using a three-dimensional motion analysis system. The relationship between each variable was calculated using the Pearson product moment correlation coefficient, and the difference in ankle DF PROM between the nonweightbearing and weightbearing conditions was analyzed using a paired t test. Results: The weightbearing measurement (r = 0.521; P < .001) for ankle DF PROM showed a greater correlation with maximum ankle DF during gait than did the nonweightbearing measurement (r = 0.245; P = .029). Ankle DF PROM was significantly greater in the weightbearing than in the nonweightbearing condition (P < .001) despite a significant correlation between the two measurements (r = 0.402; P < .001). Conclusions: These findings indicate that nonweightbearing and weightbearing measurements of ankle DF PROM with knee extension should not be used interchangeably and that weightbearing ankle DF PROM with the knee extended is more appropriate for estimating ankle DF during gait.

2019 ◽  
Vol 27 (2) ◽  
pp. 230949901986122
Author(s):  
Ali Sahin ◽  
Mehmet Emin Simsek ◽  
Safa Gursoy ◽  
Mustafa Akkaya ◽  
Cetin Isik ◽  
...  

Background: This study aimed to evaluate the effect of total hip arthroplasty (THA) on sagittal pelvic parameters and to evaluate the effect of sagittal pelvic parameters on acetabular cup orientation. Methods: The study included 86 patients who underwent THA for a diagnosis of unilateral coxarthrosis between 2011 and 2015. Measurements were taken of the preoperative and postoperative acetabular cup inclination (ACI), anteversion, and sagittal pelvic parameters. The effect of THA on sagittal pelvic parameters and the effects of the sagittal pelvic parameters on acetabular cup orientation were investigated. Results: The sagittal pelvic tilt values calculated were mean 9.7° ± 6.3° (2°; 23°) preoperatively and 11.0° ± 6.1° (2°; 25°) postoperatively. The increase in postoperative pelvic incidence (PI) values was determined to be statistically significant ( p < 0.05). The preoperative PI values had no significant effect on ACI, but in cases with high preoperative PI values, a tendency to high anteversion values was determined. The mean inclination values were found to be 40.2° ± 11.0° in the low PI group, 41.7° ± 7.4° in the normal PI group, and 44.1° ± 8.3° in the high PI group. As no increase in inclination values was observed with an increase in PI values, no statistical correlation was determined ( p = 0.343). Average of anteversion values in the low PI group was 9.2° ± 13.7°, in the normal PI group 19.3° ± 10.5°, and in the high PI group 21.1° ± 12.5°. The difference between the groups was statistically significant ( p = 0.001). Conclusion: Evaluating the results of this study, it can be concluded that varying PI values do affect the acetabular cup anterversion in THA. So, preoperative assessment of PI values is important in preventing postoperative acetabular cup malposition.


2020 ◽  
Vol 33 (5) ◽  
pp. 761-767
Author(s):  
Yongwook Kim ◽  
Seungmook Kang

BACKGROUND: Few studies have explored the relationship between muscle strength, range of motion (ROM), and balance in the horizontal plane of the hip joint using three-dimensional (3D) motion analysis. OBJECTIVE: We investigate the relationships of hip internal rotation (IR) and external rotation (ER) ROM, measured using a 3D motion capture system, with hip internal and external rotator strength and single-leg standing balance. METHODS: The participants were 40 healthy adults. Kinematic data on hip ROM were collected using an eight-camera motion analysis system. Hip rotational strength measurements were obtained using hand-held isometric dynamometry. A Single-leg standing test and a pendular test were conducted to evaluate static and dynamic balance ability using BioRescue. RESULTS: Significant correlations were found between hip strength and each variable measured during hip ROM assessments (p< 0.05). Significant positive correlations were found between the hip IR/ER strength ratio and the IR/ER ROM ratio (r= 0.72, p< 0.01). The subgroup with a normal IR/ER ratio of hip rotator strength and ROM showed significantly better dynamic balance ability than the subgroup with a hip rotator muscle imbalance (p< 0.05). CONCLUSIONS: There is a significant relationship between hip IR/ER strength and IR/ER ROM with a normal hip IR/ER strength and ROM ratio positively affecting dynamic balance ability.


2012 ◽  
Vol 102 (5) ◽  
pp. 406-411 ◽  
Author(s):  
Alon Rabin ◽  
Zvi Kozol

Background: Ankle dorsiflexion range of motion has been measured in weightbearing and nonweightbearing conditions. The different measurement conditions may contribute to inconsistent conclusions regarding the role of ankle dorsiflexion in several pathologic conditions. The purpose of this study was to examine the relationship between ankle dorsiflexion range of motion as measured in weightbearing and nonweightbearing conditions. Methods: We compared ankle dorsiflexion range of motion as measured in a weightbearing versus a nonweightbearing position in 43 healthy volunteers. Measurements were taken separately by two examiners. Results: Weightbearing and nonweightbearing ankle dorsiflexion measurements produced significantly different results (P &lt; .0001). The two measurements correlated moderately (r = 0.6 and r = 0.64 for examiners 1 and 2, respectively; P &lt; .001). Conclusions: Weightbearing and nonweightbearing ankle dorsiflexion measurements produce significantly different results and only a moderate correlation, suggesting that these two measurements should not be used interchangeably as measures of ankle dorsiflexion range of motion. (J Am Podiatr Med Assoc 102(5): 406–411, 2012)


2015 ◽  
Vol 24 (1) ◽  
pp. 62-67 ◽  
Author(s):  
Min-Hyeok Kang ◽  
Dong-Kyu Lee ◽  
Kyung-Hee Park ◽  
Jae-Seop Oh

Context:Ankle-dorsiflexion range of motion has often been measured in the weight-bearing condition in the clinical setting; however, little is known about the relationship between the weight-bearing-lunge test (WBLT) and both ankle kinematics and performance on dynamic postural-control tests.Objective:To examine whether ankle kinematics and performance on the Lower Quarter Y-Balance Test (YBT-LQ) are correlated with results of the WBLT using an inclinometer and tape measure.Design:Cross-sectional.Setting:University motionanalysis laboratory.Participants:30 physically active participants.Interventions:None.Main Outcome Measures:The WBLT was evaluated using an inclinometer and a tape measure. The reach distances in the anterior, posteromedial, and posterolateral directions on the YBT-LQ were normalized by limb length. Ankle dorsiflexion during the YBT-LQ was recorded using a 3-dimensional motion-analysis system. Simple linear regression was used to examine the relationship between the WBLT results and both ankle dorsiflexion and the normalized reach distance in each direction on the YBT-LQ.Results:The WBLT results were significantly correlated with ankle dorsiflexion in all directions on the YBT-LQ (P < .05). A strong correlation was found between the inclinometer measurement of the WBLT and ankle dorsiflexion (r = .74, r2 = .55), whereas the tape-measure results on the WBLT were moderately correlated with ankle dorsiflexion (r = .64, r2 = .40) during the anterior reach on the YBT-LQ. Only the normalized anterior reach distance was significantly correlated with the results for the inclinometer (r = .68, r2 = .46) and the tape measure (r = .64, r2 = .41) on the WBLT.Conclusions:Inclinometer measurements on the WBLT can be an appropriate tool for predicting the amount of ankle dorsiflexion during the YBT-LQ. Furthermore, WBLT should be measured in those who demonstrate poor dynamic balance.


2015 ◽  
Vol 24 (12) ◽  
pp. 2807-2815 ◽  
Author(s):  
Haruhi Inokuchi ◽  
Michio Tojima ◽  
Hiroshi Mano ◽  
Yuki Ishikawa ◽  
Naoshi Ogata ◽  
...  

1995 ◽  
Vol 309 (1) ◽  
pp. 285-298 ◽  
Author(s):  
Q Huang ◽  
S Liu ◽  
Y Tang ◽  
S Jin ◽  
Y Wang

Two ribosome-inactivating proteins, trichosanthin and alpha-momorcharin, have been studied in the forms of complexes with ATP or formycin, by an X-ray-crystallographic method at 1.6-2.0 A (0.16-0.20 nm) resolution. The native alpha-momorcharin had been studied at 2.2 A resolution. Structures of trichosanthin were determined by a multiple isomorphous replacement method. Structures of alpha-momorcharin were determined by a molecular replacement method using refined trichosanthin as the searching model. Small ligands in all these complexes have been recognized and built on the difference in electron density. All these structures have been refined to achieve good results, both in terms of crystallography and of ideal geometry. These two proteins show considerable similarity in their three-dimensional folding and to that of related proteins. On the basis of these structures, detailed geometries of the active centres of these two proteins are described and are compared with those of related proteins. In all complexes the interactions between ligand atoms and protein atoms, including hydrophobic forces, aromatic stacking interactions and hydrogen bonds, are found to be specific towards the adenine base. The relationship between the sequence conservation of ribosome-inactivating proteins and their active-centre geometry was analysed. A depurinating mechanism of ribosome-inactivating proteins is proposed on the basis of these results. The N-7 atom of the substrate base group is proposed to be protonated by an acidic residue in the active centre.


1999 ◽  
Vol 89 (6) ◽  
pp. 272-277 ◽  
Author(s):  
MW Cornwall ◽  
TG McPoil

The purpose of this study was to investigate whether the amount of ankle passive dorsiflexion range of motion influences the pattern of frontal plane rearfoot motion during walking. Three-dimensional motion of the rearfoot was measured in two groups of subjects, those with ankle passive dorsiflexion range of motion less than or equal to 10 degrees, and those with ankle passive dorsiflexion range of motion greater than 15 degrees, while they walked along a 6.1-m walkway. The results indicated that the only statistically significant differences between the two groups were in the time to reinversion of the rearfoot and the time to heel-off. Slight-to-moderate limitation of ankle passive dorsiflexion range of motion significantly alters the timing, but not the magnitude, of frontal plane rearfoot motion during walking.


Author(s):  
Barbara E. Barich

This chapter discusses the collection of objects, in clay and stone, from various pastoral Saharan sites whose original core area lay between Libya (Tadrart Acacus) and Algeria (Tassili- n-Ajjer). The chapter starts from the general theme of the relationship between the figurines and the subjects they represent, and the difference between two-dimensional and three-dimensional representation. It goes on to discuss the manufacturing process of the clay specimens (dating from between 7000 and 4000 years ago) and the significance of the changes introduced by the Neolithic. Most of the items studied fall into the category of zoomorphic figurines, with only two anthropomorphic examples, and find in the depiction of cattle their most striking subject. These representations possess an evident symbolic content which must be framed within the pastoral ideology of the Saharan Neolithic. In the anthropomorphic figurines the representation of the human body also plays the role of recapturing the sense of wholeness.


2002 ◽  
Vol 23 (7) ◽  
pp. 655-660 ◽  
Author(s):  
Justin Greisberg ◽  
John Drake ◽  
Joseph Crisco ◽  
Christopher DiGiovanni

Gastrocnemius contracture may be a significant cause of many foot disorders. Gastrocnemius tension can be estimated clinically by measuring maximum ankle dorsiflexion during full knee extension. Such measurements, when made with currently available goniometric devices, are subject to high levels of intra- and inter-observer variability. We have designed a device to more consistently measure ankle dorsiflexion, using three dimensional tracking sensors on the leg and foot. The applied dorsiflexion torque is kept constant by a computer, and the computer also monitors hindfoot position to maintain a neutrally aligned foot during testing. Repeated measurements on 26 feet were taken to determine the consistency of the device. The correlation coefficient for the measurements was 0.96, indicating very low intra- observer variability. The standard deviation of the repeated measures was 2°. Based on the 95% confidence interval, the device can be considered accurate to within 4°. Given this accuracy, this instrument could be used to assess gastrocnemius tension, its role in foot pathology, and the effectiveness of surgical lengthening. Compared to other currently available measuring devices, this instrument is the most reliable in estimating ankle dorsiflexion, since it is capable of controlling hindfoot position and applied dorsiflexion torque, and it can be easily constructed by other laboratories.


2009 ◽  
Vol 137 (11) ◽  
pp. 3837-3857 ◽  
Author(s):  
N. Žagar ◽  
J. Tribbia ◽  
J. L. Anderson ◽  
K. Raeder

Abstract This paper presents the application of the normal-mode functions to diagnose the atmospheric energy spectra in terms of balanced and inertia–gravity (IG) contributions. A set of three-dimensional orthogonal normal modes is applied to four analysis datasets from July 2007. The datasets are the operational analysis systems of NCEP and ECMWF, the NCEP–NCAR reanalyses, and the Data Assimilation Research Testbed–Community Atmospheric Model (DART–CAM), an ensemble analysis system developed at NCAR. The differences between the datasets can be considered as a measure of uncertainty of the IG contribution to the global energetics. The results show that the percentage of IG motion in the present NCEP, ECMWF, and DART–CAM analysis systems is between 1% and 2% of the total energy field. In the wave part of the flow (zonal wavenumber k ≠ 0), the IG energy contribution is between 9% and 15%. On the contrary, the NCEP–NCAR reanalyses contain more IG motion, especially in the Southern Hemisphere extratropics. Each analysis contains more energy in the eastward IG motion than in its westward counterpart. The difference is about 2%–3% of the total wave energy and it is associated with the motions projected onto the Kelvin wave in the tropics. The selected truncation parameters of the expansion (zonal, meridional, and vertical truncation) ensure that the projection provides the optimal fit to the input data on model levels. This approach is different from previous applications of the normal modes and under the linearity assumption it allows the application of the inverse projection to obtain details of circulation associated with a selected type of motion. The bulk of the IG motion is confined to the tropics. For the successful reproduction of three-dimensional circulations by the normal modes it is important that the expansion includes a number of vertical modes.


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