Gait style as an etiology to chronic postural pain. Part II. Postural compensatory process

1993 ◽  
Vol 83 (11) ◽  
pp. 615-624 ◽  
Author(s):  
HJ Dananberg
Keyword(s):  
Kinetic Energy ◽  
Sagittal Plane ◽  
Center Of Mass ◽  
Metatarsophalangeal Joint ◽  
Specific Pattern ◽  
The Body ◽  
First Metatarsophalangeal Joint ◽  
The Past ◽  
Compensatory Process ◽  
Methods Of Treatment

The body is designed to pull the center of mass over a single pivotal site formed by dorsiflexion of the first metatarsophalangeal joint. If this response dorsiflexion motion is blocked by functional hallux limitus, then the kinetic energy, which is created for this motion, must somehow be dissipated. The process by which this dissipation occurs creates a specific pattern of compensations which, in the past, has been seen as primary motions unrelated to sagittal plane blockade. These compensatory motions are described along with a brief section concerning the methods of treatment.

scholarly journals Sensorimotor feedback based on task-relevant error robustly predicts temporal recruitment and multidirectional tuning of muscle synergies

2013 ◽  
Vol 109 (1) ◽  
pp. 31-45 ◽  
Author(s):  
Seyed A. Safavynia ◽  
Lena H. Ting
Keyword(s):  
Sagittal Plane ◽  
Balance Control ◽  
Center Of Mass ◽  
The Body ◽  
Muscle Synergy ◽  
Muscle Synergies ◽  
Muscle Coordination ◽  
Initial State ◽  
Sensorimotor Feedback ◽  
Task Level

We hypothesized that motor outputs are hierarchically organized such that descending temporal commands based on desired task-level goals flexibly recruit muscle synergies that specify the spatial patterns of muscle coordination that allow the task to be achieved. According to this hypothesis, it should be possible to predict the patterns of muscle synergy recruitment based on task-level goals. We demonstrated that the temporal recruitment of muscle synergies during standing balance control was robustly predicted across multiple perturbation directions based on delayed sensorimotor feedback of center of mass (CoM) kinematics (displacement, velocity, and acceleration). The modulation of a muscle synergy's recruitment amplitude across perturbation directions was predicted by the projection of CoM kinematic variables along the preferred tuning direction(s), generating cosine tuning functions. Moreover, these findings were robust in biphasic perturbations that initially imposed a perturbation in the sagittal plane and then, before sagittal balance was recovered, perturbed the body in multiple directions. Therefore, biphasic perturbations caused the initial state of the CoM to differ from the desired state, and muscle synergy recruitment was predicted based on the error between the actual and desired upright state of the CoM. These results demonstrate that that temporal motor commands to muscle synergies reflect task-relevant error as opposed to sensory inflow. The proposed hierarchical framework may represent a common principle of motor control across motor tasks and levels of the nervous system, allowing motor intentions to be transformed into motor actions.

Clinical, Quantitative Assessment of First Tarsometatarsal Mobility in the Sagittal Plane and Its Relation to Hallux Valgus Deformity

1994 ◽  
Vol 15 (1) ◽  
pp. 9-13 ◽  
Author(s):  
Kaj Klaue ◽  
Sigvard T. Hansen ◽  
Alain C. Masquelet
Keyword(s):  
Hallux Valgus ◽  
Sagittal Plane ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Valgus Deformity ◽  
Main Concern ◽  
First Metatarsophalangeal Joint ◽  
First Metatarsal ◽  
Hallux Valgus Deformity ◽  
First Ray

Today, bunion surgery is still controversial. Considering that a bunion deformity in fact may be a result of multiple causes, the rationale of the currently applied techniques of surgical treatment has not been conclusively demonstrated. In view of the known hypermobility syndrome of the first ray that results in insufficient weightbearing beneath the first metatarsal head, the relationship between this syndrome and hallux valgus deformity has been investigated. The results suggest a direct relationship between painful hallux valgus deformity and hypermobility in extension of the first tarsometatarsal joint. A pathological mechanism of symptomatic hallux valgus is proposed that relates this pathology with primary weightbearing disturbances in the forefoot where angulation of the first metatarsophalangeal joint is one of the consequences. The alignment of the metatarsal heads within the sagittal plane seems to be a main concern in many hallux valgus deformities. As a consequence, treatment includes reestablishing stable sagittal alignment in addition to the horizontal reposition of the metatarsal over the sesamoid complex. As an example, first tarsometatarsal reorientation arthrodesis regulates the elasticity of the multiarticular first ray within the sagittal plane and may be the treatment of choice in many hallux valgus deformities.

scholarly journals The Effect of Step Width on Muscle Contributions to Body Mass Center Acceleration During the First Stance of Sprinting

2021 ◽  
Vol 9 ◽  
Author(s):  
Ruoli Wang ◽  
Laura Martín de Azcárate ◽  
Paul Sandamas ◽  
Anton Arndt ◽  
Elena M. Gutierrez-Farewik
Keyword(s):  
Lower Limb ◽  
Sagittal Plane ◽  
Center Of Mass ◽  
Gluteus Maximus ◽  
Rectus Femoris ◽  
Gluteus Medius ◽  
Biceps Femoris ◽  
The Body ◽  
Step Width ◽  
Acceleration Analysis

BackgroundAt the beginning of a sprint, the acceleration of the body center of mass (COM) is driven mostly forward and vertically in order to move from an initial crouched position to a more forward-leaning position. Individual muscle contributions to COM accelerations have not been previously studied in a sprint with induced acceleration analysis, nor have muscle contributions to the mediolateral COM accelerations received much attention. This study aimed to analyze major lower-limb muscle contributions to the body COM in the three global planes during the first step of a sprint start. We also investigated the influence of step width on muscle contributions in both naturally wide sprint starts (natural trials) and in sprint starts in which the step width was restricted (narrow trials).MethodMotion data from four competitive sprinters (2 male and 2 female) were collected in their natural sprint style and in trials with a restricted step width. An induced acceleration analysis was performed to study the contribution from eight major lower limb muscles (soleus, gastrocnemius, rectus femoris, vasti, gluteus maximus, gluteus medius, biceps femoris, and adductors) to acceleration of the body COM.ResultsIn natural trials, soleus was the main contributor to forward (propulsion) and vertical (support) COM acceleration and the three vasti (vastus intermedius, lateralis and medialis) were the main contributors to medial COM acceleration. In the narrow trials, soleus was still the major contributor to COM propulsion, though its contribution was considerably decreased. Likewise, the three vasti were still the main contributors to support and to medial COM acceleration, though their contribution was lower than in the natural trials. Overall, most muscle contributions to COM acceleration in the sagittal plane were reduced. At the joint level, muscles contributed overall more to COM support than to propulsion in the first step of sprinting. In the narrow trials, reduced COM propulsion and particularly support were observed compared to the natural trials.ConclusionThe natural wide steps provide a preferable body configuration to propel and support the COM in the sprint starts. No advantage in muscular contributions to support or propel the COM was found in narrower step widths.

The Plantar Plate of the First Metatarsophalangeal Joint

2014 ◽  
Vol 7 (2) ◽  
pp. 108-112 ◽  
Author(s):  
Douglas E. Lucas ◽  
Terrence Philbin ◽  
Safet Hatic
Keyword(s):  
Sagittal Plane ◽  
Average Distance ◽  
Proximal Phalanx ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Head ◽  
Cadaver Study ◽  
Joint Line ◽  
Level Of Evidence ◽  
First Metatarsophalangeal Joint ◽  
Plantar Plate

The plantar plate of the first metatarsophalangeal (MP) joint is a critical structure of the forefoot that has been identified as a major stabilizer within the capsuloligamentous complex. Many studies have clarified and documented the anatomy of the lesser toe MP plantar plates, but few have looked closely at the anatomy of the first MP joint. Ten cadaveric specimens were examined to identify and document the objective anatomic relationship of the plantar plate, tibial sesamoid, and surrounding osseus structures. The average distance of the plantar plate distal insertion from the joint line into the proximal phalanx was 0.33 mm. The plantar plate was inserted into the metatarsal head on average 17.29 mm proximal from the joint line. The proximal aspect of the sesamoid was 18.55 mm proximal to the distal attachment of the plantar plate to the phalanx. The distal aspect of the sesamoid averaged 4.69 mm away from the distal attachment into the proximal phalanx. The footprint of the distal plate insertion was on average 6.33 mm in length in the sagittal plane. The authors hope that these objective data measures can aid in the understanding and subsequent surgical repair of this important forefoot structure. Level of Evidence: Level V: Cadaver study

scholarly journals First metatarsophalangeal joint range of motion is associated with lower limb kinematics in individuals with first metatarsophalangeal joint osteoarthritis

2020 ◽  
Author(s):  
Jamie J Allan ◽  
Jodie A McClelland ◽  
Shannon E Munteanu ◽  
Andrew K Buldt ◽  
Karl B Landorf ◽  
...  
Keyword(s):  
Range Of Motion ◽  
Sagittal Plane ◽  
Metatarsophalangeal Joint ◽  
Hip Joints ◽  
First Metatarsophalangeal Joint ◽  
Clinical Measurement ◽  
Joint Range Of Motion ◽  
Level Walking ◽  
Dynamic Function ◽  
Joint Range

Abstract Background Osteoarthritis of the first metatarsophalangeal joint (1st MTP joint OA) is a common and disabling condition that results in pain and limited joint range of motion. There is inconsistent evidence regarding the relationship between clinical measurement of 1st MTP joint maximum dorsiflexion and dynamic function of the joint during level walking. Therefore, the aim of this study was to examine the association between passive non-weightbearing (NWB) 1st MTP joint maximum dorsiflexion and sagittal plane kinematics in individuals with radiographically confirmed 1st MTP joint OA. Methods Forty-eight individuals with radiographically confirmed 1st MTP joint OA (24 males and 24 females; mean age 57.8 years, standard deviation 10.5) underwent clinical measurement of passive NWB 1st MTP joint maximum dorsiflexion and gait analysis during level walking using a 10-camera infrared Vicon motion analysis system. Sagittal plane kinematics of the 1st MTP, ankle, knee, and hip joints were calculated. Associations between passive NWB 1st MTP joint maximum dorsiflexion and kinematic variables were explored using Pearson’s r correlation coefficients. Results Passive NWB 1st MTP joint maximum dorsiflexion was significantly associated with maximum 1st MTPJ dorsiflexion (r=0.486, p<0.001), ankle joint maximum plantarflexion (r=0.383, p=0.007), and ankle joint excursion (r=0.399, p=0.005) during gait. There were no significant associations between passive NWB 1st MTP joint maximum dorsiflexion and sagittal plane kinematics of the knee or hip joints. Conclusions Passive NWB 1st MTP joint maximum dorsiflexion is associated with sagittal plane kinematics of the 1st MTP and ankle joints during level walking in individuals with 1st MTP joint OA. These findings suggest that clinical measurement of 1st MTP joint maximum dorsiflexion provides useful insights into the dynamic function of the foot and ankle during the propulsive phase of gait in this population.

Three-dimensional kinematics and limb kinetic energy of running cockroaches.

1997 ◽  
Vol 200 (13) ◽  
pp. 1919-1929 ◽  
Author(s):  
R Kram ◽  
B Wong ◽  
R J Full
Keyword(s):  
Kinetic Energy ◽  
High Speed ◽  
Mechanical Energy ◽  
Center Of Mass ◽  
Three Dimensional ◽  
The Body ◽  
Morphological Data ◽  
Fast Running ◽  
Total Mechanical Energy ◽  
Reaction Forces

We tested the hypothesis that fast-running hexapeds must generate high levels of kinetic energy to cycle their limbs rapidly compared with bipeds and quadrupeds. We used high-speed video analysis to determine the three-dimensional movements of the limbs and bodies of cockroaches (Blaberus discoidalis) running on a motorized treadmill at 21 cm s-1 using an alternating tripod gait. We combined these kinematic data with morphological data to calculate the mechanical energy produced to move the limbs relative to the overall center of mass and the mechanical energy generated to rotate the body (head + thorax + abdomen) about the overall center of mass. The kinetic energy involved in moving the limbs was 8 microJ stride-1 (a power output of 21 mW kg-1, which was only approximately 13% of the external mechanical energy generated to lift and accelerate the overall center of mass at this speed. Pitch, yaw and roll rotational movements of the body were modest (less than +/- 7 degrees), and the mechanical energy required for these rotations was surprisingly small (1.7 microJ stride-1 for pitch, 0.5 microJ stride-1 for yaw and 0.4 microJ stride-1 for roll) as was the power (4.2, 1.2 and 1.1 mW kg-1, respectively). Compared at the same absolute forward speed, the mass-specific kinetic energy generated by the trotting hexaped to swing its limbs was approximately half of that predicted from data on much larger two- and four-legged animals. Compared at an equivalent speed (mid-trotting speed), limb kinetic energy was a smaller fraction of total mechanical energy for cockroaches than for large bipedal runners and hoppers and for quadrupedal trotters. Cockroaches operate at relatively high stride frequencies, but distribute ground reaction forces over a greater number of relatively small legs. The relatively small leg mass and inertia of hexapeds may allow relatively high leg cycling frequencies without exceptionally high internal mechanical energy generation.

Arthrodesis of the first metatarsophalangeal joint. Current recommendations

1994 ◽  
Vol 84 (6) ◽  
pp. 266-280 ◽  
Author(s):  
GV Yu ◽  
JE Shook
Keyword(s):  
Metatarsophalangeal Joint ◽  
Effective Procedure ◽  
First Metatarsophalangeal Joint ◽  
Advantages And Disadvantages ◽  
The Past ◽  
Fixation Techniques ◽  
The Individual ◽  
Specific Fixation ◽  
Individual Fixation ◽  
Multiple Conditions

Fusion of the first metatarsophalangeal joint is a time-honored, effective procedure for multiple conditions. Numerous fixation techniques have been described over the years. The authors provide an extensive overview of specific fixation techniques used throughout the past 6 years. Emphasis is placed on the potential advantages and disadvantages of the individual fixation techniques.

Ergometric evaluation of pathological gait

1983 ◽  
Vol 55 (2) ◽  
pp. 606-613 ◽  
Author(s):  
G. A. Cavagna ◽  
L. Tesio ◽  
T. Fuchimoto ◽  
N. C. Heglund
Keyword(s):  
Kinetic Energy ◽  
Sagittal Plane ◽  
Normal Subjects ◽  
Step Length ◽  
Center Of Gravity ◽  
The Body ◽  
Gravitational Potential Energy ◽  
Maximal Height ◽  
Pathological Gait ◽  
Positive Work

At each step of walking, the center of gravity of the body moves up and down and accelerates and decelerates forward with a combined movement that allows an appreciable transfer (R) between gravitational potential energy and kinetic energy, as occurs in a pendulum. The positive work and power to lift the center of gravity, to accelerate it forward, and to maintain its motion in a sagittal plane, the amount of R, the maximal height reached during each step by the center of gravity, and the step length and frequency are all determined by a microcomputer a few minutes after a subject walks on a force platform. This method is applied to the analysis of pathological gait in the attempt to measure quantitatively the alteration of the normal locomotory movement of the center of gravity. The strides of the patient are compared with the strides of normal subjects; in addition, the movement of the center of gravity of the patient during the stance on the affected limb is compared with the movement of the center of gravity during the stance on the unaffected limb, thus giving an index of the asymmetry of locomotion. biomechanics; locomotion; walking; mechanical work Submitted on January 21, 1982 Accepted on March 3, 1983

Associations Between Static and Functional Measures of Joint Function in the Foot and Ankle

2004 ◽  
Vol 94 (6) ◽  
pp. 535-541 ◽  
Author(s):  
James S. Wrobel ◽  
John E. Connolly ◽  
Michael L. Beach
Keyword(s):  
Sagittal Plane ◽  
Smoking Status ◽  
Glycosylated Hemoglobin ◽  
Metatarsophalangeal Joint ◽  
Joint Function ◽  
Gait Patterns ◽  
First Metatarsophalangeal Joint ◽  
Gait Parameters ◽  
Ankle Joints ◽  
Functional Gait

Clinicians have traditionally assessed range of motion of the first metatarsophalangeal and ankle joints in a static position. It is unclear, however, if these measurements accurately reflect functional sagittal plane limitations of these joints during gait. For 50 patients (100 feet), we assessed available dorsiflexion at the first metatarsophalangeal and ankle joints, as well as the presence of pinch callus. We then compared these findings with 11 functional gait parameters, as measured using a pressure sensor system. After adjusting for age, weight, smoking status, glycosylated hemoglobin, and insensitivity to monofilament, we found that patients with pinch callus demonstrated statistically significant compensatory gait patterns in 7 of 11 measures. Hallux limitus and equinus patients demonstrated six and three statistically significant associations, respectively. Pinch callus seems to be as predictive of functional gait alterations as static first metatarsophalangeal joint and ankle dorsiflexion. (J Am Podiatr Med Assoc 94(6): 535–541, 2004)

Tarsal Tunnel Syndrome Secondary to Cosmetic Silicone Injections

Foot & Ankle ◽  
1993 ◽  
Vol 14 (7) ◽  
pp. 407-410 ◽  
Author(s):  
Carol Frey ◽  
Wesley Naritoku ◽  
Roger Kerr ◽  
Nick Halikus
Keyword(s):  
Foreign Body Reaction ◽  
Case Reports ◽  
Metatarsophalangeal Joint ◽  
Breast Implants ◽  
The Body ◽  
Tarsal Tunnel ◽  
Tarsal Tunnel Syndrome ◽  
First Metatarsophalangeal Joint ◽  
Tunnel Syndrome ◽  
Silicone Injections

Silicone has been implicated as a cause of inflammatory disorders in the body including synovitis and lymphangitis. Silicone particulate matter has been shown to cause a fairly severe chronic foreign body reaction with the use of silicone prosthesis in the foot. 10 , 15 , 16 This reaction was often overlooked for years because of the limited number of subjective complaints. There are case reports of granulomatous inguinal lymphadenopathy following first metatarsophalangeal joint silicone arthroplasty. 14 , 15 Similar findings have been noted in the axilla with hand implants 2 , 5 , 7 , 9 and breast implants. 19 Of greater significance are two reports of malignant lymphoma found with silicate lymphadenopathy. 8

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