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ankle biomechanics

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https://www.readbyqxmd.com/read/27904801/midfoot-and-forefoot-involvement-in-lateral-ankle-sprains-and-chronic-ankle-instability-part-1-anatomy-and-biomechanics
#1
John J Fraser, Mark A Feger, Jay Hertel
: The modern human foot is the culmination of more than five million years of evolution. The ankle-foot complex absorbs forces during loading, accommodates uneven surfaces, and acts as a lever for efficient propulsion. The ankle-foot complex has six independent functional segments that should be understood for proper assessment and treatment of foot and ankle injuries: the shank, rearfoot, midfoot, lateral forefoot, and the medial forefoot. The compliance of the individual segments of the foot is dependent on velocity, task, and active and passive coupling mechanisms within each of the foot segments...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27904791/current-concepts-in-biomechanical-interventions-for-patellofemoral-pain
#2
Richard W Willy, Erik P Meira
: Patellofemoral pain (PFP) has historically been a complex and enigmatic issue. Many of the factors thought to relate to PFP remain after patients' symptoms have resolved making their clinical importance difficult to determine. The tissue homeostasis model proposed by Dye in 2005 can assist with understanding and implementing biomechanical interventions for PFP. Under this model, the goal of interventions for PFP should be to re-establish patellofemoral joint (PFJ) homeostasis through a temporary alteration of load to the offended tissue, followed by incrementally restoring the envelope of function to the baseline level or higher...
December 2016: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/27903626/a-unified-perspective-on-ankle-push-off-in-human-walking
#3
REVIEW
Karl E Zelik, Peter G Adamczyk
Muscle-tendon units about the ankle joint generate a burst of positive power during the step-to-step transition in human walking, termed ankle push-off, but there is no scientific consensus on its functional role. A central question embodied in the biomechanics literature is: does ankle push-off primarily contribute to leg swing, or to center of mass (COM) acceleration? This question has been debated in various forms for decades. However, it actually presents a false dichotomy, as these two possibilities are not mutually exclusive...
December 1, 2016: Journal of Experimental Biology
https://www.readbyqxmd.com/read/27897410/androgen-deprivation-causes-selective-deficits-in-the-biomechanical-leg-muscle-function-of-men-during-walking-a-prospective-case-control-study
#4
Ada S Cheung, Hans Gray, Anthony G Schache, Rudolf Hoermann, Daryl Lim Joon, Jeffrey D Zajac, Marcus G Pandy, Mathis Grossmann
BACKGROUND: Although muscle mass declines with testosterone deficiency in men, previous studies of muscle function have not demonstrated consistent deficits, likely due to relatively insensitive methodology. Our objective was to determine the effects of testosterone deprivation on the biomechanical function of individual lower-limb muscles. METHODS: We conducted a 12-month prospective, observational case-control study of 34 men newly commencing androgen deprivation treatment (ADT) for prostate cancer and 29 age-matched prostate cancer controls...
August 2, 2016: Journal of Cachexia, Sarcopenia and Muscle
https://www.readbyqxmd.com/read/27895574/robot-assisted-rehabilitation-of-ankle-plantar-flexors-spasticity-a-3-month-study-with-proprioceptive-neuromuscular-facilitation
#5
Zhihao Zhou, Yao Sun, Ninghua Wang, Fan Gao, Kunlin Wei, Qining Wang
In this paper, we aim to investigate the effect of proprioceptive neuromuscular facilitation (PNF)-based rehabilitation for ankle plantar flexors spasticity by using a Robotic Ankle-foot Rehabilitation System (RARS). A modified robot-assisted system was proposed, and seven poststroke patients with hemiplegic spastic ankles participated in a 3-month robotic PNF training. Their impaired sides were used as the experimental group, while their unimpaired sides as the control group. A robotic intervention for the experimental group started from a 2-min passive stretching to warming-up or relaxing the soleus and gastrocnemius muscles and also ended with the same one...
2016: Frontiers in Neurorobotics
https://www.readbyqxmd.com/read/27882360/static-and-dynamic-predictors-of-foot-progression-angle-in-individuals-with-and-without-diabetes-mellitus-and-peripheral-neuropathy
#6
Ericka N Merriwether, Mary K Hastings, Michael J Mueller, Kathryn L Bohnert, Michael J Strube, Darrah R Snozek, David R Sinacore
INTRODUCTION: Foot progression angle (FPA) is a predictor of elevated regional plantar stresses and loads, which are indicators of dermal injury risk in individuals with diabetes mellitus and peripheral neuropathy (DMPN). FPA accounts for 15-45% of the variance in plantar stresses and loads in adults with DMPN. However, the biomechanical factors underlying an "out-toeing" gait pattern in this clinical population have not been examined. The primary purpose of this study was to identify static and dynamic predictors of foot progression angle magnitude in adults with and without DMPN...
2016: Annals of Gerontology and Geriatric Research
https://www.readbyqxmd.com/read/27874298/volitional-spine-stabilization-during-a-drop-vertical-jump-from-different-landing-heights-implications-for-anterior-cruciate-ligament-injury
#7
Ram Haddas, Troy Hooper, C Roger James, Phillip S Sizer
CONTEXT:  Volitional spine stabilization (VSS) during dynamic activities may alter trunk motion, but the role of the core musculature in positioning the trunk during landing tasks is unclear. OBJECTIVE:  To determine whether volitional core-muscle activation incorporated during a drop vertical jump alters lower extremity kinematics and kinetics, as well as trunk and lower extremity muscle activity at different landing heights. DESIGN:  Controlled laboratory study...
November 22, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27872123/effect-of-external-ankle-support-on-ankle-and-knee-biomechanics-during-the-cutting-maneuver-in-basketball-players
#8
Nardia-Rose Klem, Catherine Y Wild, Sian A Williams, Leo Ng
BACKGROUND: Despite the high prevalence of lower extremity injuries in female basketball players as well as a high proportion of athletes who wear ankle braces, there is a paucity of research pertaining to the effects of ankle bracing on ankle and knee biomechanics during basketball-specific tasks. PURPOSE: To compare the effects of a lace-up brace (ASO), a hinged brace (Active T2), and no ankle bracing (control) on ankle and knee joint kinematics and joint reaction forces in female basketball athletes during a cutting maneuver...
November 21, 2016: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27871421/mesenchymal-stem-cell-bearing-sutures-for-tendon-repair-and-healing-in-the-foot-and-ankle
#9
REVIEW
Eric W Tan, Lew C Schon
Improving the quality and strength of soft tissue repairs remains an important area of orthopedic research and innovation. The need for immobilization and early motion is an important balance essential for the successful treatment of tendon repair and reconstruction. Mesenchymal stem cell (MSC)-bearing sutures represent an emerging biological augmentation to traditional suture repair. Two previous large studies using stem cell sutures in rat Achilles tendon models have demonstrated early increased biomechanical strength and significantly increased ultimate failure strength...
December 2016: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/27871100/biomechanical-response-of-military-booted-and-unbooted-foot-ankle-tibia-from-vertical-loading
#10
Frank A Pintar, Michael B Schlick, Narayan Yoganandan, Liming Voo, Andrew C Merkle, Michael Kleinberger
A new anthropomorphic test device (ATD) is being developed by the US Army to be responsive to vertical loading during a vehicle underbody blast event. To obtain design parameters for the new ATD, a series of non-injurious tests were conducted to derive biofidelity response corridors for the foot-ankle complex under vertical loading. Isolated post mortem human surrogate (PMHS) lower leg specimens were tested with and without military boot and in different initial foot-ankle positions. Instrumentation included a six-axis load cell at the proximal end, three-axis accelerometers at proximal and distal tibia, and calcaneus, and strain gages...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27865317/revisional-surgery-of-the-diabetic-charcot-foot-and-ankle
#11
REVIEW
Patrick R Burns, Spencer J Monaco
Charcot neuroarthropathy (CN) is a difficult problem for the foot and ankle surgeon. If surgery is required, little is known or available regarding the best methods and timing. When the initial attempt of reconstruction fails, revision of CN is even more demanding. One must take in to account all aspects, including nutrition, vascular status, infection control, short- and long-term blood glucose management, as well as other factors requiring laboratory monitoring and consult services. Once optimized, the biomechanics of the deformity can be addressed and decisions can be made on fixation devices...
January 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27865313/surgical-equinus-correction-for-the-diabetic-charcot-foot-what-the-evidence-reveals
#12
REVIEW
Claire M Capobianco
Triceps surae contracture, or equinus, is a known deforming force in the foot and ankle. Biomechanical studies have shown that ankle equinus significantly alters gait and plantar pressures, and in the diabetic neuropathic patient population, this can propagate plantar ulceration and/or Charcot neuroarthropathy (CN). Surgical correction of equinus is globally and frequently used to aid in plantar wound healing in the neuropathic diabetic patient, with and without CN. Treatment guidelines for equinus correction in this medically complex population are undefined and lack evidence from high-quality published peer-reviewed studies...
January 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/27865154/a-narrow-bimalleolar-width-is-a-risk-factor-for-ankle-inversion-injury-in-male-military-recruits-a-prospective-study
#13
Hannah Rice, Michael Nunns, Carol House, Joanne Fallowfield, Adrian Allsopp, Sharon Dixon
BACKGROUND: Ankle inversion injuries are one of the most common and burdensome injuries in athletic populations. Research that prospectively identifies characteristics associated with this injury is lacking. This prospective study compared baseline anthropometric and biomechanical gait characteristics of military recruits who sustained an ankle inversion injury during training, with those who remained injury-free. METHODS: Bilateral plantar pressure and three-dimensional lower limb kinematics were recorded in 1065 male, injury-free military recruits, during barefoot running...
November 10, 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/27856717/confidence-in-the-curve-establishing-instantaneous-cost-mapping-techniques-using-bilateral-ankle-exoskeletons
#14
Jeffrey Russell Koller, Deanna H Gates, Daniel Perry Ferris, Christian David Remy
Lower extremity robotic prostheses and exoskeletons can require tuning a large number of control parameters on a subject-specific basis to reduce users' metabolic power during locomotion. We refer to the functional relationship between control parameter configurations and users' metabolic power as the metabolic cost landscape. Standard practice for estimating a metabolic cost landscape, and thus identifying optimal parameter configurations, is to vary control parameters while measuring steady state metabolic power during walking...
November 17, 2016: Journal of Applied Physiology
https://www.readbyqxmd.com/read/27852621/effect-of-early-supervised-physiotherapy-on-recovery-from-acute-ankle-sprain-randomised-controlled-trial
#15
Robert J Brison, Andrew G Day, Lucie Pelland, William Pickett, Ana P Johnson, Alice Aiken, David R Pichora, Brenda Brouwer
OBJECTIVE:  To assess the efficacy of a programme of supervised physiotherapy on the recovery of simple grade 1 and 2 ankle sprains. DESIGN:  A randomised controlled trial of 503 participants followed for six months. SETTING:  Participants were recruited from two tertiary acute care settings in Kingston, ON, Canada. PARTICIPANTS:  The broad inclusion criteria were patients aged ≥16 presenting for acute medical assessment and treatment of a simple grade 1 or 2 ankle sprain...
November 16, 2016: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/27849459/the-prevalence-of-gait-deviations-in-individuals-with-transtibial-amputation
#16
Christopher A Rábago, Jason M Wilken
Individuals with a transtibial amputation (TTA) are at increased risk for developing secondary musculoskeletal disorders as a result of multiple gait deviations. These deviations are primarily characterized using group mean comparisons, which do not establish if deviations are prevalent, of large magnitude, or both. In contrast, use of normative reference ranges and prevalence specifically identifies the percentage of individuals outside of a predefined acceptable range. The purpose of this study was to identify and characterize gait deviations in service members with unilateral TTA using group mean comparisons and normative reference ranges (able-bodied mean ± 2 SD)...
November 2016: Military Medicine
https://www.readbyqxmd.com/read/27843798/chronic-ankle-instability-current-perspectives
#17
REVIEW
Omar A Al-Mohrej, Nader S Al-Kenani
Ankle sprain is reported to be among the most common recurrent injuries. About 20% of acute ankle sprain patients develop chronic ankle instability. The failure of functional rehabilitation after acute ankle sprain leads to the development of chronic ankle instability. Differentiation between functional and anatomical ankle instability is very essential to guide the proper treatment. Stability testing by varus stress test and anterior drawer test should be carried out. Subtalar instability is an important pathology that is commonly by passed during the assessment of chronic ankle instability...
October 2016: Avicenna Journal of Medicine
https://www.readbyqxmd.com/read/27834558/comprehensive-gait-analysis-of-healthy-older-adults-who-have-undergone-long-distance-walking
#18
Mustafa M O Elhadi, Christina Z Ma, Duo W C Wong, Anson H P Wan, Winson C C Lee
Many older adults do not adhere to the recommended physical activity levels. This study examines the gait changes upon long-distance walking among healthy older adults. Gait tests of 24 adults aged 65 or more were conducted at the baseline, at the end of 30 and 60 minutes of treadmill walk. Spatial temporal, kinematic and kinetic gait data were computed. Perceived level of exertion was evaluated for each subject. Ten subjects (Group B) perceived higher exertion level than the remaining fourteen subjects (Group A)...
November 11, 2016: Journal of Aging and Physical Activity
https://www.readbyqxmd.com/read/27834504/redistribution-of-mechanical-work-at-the-knee-and-ankle-joints-during-fast-running-in-minimalist-shoes
#19
Joel T Fuller, Jonathan D Buckley, Margarita D Tsiros, Nicholas A T Brown, Dominic Thewlis
CONTEXT:  Minimalist shoes have been suggested as a way to alter running biomechanics to improve running performance and reduce injuries. However, to date, researchers have only considered the effect of minimalist shoes at slow running speeds. OBJECTIVE:  To determine if runners change foot-strike pattern and alter the distribution of mechanical work at the knee and ankle joints when running at a fast speed in minimalist shoes compared with conventional running shoes...
November 11, 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27830485/lateral-compartment-osteophytes-are-not-associated-with-lateral-compartment-cartilage-degeneration-in-arthritic-varus-knees
#20
Wenzel Waldstein, Maximilian F Kasparek, Martin Faschingbauer, Reinhard Windhager, Friedrich Boettner
BACKGROUND: Progression of arthritis in the lateral compartment is one of the main failure modes of unicompartmental knee arthroplasty (UKA). The decision regarding whether to perform a medial UKA sometimes is made based on whether lateral-compartment osteophytes are visible on plain radiographs obtained before surgery, but it is not clear whether the presence of lateral-compartment osteophytes signifies that the cartilage in the lateral compartment is arthritic. QUESTIONS/PURPOSES: (1) Is the presence of lateral compartment osteophytes associated with biomechanical properties of lateral-compartment cartilage, and (2) are osteophytes in the lateral compartment associated with particular histologic features of cartilage in the lateral compartment? METHODS: Between May 2010 and January 2012, we performed 201 TKAs for varus osteoarthritis confirmed on standardized AP hip-to-ankle standing radiographs...
November 9, 2016: Clinical Orthopaedics and related Research
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