关键词:
Ankle
Gait
Kinematics
Running
Software
Motion capture
Range of motion
Muscle contraction
Kinetics
Force
Posture
Biomechanics
Computer science
Mechanics
Morphology
Physics
摘要:
INTRODUCTION: Coupling in the distal foot may be due, at least in part, to the foot's windlass mechanism. This mechanism has been demonstrated passively, but its role in dynamic movement is still unclear. A systematic manipulation of metatarsophalangeal (MTP) mechanics may help determine to what extent distal foot coupling during dynamic and active movement is due to the windlass mechanism versus active muscle contractions or springlike ligaments. Furthermore, exploring the windlass mechanism in feet with varying foot structure may aid our understanding of the relationship between foot structure and foot function. PURPOSE: The overall purpose of this study is to investigate the kinematic and kinetic coupling between the MTP and midtarsal joints through a systematic manipulation of the windlass mechanism (achieved through methodical changes to MTP motion). Additionally, we aimed to explore the relationship between foot structure and the efficacy of the windlass mechanism during passive, active, and dynamic movement. METHODS: First, arch height and flexibility were measured using the Arch Height Index Measurement System. Next, participants performed four order-randomized conditions where MTP extension was isolated: 1) Seated Passive MTP Extension, 2) Seated Active MTP Extension, 3) Standing Passive MTP Extension, and 4) Standing Active MTP Extension. Lastly, participants performed three heel raise conditions that manipulated the starting position of the MTP joint: 1) Neutral: normal heel raise, 2) ToeExt: heel raise with the toes placed on an inclined surface of 30 degrees to put the MTP joint into extension, and 3) ToeFlex: heel raise with the toes placed on a declined surface of 30 degrees to put the MTP joint into flexion. All conditions were performed to a metronome of 40 beats per minute to control angular velocity. A kinetic multisegment foot model was created in Visual 3D software and used to calculate ankle, midtarsal, and MTP joint angles, moments, powers, an