Dynamic Flexion Stiffness of Foot Joints During Walking

Journal of the American Podiatric Medical Association - Tập 106 Số 1 - Trang 37-46 - 2016

Enrique Sanchis-Sales¹, Joaquín L. Sancho-Bru², Alba Roda-Sales², Javier Pascual-Huerta³

¹Departamento de Podologia, Universitat de Valencia, Valencia, Spain.

²Departamento de Ingeniería Mecánica y Construcción, Universitat Jaume I, Castellón, Spain

³Clínica del Pie Elcano, Barakaldo, Vizcaya, Spain.

Tóm tắt

Background: Dynamic stiffness can be used for studying foot pathologic abnormalities and for developing prostheses and orthoses. Although previous works have studied the role of ankle joint stiffness during gait, other foot joints have not yet been analyzed. We sought to characterize the dynamic stiffness of the ankle, midtarsal, and metatarsophalangeal joints during normal walking.Methods: Kinematics and contact data from four healthy individuals during walking were registered with a three-dimensional motion analysis system and a pressure platform. Stance phases with flexion moment-angle linear relationships were identified, and dynamic stiffnesses were calculated from the slope of their linear regressions. Intraparticipant repeatability was analyzed using analyses of variance, and interparticipant variability was checked through the SD of averaged participant stiffnesses.Results: Flexion moment-angle linear relationships were identified (R2 > 0.98) during the early and late midstance phases and the propulsion phase at the ankle (2.76, 5.23, and 3.42 N·m/kg/rad, respectively) and midtarsal (15.88, 3.90, and 4.64 N·m/kg/rad, respectively) joints. At the metatarsophalangeal joint, a linear relationship (R2 > 0.96) occurred only during the propulsion phase (0.11 N·m/kg/rad). High dynamic stiffness variability was observed during the late and early midstance phases at the ankle and midtarsal joints, respectively.Conclusions: These results may serve as a basis for future studies aimed at investigating the role of dynamic stiffness identified herein in different foot disorders. The importance of properly controlling the samples in such studies is highlighted. Study of the dynamic stiffnesses identified might be used in the design of prostheses, orthoses, and other assistive devices.

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Tài liệu tham khảo

Crenna, 2011, Dynamics of the ankle joint analyzed through moment–angle loops during human walking: Gender and age effects, Hum Mov Sci, 30, 1185, 10.1016/j.humov.2011.02.009

Leite, 2012, Relationship between joint passive stiffness and hip lateral rotator concentric torque, Rev Bras Fisioter, 16, 414, 10.1590/S1413-35552012005000046

Hamill, 2014, Lower extremity joint stiffness characteristics during running with different footfall patterns, Eur J Sport Sci, 14, 130, 10.1080/17461391.2012.728249

Dixon, 2010, Knee joint stiffness during walking in knee osteoarthritis, Arthritis Care Res (Hoboken), 62, 38, 10.1002/acr.20012

Tateuchi, 2011, Dynamic hip joint stiffness in individuals with total hip arthroplasty: relationships between hip impairments and dynamics of the other joints, Clin Biomech (Bristol, Avon), 26, 598, 10.1016/j.clinbiomech.2011.01.014

Jenkyn, 2009, Foot segment kinematics during normal walking using a multisegment model of the foot and ankle complex, J Biomech Eng, 131, 034504, 10.1115/1.2907750

Silder, 2007, Identification of passive elastic joint moment-angle relationships in the lower extremity, J Biomech, 40, 2628, 10.1016/j.jbiomech.2006.12.017

Mauroy, 2014, Leg stiffness and joint stiffness while running to and jumping over an obstacle, J Biomech, 47, 526, 10.1016/j.jbiomech.2013.10.039

Silder, 2008, Active and passive contributions to joint kinetics during walking in older adults, J Biomech, 41, 1520, 10.1016/j.jbiomech.2008.02.016

Phillips, 1996, Functional motion of the medial column joints of the foot during propulsion, JAPMA, 86, 474, 10.7547/87507315-86-10-474

Houdijk, 2008, Joint stiffness of the ankle during walking after successful mobile-bearing total ankle replacement, Gait Posture, 27, 115, 10.1016/j.gaitpost.2007.03.005

Rouse, 2013, The difference between stiffness and quasi-stiffness in the context of biomechanical modeling, IEEE Trans Biomed Eng, 60, 562, 10.1109/TBME.2012.2230261

Legault-Moore, 2012, Multisegment foot kinematics during walking in younger and older adults, J Clin Med Res, 4, 259

Lark, 2003, Joint torques and dynamic joint stiffness in elderly and young men during stepping down, Clin Biomech, 18, 848, 10.1016/S0268-0033(03)00150-5

Kuitunen, 2002, Knee and ankle joint stiffness in sprint running, Med Sci Sports Exerc, 34, 166, 10.1097/00005768-200201000-00025

Grood, 1983, A joint coordinate system for the clinical description of three-dimensional motions: application to the knee, J Biomech Eng, 105, 136, 10.1115/1.3138397

Davis, 1996, Gait characterization via dynamic joint stiffness, Gait Posture, 4, 224, 10.1016/0966-6362(95)01045-9

Hamill, 2014, Lower extremity joint stiffness characteristics during running with different footfall patterns, Eur J Sport Sci, 14, 130, 10.1080/17461391.2012.728249

Bruening, 2012, Analysis of a kinetic multi-segment foot model: part I. Model repeatability and kinematic validity, Gait Posture, 35, 529, 10.1016/j.gaitpost.2011.10.363

Kidder, 1996, A system for the analysis of foot and ankle kinematics during gait, IEEE Trans Rehabil Eng, 4, 25, 10.1109/86.486054

Zeni, 2009, Dynamic knee joint stiffness in subjects with a progressive increase in severity of knee osteoarthritis, Clin Biomech (Bristol, Avon), 24, 366, 10.1016/j.clinbiomech.2009.01.005

DeVita, 2000, Age causes a redistribution of joint torques and powers during gait, J Appl Physiol (1985), 88, 1804, 10.1152/jappl.2000.88.5.1804

Gabriel, 2008, Dynamic joint stiffness of the ankle during walking: gender-related differences, Phys Ther Sport, 9, 16, 10.1016/j.ptsp.2007.08.002

Rouse, 2013, The difference between stiffness and quasi-stiffness in the context of biomechanical modeling, IEEE Trans Biomed Eng, 60, 562, 10.1109/TBME.2012.2230261

Jenkyn, 2009, Foot segment kinematics during normal walking using a multisegment model of the foot and ankle complex, J Biomech Eng, 131, 034504, 10.1115/1.2907750

Shamaei, 2013, Estimation of quasi-stiffness of the human hip in the stance phase of walking, PLoS One, 8, e81841, 10.1371/journal.pone.0081841

Lark, 2003, Joint torques and dynamic joint stiffness in elderly and young men during stepping down, Clin Biomech, 18, 848, 10.1016/S0268-0033(03)00150-5

Saraswat, 2010, A musculoskeletal foot model for clinical gait analysis, J Biomech, 43, 1645, 10.1016/j.jbiomech.2010.03.005

Legault-Moore, 2012, Multisegment foot kinematics during walking in younger and older adults, J Clin Med Res, 4, 259

Gabriel, 2008, Dynamic joint stiffness of the ankle during walking: gender-related differences, Phys Ther Sport, 9, 16, 10.1016/j.ptsp.2007.08.002

Mauroy, 2014, Leg stiffness and joint stiffness while running to and jumping over an obstacle, J Biomech, 47, 526, 10.1016/j.jbiomech.2013.10.039

Zeni, 2009, Dynamic knee joint stiffness in subjects with a progressive increase in severity of knee osteoarthritis, Clin Biomech (Bristol, Avon), 24, 366, 10.1016/j.clinbiomech.2009.01.005

Dixon, 2010, Knee joint stiffness during walking in knee osteoarthritis, Arthritis Care Res (Hoboken), 62, 38, 10.1002/acr.20012

Faber, 2000, Doppler imaging of vibrations as a tool for quantifying first tarsometatarsal joint stiffness, Clin Biomech, 15, 761, 10.1016/S0268-0033(00)00049-8

Söderkvist, 1993, Determining the movements of the skeleton using well-configured markers, J Biomech, 26, 1473, 10.1016/0021-9290(93)90098-Y

Sekiguchi, 2012, The contribution of quasi-joint stiffness of the ankle joint to gait in patients with hemiparesis, Clin Biomech, 27, 495, 10.1016/j.clinbiomech.2011.12.005

Bruening, 2012, Analysis of a kinetic multi-segment foot model: part I. Model repeatability and kinematic validity, Gait Posture, 35, 529, 10.1016/j.gaitpost.2011.10.363

Söderkvist, 1993, Determining the movements of the skeleton using well-configured markers, J Biomech, 26, 1473, 10.1016/0021-9290(93)90098-Y

Kirby, 1989, Rotational equilibrium across the subtalar joint axis, JAPMA, 79, 1, 10.7547/87507315-79-1-1

Kuitunen, 2002, Knee and ankle joint stiffness in sprint running, Med Sci Sports Exerc, 34, 166, 10.1097/00005768-200201000-00025

Silder, 2007, Identification of passive elastic joint moment-angle relationships in the lower extremity, J Biomech, 40, 2628, 10.1016/j.jbiomech.2006.12.017

Grood, 1983, A joint coordinate system for the clinical description of three-dimensional motions: application to the knee, J Biomech Eng, 105, 136, 10.1115/1.3138397

Rouhani, 2012, Measurement of multi-segment foot joint angles during gait using a wearable system, J Biomech Eng, 134, 061006, 10.1115/1.4006674

Rattanaprasert, 1999, Three-dimensional kinematics of the forefoot, rearfoot, and leg without the function of tibialis posterior in comparison with normals during stance phase of walking, Clin Biomech, 14, 14, 10.1016/S0268-0033(98)00034-5

Rouhani, 2012, Measurement of multi-segment foot joint angles during gait using a wearable system, J Biomech Eng, 134, 061006, 10.1115/1.4006674

Davis, 1996, Gait characterization via dynamic joint stiffness, Gait Posture, 4, 224, 10.1016/0966-6362(95)01045-9

DeVita, 2000, Age causes a redistribution of joint torques and powers during gait, J Appl Physiol (1985), 88, 1804, 10.1152/jappl.2000.88.5.1804

Shamaei, 2013, Estimation of quasi-stiffness of the human hip in the stance phase of walking, PLoS One, 8, e81841, 10.1371/journal.pone.0081841

Kirby, 2001, Subtalar joint axis location and rotational equilibrium theory of foot function, JAPMA, 91, 465, 10.7547/87507315-91-9-465

Leardini, 2007, Rear-foot, mid-foot and fore-foot motion during the stance phase of gait, Gait Posture, 25, 453, 10.1016/j.gaitpost.2006.05.017

Kirby, 2001, Subtalar joint axis location and rotational equilibrium theory of foot function, JAPMA, 91, 465, 10.7547/87507315-91-9-465

Houdijk, 2008, Joint stiffness of the ankle during walking after successful mobile-bearing total ankle replacement, Gait Posture, 27, 115, 10.1016/j.gaitpost.2007.03.005

Leardini, 2007, Rear-foot, mid-foot and fore-foot motion during the stance phase of gait, Gait Posture, 25, 453, 10.1016/j.gaitpost.2006.05.017

Faber, 2000, Doppler imaging of vibrations as a tool for quantifying first tarsometatarsal joint stiffness, Clin Biomech, 15, 761, 10.1016/S0268-0033(00)00049-8

Canseco, 2012, Multisegmental foot and ankle motion analysis after hallux valgus surgery, Foot Ankle Int, 33, 141, 10.3113/FAI.2012.0141

Shamaei, 2013, Estimation of quasi-stiffness and propulsive work of the human ankle in the stance phase of walking, PLoS One, 8, e59935, 10.1371/journal.pone.0059935

Rouhani, 2010, Ambulatory assessment of 3D ground reaction force using plantar pressure distribution, Gait Posture, 32, 311, 10.1016/j.gaitpost.2010.05.014

Kidder, 1996, A system for the analysis of foot and ankle kinematics during gait, IEEE Trans Rehabil Eng, 4, 25, 10.1109/86.486054

Sekiguchi, 2012, The contribution of quasi-joint stiffness of the ankle joint to gait in patients with hemiparesis, Clin Biomech, 27, 495, 10.1016/j.clinbiomech.2011.12.005

Rouhani, 2010, Ambulatory assessment of 3D ground reaction force using plantar pressure distribution, Gait Posture, 32, 311, 10.1016/j.gaitpost.2010.05.014

Leardini, 1999, An anatomically based protocol for the description of foot segment kinematics during gait, Clin Biomech, 14, 528, 10.1016/S0268-0033(99)00008-X