Spatial-temporal parameters, pelvic and lower limb movements during gait in individuals with reduced passive ankle dorsiflexion

Aquino, Mariana; Resende, Renan Alves; Kirkwood, Renata Noce; Souza, Thales R.; Fonseca, Sérgio Teixeira da; Ocarino, Juliana M.

doi:10.1016/j.gaitpost.2022.01.010

Cited by 10 publications

(14 citation statements)

References 37 publications

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“…Therefore, the reduction in the angle of ipsilateral tilt of the pelvis in the group with limited ankle dorsiflexion affects the change in the center of gravity in gait, which in turn has an impact on walking. Previous literature has reported that the horizontal plane motion of the pelvis occurs less during walking in those with limited ankle dorsiflexion compared to those without ( 15 ), whereas the literature has rarely addressed the frontal plane motion of the pelvis, so this study extends the study of the effect of limited ankle dorsiflexion mobility on the motion of the frontal plane of the pelvis, that is the angle of the pelvis tilted to the ipsilateral side during walking was significantly less in the group with limited ankle dorsiflexion than in the non-limited group. During jogging, the angle of pelvic rotation to the ipsilateral side was significantly smaller in the group with restricted ankle dorsiflexion than in the unrestricted group ( p < 0.05).…”

Section: Discussionmentioning

confidence: 98%

“…Previous research experiments have used ankle dorsiflexion range of motion measurement techniques mostly in passive flexion of the ankle joint under non-weight-bearing conditions ( 3 , 15 , 20 ) or using a weight-bearing lunge position for measurement ( 27 , 28 ). In contrast, the present study innovatively selected the peak ankle dorsiflexion angle during the support phase of the walking test as the criterion for differentiating whether subjects had limited ankle dorsiflexion.…”

Section: Methodsmentioning

confidence: 99%

“…Inadequate ankle dorsiflexion affects the ability to move forward ( 24 ), preferring to land on the arch of the foot and the front foot, affecting ground reaction forces and the torque of the lower extremity joints ( 25 , 26 ). It also alters peak hip and knee flexion and pelvic movement patterns during the swing phase ( 15 ). Therefore, the limitation of ankle dorsiflexion restriction can cause a series of dysfunction, and it is important to clarify the specific effect of ankle dorsiflexion angle on lower extremity biomechanics and pelvic movement for the prevention and treatment of functional impairment.…”

Section: Introductionmentioning

confidence: 99%

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Effects of peak ankle dorsiflexion angle on lower extremity biomechanics and pelvic motion during walking and jogging

Rao,

Yang,

Gao

et al. 2024

Front. Neurol.

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ObjectiveAnkle dorsiflexion during walking causes the tibia to roll forward relative to the foot to achieve body forward. Individuals with ankle dorsiflexion restriction may present altered movement patterns and cause a series of dysfunction. Therefore, the aim of this research was to clearly determine the effects of peak ankle dorsiflexion angle on lower extremity biomechanics and pelvic motion during walking and jogging.MethodThis study involved 51 subjects tested for both walking and jogging. The motion capture system and force measuring platforms were used to synchronously collect kinematics and kinetics parameters during these activities. Based on the peak ankle dorsiflexion angle during walking, the 51 subjects were divided into a restricted group (RADF group, angle <10°) and an ankle dorsiflexion-unrestricted group (un-RADF group, angle >10°). Independent-Sample T-tests were performed to compare the pelvic and lower limb biomechanics parameters between the groups during walking and jogging test on this cross-sectional study.ResultsThe parameters that were significantly smaller in the RADF group than in the un-RADF group at the moment of peak ankle dorsiflexion in the walking test were: ankle plantar flexion moment (p < 0.05), hip extension angle (p < 0.05), internal ground reaction force (p < 0.05), anterior ground reaction force (p < 0.01), pelvic ipsilateral tilt angle (p < 0.05). In contrast, the external knee rotation angle was significantly greater in the RADF group than in the un-RADF group (p < 0.05). The parameters that were significantly smaller in the RADF group than in the un-RADF group at the moment of peak ankle dorsiflexion in the jogging test were: peak ankle dorsiflexion angle (p < 0.01); the anterior ground reaction force (p < 0.01), the angle of pelvic ipsilateral rotation (p < 0.05).ConclusionThis study shows that individuals with limited ankle dorsiflexion experience varying degrees of altered kinematics and dynamics in the pelvis, hip, knee, and foot during walking and jogging. Limited ankle dorsiflexion alters the movement pattern of the lower extremity during walking and jogging, diminishing the body’s ability to propel forward, which may lead to higher injury risks.

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Section: Discussionmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of peak ankle dorsiflexion angle on lower extremity biomechanics and pelvic motion during walking and jogging

Rao,

Yang,

Gao

et al. 2024

Front. Neurol.

View full text Add to dashboard Cite

show abstract

“…Perhaps sample sizes, participant characteristics, and choice of measurement instruments affected the results assessing age-related gait speed changes. More importantly, individuals with reduced ankle ROM showed shorter step length [ 29 ] and slower gait speed [ 30 ]. Lower limb strength training can result in a more upright gait, that is, increased hip and knee extension during the support phase of the gait [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of age-related changes in trunk and lower limb range of motion on gait

Zhai

Huang

Zhou

et al. 2023

BMC Musculoskelet Disord

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Background The ability to walk is crucial for maintaining independence and a high quality of life among older adults. Although gait characteristics have been extensively studied in older adults, most studies have investigated muscle activity in the joints of the trunk or the lower limbs without assessing their interactions. Thus, the causes of altered trunk and lower limb movement patterns in older adults remain to explore. Therefore, this study compared the joint kinematic parameters of both trunk and lower limbs between young and older adults to identify kinematic factors associated with changes in gait among older adults. Methods In total, 64 older (32 males, aged 68.34 ± 7.38 years; 32 females, aged 67.16 ± 6.66 years) and 64 young (32 males, aged 19.44 ± 0.84 years; 32 females, aged 19.69 ± 0.86 years) healthy adults participated in this study. The range of motion (ROM) of the thorax, pelvis, and trunk in the horizontal plane and of the hip, knee, and ankle joints of the lower limbs in the sagittal plane were measured using a motion capture system with wearable sensors. Two-way analysis of variance assessed differences in ROM by group, sex, and spatio-temporal gait parameters; Pearson correlation analysis assessed the correlation of the trunk and lower limbs. Results Step length, gait speed, and stride length were greater in young adults (p < 0.001) than in older adults, but older women displayed the fastest gait speed (p < 0.05). ROM values for the pelvis, thorax, trunk, knee joint, and ankle joint of young adults were greater (p < 0.05) than those in older adults. However, hip ROM in older adults was significantly greater than that in young adults (p < 0.05). Conclusion With increasing age, ROM of the lower limbs, especially the ankle joint, decreased significantly, resulting in a significant decrease in gait speed. As ROM of the pelvis decreased, stride length decreased significantly in older adults, who compensate through thoracic rotation. Thus, older adults should enhance muscle strength and increase ROM to improve gait patterns.

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“…The ankle joint mainly interacts with the ground to facilitate walking and performing activities ( 1 ). Its motions are varus-valgus occurring in the frontal plane; dorsiflexion-plantar flexion in the sagittal plane; foot progression and ankle rotation in the transverse plane ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

The ankle kinematic reference of normal gait pattern in Thai adults

et al. 2022

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ObjectiveThis study was aimed to establish the reference values of ankle kinematics and factors associated with ankle kinematics of healthy Thai adults.MethodsA prospective cohort was conducted among healthy volunteers aged between 18 and 40 years and evaluated gait analysis between 2016 and 2020. After applying the modified Halen Hayes marker set, participants were assigned to walk 8–10 rounds with their preferred speed. Demographic data i.e., age, gender and body mass index (BMI) and ankle kinematics (varus-valgus, dorsiflexion-plantar flexion, foot progression, and ankle rotation) using motion analysis software were recorded and analyzed.Results98 volunteers (60 females and 38 males) aged 28.6 ± 5.4 years with body mass index 21.2 ± 2.0 kg/m2 were included. The average ranges of ankle kinematics entire gait cycle were varus-valgus −1.62 to 3.17 degrees, dorsiflexion-plantar flexion 0.67 to 14.52 degrees, foot progression −21.73 to −8.47 degrees, and ankle rotation 5.22 to 9.74 degrees. The ankle kinematic data in this study population was significantly different from the normal values supplied by OrthoTrak software of the motion analysis program, especially more ankle internal rotation at mid-stance (5.22 vs. −12.10 degrees) and terminal stance (5.48 vs. −10.74 degrees) with P < 0.001. Foot progression significantly exhibited more external rotation for 1.5 degrees on the right compared to the left side, and for 5 degrees more in males than females. One increment in age was significantly correlated with ankle internal rotation at mid-swing (coefficient 0.21 degrees, P = 0.039). BMI had no statistical association with ankle kinematics. Statistical parametric mapping for full-time series of angle assessments showed significantly different foot progression at initial contact and terminal stance between sides, and our ankle kinematics significantly differed from the reference values of the motion analysis program in all planes (P < 0.05).ConclusionThe reference of ankle kinematics of Thai adults was established and differences between sides and the normal values of the motion analysis program were identified. Advanced age was associated with ankle internal rotation, and male gender was related to external foot progression. Further studies are needed to define all-age group reference values.

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Spatial-temporal parameters, pelvic and lower limb movements during gait in individuals with reduced passive ankle dorsiflexion

Cited by 10 publications

References 37 publications

Effects of peak ankle dorsiflexion angle on lower extremity biomechanics and pelvic motion during walking and jogging

Effects of peak ankle dorsiflexion angle on lower extremity biomechanics and pelvic motion during walking and jogging

Effects of age-related changes in trunk and lower limb range of motion on gait

The ankle kinematic reference of normal gait pattern in Thai adults

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