The Biomechanical Relationship Between The Tendoachilles, Plantar Fascia and Metatarsophalangeal Joint Dorsiflexion Angle

Carlson, Robert E.; Fleming, Lamar L.; Hutton, William

doi:10.1177/107110070002100104

Cited by 167 publications

(148 citation statements)

References 23 publications

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“…Plantar fascia tension was directly proportional to Achilles tendon tension in cadavers in dynamic gait stimulator [17]. Carlson et al found that increasing tension within Achilles tendon caused increase in plantar fascia tension at four different angles of MPJ dorsiflexion [8]. Biomechanics is believed to contribute to the onset of this condition through a decreased ankle joint range of motion.…”

Section: Discussionmentioning

confidence: 99%

“…Until recently, little attention has been paid to altered biomechanics around the gastrocnemius-soleus-Achillescalcaneal-plantar fascia complex as contributor to CPF [8]. However, calf muscle stretching provides a small and statistically significant increase in ankle dorsiflexion [9].…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopic plantar fascia release is an alternative to conventional open fasciotomy but concerns with endoscopic release are poor visualisation and the possibility of unintended complete release [12]. Surgical release of the plantar fascia may have implications for foot biomechanics as the windlass effect may be altered after surgery [8].…”

Section: Discussionmentioning

confidence: 99%

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Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Monteagudo

Maceira

García-Virto

et al. 2013

International Orthopaedics (SICOT)

143

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Purpose The purpose of this study was to compare results of partial proximal fasciotomy (PPF) with proximal medial gastrocnemius release (PMGR) in the treatment of chronic plantar fasciitis (CPF). Method This retrospective study compares 30 patients with CPF that underwent PPF with 30 that underwent isolated PMGR. Both groups were matched in terms of previous treatments and time from onset of symptoms to surgery. Different standardised evaluation scales (VAS, Likert, AOFASh) were used to evaluate results. Results Plantar fasciotomy had satisfactory results in just 60 % of patients, with an average ten weeks needed to resume work and sports. Patient satisfaction in the PMGR group reached 95 %, being back to work and sports at three weeks on average. Functional and pain scores were considerably better for PMGR and fewer complications registered. Conclusion In our series, isolated PMGR is a simple and reliable procedure to treat patients with CPF. It provides far better results than conventional fasciotomy with less morbidity and better patient satisfaction, and thus has become our surgical procedure of choice in recalcitrant CPF.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Monteagudo

Maceira

García-Virto

et al. 2013

International Orthopaedics (SICOT)

143

View full text Add to dashboard Cite

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“…Muscle activity before or early in stance must therefore be implicated, and indeed ankle EMG increases with walking speed (Hof et al 2002;Neptune and Sasaki 2005;Warren et al 2004). Toe dorsiflexors (Carlson et al 2000;Hicks 1954), via the windlass mechanism, or ankle plantarflexors (Carlson et al 2000;, by applying tension to the calcaneus, could act to increase tension in the PA, and hence stiffen the foot. Arch stiffness might have propulsive benefits via elastic energy return, although this is expected primarily when running (Ker et al 1987).…”

Section: Discussionmentioning

confidence: 99%

Evolutionary Robotic Approaches in Primate Gait Analysis

et al. 2010

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Understanding how primates move is particularly challenging because many of the experimentation techniques that would normally be available are unsuitable for ethical and conservation reasons. We therefore need to develop techniques that can maximize the data available from minimally intrusive experimentation. One approach for achieving this is to use evolutionary robotic techniques to build a musculoskeletal simulation and generate movement patterns that optimize some global parameter such as economy or performance, or to match existing kinematic data. If the simulation has a sufficiently high biofidelity and can match experimentally measured performance criteria then we can use it to predict aspects of locomotor mechanics that would otherwise be impossible to measure. This approach is particularly valuable when studying fossil primates because it can be based entirely on morphology and can generate movements spontaneously. A major question in human evolution is the origin of bipedal running and the role of elastic energy storage. By using an evolutionary robotics model of humanoid running we can show that elastic storage is required for efficient, high-performance running. Elasticity allows both energy recovery to minimize total energy cost and also power amplification to allow high performance. The most important elastic energy store on the human hind limb is the Achilles tendon: a feature that is at best weakly expressed among the African great apes. By running simulations both with and without this structure we can demonstrate its importance, and we suggest that identification of the presence or otherwise of this tendon-perhaps by calcaneal morphology or Sharpey's fibers-is essential for identifying when and where in the fossil record human style running originated.

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“…His football position was lineman; and inherently, he spends the majority of time pushing forward against an opponent weight bearing with his metatarsophalangeal joints dorsiflexed, placing the plantar fascia and triceps surae under tension via the windlass effect. 15 No prior treatment had been administered to treat his foot pain before he presented to the clinic.…”

Section: Case Reportmentioning

confidence: 99%

Chiropractic management of pediatric plantar fasciitis: a case report

Daniels

Morrell

2012

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to present the case of a 10-year-old football player with bilateral plantar fasciitis who improved with a multimodal conservative approach using chiropractic treatment. Clinical Features: The patient presented with bilateral plantar heel pain at the origin of the plantar fascia with a duration of 3 weeks. Intervention and Outcome: Treatment was provided for 6 visits over a 6-week period. Chiropractic care consisted of manipulative therapy, soft tissue therapy, and home rehabilitation exercises. The soft tissue technique (Graston Technique) was performed to the origin of the plantar fascia and the triceps surae bilaterally. High-velocity, low-amplitude manipulation was applied to the restricted ankle mortise joint. After 6 treatments, the patient reported resolution of foot pain bilaterally and improvements in activities of daily livings. Three months later, the patient reported no further complications and the absence of pain. Conclusion: This patient with bilateral plantar fasciitis improved after a course of a multimodal treatment approach using chiropractic manipulation and soft tissue therapy in addition to exercise and stretching therapies.

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The Biomechanical Relationship Between The Tendoachilles, Plantar Fascia and Metatarsophalangeal Joint Dorsiflexion Angle

Cited by 167 publications

References 23 publications

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Chronic plantar fasciitis: Plantar fasciotomy versus gastrocnemius recession

Evolutionary Robotic Approaches in Primate Gait Analysis

Chiropractic management of pediatric plantar fasciitis: a case report

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