The effect of subtalar joint position on dorsiflexion of the ankle/rearfoot versus midfoot/forefoot during gastrocnemius stretching.

Abstract:

BACKGROUND:Limited ankle joint dorsiflexion passive range of motion (PROM) has been associated with common chronic lower extremity conditions, and clinicians often instruct patients in stretching exercises to increase dorsiflexion. However, little is known about how subtalar joint (STJ) position affects dorsiflexion at the midfoot/forefoot versus ankle/rearfoot during gastrocnemius stretching. The purpose of this study was to determine if more dorsiflexion occurs at the ankle/rearfoot and less at the midfoot/forefoot during gastrocnemius stretching with the STJ positioned in supination versus pronation. METHODS:In this repeated measures design, 27 participants (23 females, 4 males; mean age = 31.3 years, SD = 10.7) with current or recent history of lower extremity chronic conditions and less than 10 degrees ankle dorsiflexion measured with the knee in extension on the involved side(s) performed five 30-second gastrocnemius stretching trials in pronation and supination on each side in a randomly determined sequence. A 7-camera Vicon Motion Analysis System and an AMTI force plate were used to measure midfoot/forefoot dorsiflexion, ankle/rearfoot dorsiflexion, knee extension, and normalized vertical ground reaction force. RESULTS:Two-way repeated measures ANOVA revealed a significant increase in midfoot/forefoot dorsiflexion when stretching in pronation compared to supination (P < .001). ANOVAs also demonstrated significantly more extension of the knee when stretching in supination compared to pronation (P < .001), and increased normalized vertical ground reaction force when stretching in supination compared to pronation (P = .032). With the numbers available, no significant difference in ankle/rearfoot dorsiflexion when stretching in supination compared to pronation could be detected (P > .05). CONCLUSION:Gastrocnemius stretching in pronation resulted in more dorsiflexion at the midfoot/forefoot than stretching in supination. CLINICAL RELEVANCE:Clinicians may want to consider STJ position during gastrocnemius stretching to either facilitate or limit recruitment of dorsiflexion motion at the midfoot/forefoot.

journal_name

Foot Ankle Int

authors

Johanson MA,DeArment A,Hines K,Riley E,Martin M,Thomas J,Geist K

doi

10.1177/1071100713513433

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

63-70

issue

1

eissn

1071-1007

issn

1944-7876

pii

1071100713513433

journal_volume

35

pub_type

杂志文章,随机对照试验
  • First metatarsal length change after basilar closing wedge osteotomy for hallux valgus.

    abstract:BACKGROUND:Hallux valgus deformities with large intermetatarsal angles require a more proximal metatarsal procedure to adequately correct the deformity. Due to the relative ease of a closing wedge osteotomy, this technique was adopted but with concern over first metatarsal shortening. In this study, we primarily evalua...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2011.0513

    authors: Day T,Charlton TP,Thordarson DB

    更新日期:2011-05-01 00:00:00

  • Rearfoot-forefoot orientation and traumatic risk for runners.

    abstract::Factors making runners more susceptible to injuries were identified with a comparative study between a healthy control group (216) and runners (66) suffering from overuse pathology. On static and dynamic footprint, the angles alpha0 (static) and alpha1 (dynamic) between heel and forefoot have been measured. Analysis s...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801900106

    authors: Busseuil C,Freychat P,Guedj EB,Lacour JR

    更新日期:1998-01-01 00:00:00

  • Outcomes of a Stepcut Lengthening Calcaneal Osteotomy for Adult-Acquired Flatfoot Deformity.

    abstract:BACKGROUND:Lateral column lengthening is used to correct abduction deformity at the midfoot and improve talar head coverage in patients with flatfoot deformity. It was our hypothesis that following a stepcut lengthening calcaneal osteotomy (SLCO), patients would have adequate correction of the deformity, a high union r...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715574933

    authors: Demetracopoulos CA,Nair P,Malzberg A,Deland JT

    更新日期:2015-07-01 00:00:00

  • Outcome study of hallux valgus surgery--an AOFAS multi-center study.

    abstract::Three hundred and eleven patients have been enrolled in a multi-center prospective study evaluating the outcome of hallux valgus surgery by the members of the American Orthopaedic Foot and Ankle Society. One hundred seventy-nine of these patients have completed six-month follow-up questionnaires, and 195 have complete...

    journal_title:Foot & ankle international

    pub_type: 杂志文章,多中心研究

    doi:10.1177/107110070102201205

    authors: Thordarson DB,Rudicel SA,Ebramzadeh E,Gill LH

    更新日期:2001-12-01 00:00:00

  • Reconstruction of calcaneal fracture malunion with osteotomy and subtalar joint salvage: technique and outcomes.

    abstract:BACKGROUND:The goal of this study was to discuss the outcomes of treating calcaneal fracture malunion by restoring the subtalar joint with a reconstructive osteotomy. METHODS:From May 2005 to November 2008, 24 patients (26 feet) with calcaneal malunions after a displaced intra-articular calcaneal fracture were treated...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713479766

    authors: Yu GR,Hu SJ,Yang YF,Zhao HM,Zhang SM

    更新日期:2013-05-01 00:00:00

  • Rubber foreign bodies in puncture wounds of the foot in patients wearing rubber-soled shoes.

    abstract::We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds c...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070102200509

    authors: Chang HC,Verhoeven W,Chay WM

    更新日期:2001-05-01 00:00:00

  • Tibiotalocalcaneal arthrodesis with a curved, interlocking, intramedullary nail.

    abstract:BACKGROUND:Tibiotalocalcaneal fusion with a straight rod has a risk of damaging the lateral plantar neurovascular structures and may interfere with maintaining normal heel valgus position.We report the results of a prospective study of tibiotalocalcaneal (TTC) arthrodesis with a short, anatomically curved interlocking,...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.1085

    authors: Budnar VM,Hepple S,Harries WG,Livingstone JA,Winson I

    更新日期:2010-12-01 00:00:00

  • Autologous osteochondral grafting for talar cartilage defects.

    abstract::The purpose of this study was to evaluate the clinical results of Osteochondral Autograft Transfer System (OATS) for the treatment of symptomatic osteochondral defects of the talus using standardized outcome analysis. Nineteen patients with symptomatic osteochondral defect (OCD) of the talus were treated with autologo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300502

    authors: Al-Shaikh RA,Chou LB,Mann JA,Dreeben SM,Prieskorn D

    更新日期:2002-05-01 00:00:00

  • Postoperative Medial Cuneiform Position Correlation With Patient-Reported Outcomes Following Cotton Osteotomy for Reconstruction of the Stage II Adult-Acquired Flatfoot Deformity.

    abstract:BACKGROUND:Residual supination of the midfoot during reconstruction of the stage II adult-acquired flatfoot deformity (AAFD) is often addressed with a medial cuneiform (Cotton) osteotomy after adequate correction of the hindfoot valgus deformity. The purpose of this study was to determine if there was a correlation bet...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718822839

    authors: Conti MS,Garfinkel JH,Kunas GC,Deland JT,Ellis SJ

    更新日期:2019-05-01 00:00:00

  • Bunion correction using proximal chevron osteotomy: a single-incision technique.

    abstract::Proximal chevron first metatarsal osteotomy with lateral capsulotomy, adductor tenotomy, and binding of the first and second metatarsals was reviewed in 88 consecutive cases. Seventy-two cases in 55 patients are reported, with an average clinical follow-up of 41 months. The hallux valgus angle improved an average of 1...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079801900703

    authors: Sammarco GJ,Russo-Alesi FG

    更新日期:1998-07-01 00:00:00

  • Coronal plane rotation of the first metatarsal.

    abstract::A method for measuring first metatarsal rotation on weightbearing tangential radiographs is described. Under controlled conditions using cadaver specimens, 5 degree changes in first metatarsal rotation were associated with a mean change in radiographically measured rotation of 5.4 degrees (SD = 1.7 degrees). A clinica...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079601700307

    authors: Saltzman CL,Brandser EA,Anderson CM,Berbaum KS,Brown TD

    更新日期:1996-03-01 00:00:00

  • Treatment of myotendinous Achilles ruptures.

    abstract:BACKGROUND:There is scant literature regarding the treatment of myotendinous Achilles ruptures. The purpose of this study was to retrospectively examine clinical outcomes from uniform nonsurgical treatment of these injuries. METHODS:Between November 2005 and May 2011, 30 patients presented with an acute, complete myot...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713483115

    authors: Ahmad J,Repka M,Raikin SM

    更新日期:2013-08-01 00:00:00

  • Effectiveness of Extracorporeal Shockwave Therapy in the Treatment of Chronic Insertional Achilles Tendinopathy.

    abstract:BACKGROUND:Extracorporeal shockwave therapy (ESWT) has been proposed as a conservative treatment for insertional Achilles tendinopathy from limited evidence without placebo controls. Our objective was to assess the effectiveness of ESWT compared with sham controls in chronic insertional Achilles tendinopathy. METHODS:...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719898461

    authors: Pinitkwamdee S,Laohajaroensombat S,Orapin J,Woratanarat P

    更新日期:2020-04-01 00:00:00

  • SPECT/CT in the management of osteochondral lesions of the talus.

    abstract:BACKGROUND:The treatment of osteochondral lesion of the talus (OLT) is mainly based upon the stage of the disease so accurate imaging is crucial. SPECT/CT combines bone scan with high-resolution CT and can provide functional-anatomical images in a single stage. The purpose of this study was to assess the value of SPECT...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2011.0233

    authors: Meftah M,Katchis SD,Scharf SC,Mintz DN,Klein DA,Weiner LS

    更新日期:2011-03-01 00:00:00

  • Consensus for the Use of Weightbearing CT in the Assessment of Progressive Collapsing Foot Deformity.

    abstract:RECOMMENDATION:There is evidence that the use of WEIGHTBEARING imaging aids in the assessment of progressive collapsing foot deformity (PCFD). The following WEIGHTBEARING conventional radiographs (CRs) are necessary in the assessment of PCFD patients: anteroposterior (AP) foot, AP or mortise ankle, and lateral foot. If...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100720950734

    authors: de Cesar Netto C,Myerson MS,Day J,Ellis SJ,Hintermann B,Johnson JE,Sangeorzan BJ,Schon LC,Thordarson DB,Deland JT

    更新日期:2020-10-01 00:00:00

  • The Effect of Obesity on Functional Outcomes and Complications in Total Ankle Arthroplasty.

    abstract:BACKGROUND:The prevalence of obesity in the United States is staggering. Currently, the effect of obesity on third-generation total ankle replacement (TAR) is unknown. METHODS:We prospectively identified a consecutive series of 455 primary TARs operated between May 2007 and September 2013 who had a minimum follow-up o...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100715606477

    authors: Gross CE,Lampley A,Green CL,DeOrio JK,Easley M,Adams S,Nunley JA 2nd

    更新日期:2016-02-01 00:00:00

  • What Is the Optimal Antibiotic (Type, Dose and Route of Administration) Treatment for Infections After Foot/Ankle Fracture or Fusion Procedures?

    abstract:RECOMMENDATION:The optimal antibiotic treatment after foot/ankle fractures or fusion should be determined based on the result of culture. In the absence of culture results, administered antibiotics should include coverage against common pathogens such as Staphylococcus aureus. LEVEL OF EVIDENCE:Strong. DELEGATE VOTE:...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719861644

    authors: Pedowitz D,Stull J

    更新日期:2019-07-01 00:00:00

  • Relationship between foot angles and hypermobility scores and assessment of foot types in hypermobile individuals.

    abstract::This study proposed to assess foot types and radiological examination of feet of individuals with hypermobility syndrome in comparison to healthy matched controls for age, sex, and body mass index. The relationship between foot angles and hypermobility scores of subjects in both groups were also~assessed. Twenty indiv...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070402500211

    authors: Kamanli A,Sahin S,Ozgocmen S,Kavuncu V,Ardicoglu O

    更新日期:2004-02-01 00:00:00

  • Use of implantable bone growth stimulation in Charcot ankle arthrodesis.

    abstract:BACKGROUND:The purpose of this study was to review the results of arthrodesis of the Charcot hindfoot when an implantable bone growth stimulator was added to the procedure. Arthrodesis of the Charcot hindfoot has a high nonunion and complication rate. METHODS:Ten patients (ages 50 to 69 years) with Charcot neuroarthro...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0971

    authors: Hockenbury RT,Gruttadauria M,McKinney I

    更新日期:2007-09-01 00:00:00

  • Comparison of Lateralizing Calcaneal Osteotomies for Varus Hindfoot Correction.

    abstract:BACKGROUND:There is limited consensus on the optimal operative technique for correcting heel varus in patients with Charcot-Marie-Tooth (CMT) disease. This comparative study evaluated the ability of 4 lateralizing calcaneal osteotomies, with and without Dwyer wedge resection and coronal rotation of the posterior tubero...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100718781572

    authors: An TW,Michalski M,Jansson K,Pfeffer G

    更新日期:2018-10-01 00:00:00

  • Achilles tendon injuries in a United States population.

    abstract:BACKGROUND:Most studies on Achilles tendon ruptures involved US military or European populations, which may not translate to the general US population. The current study reviews 406 consecutive Achilles tendon ruptures occurring in the general US population for patterns in a tertiary care subspecialty referral setting....

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100713477621

    authors: Raikin SM,Garras DN,Krapchev PV

    更新日期:2013-04-01 00:00:00

  • Elongation behavior of calcaneofibular and cervical ligaments in a closed kinetic chain: pathomechanics of lateral hindfoot instability.

    abstract::Numerous reconstructive procedures are performed to correct both ankle and subtalar instability after trauma although the precise pathology which results in this chronic instability and pain is not yet known. This study examined the role of the calcaneofibular (CLFL) and cervical ligaments (CRVL) during physiologic lo...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070202300608

    authors: Martin LP,Wayne JS,Owen JR,Smith RT,Martin SN,Adelaar RS

    更新日期:2002-06-01 00:00:00

  • Radiographic changes and clinical results of osteochondral defects of the talus with and without subchondral cysts.

    abstract:BACKGROUND:Subchondral cysts are a type of osteochondral defect of the talus and can be a source of chronic ankle pain. The treatment modality of this cystic lesion is similar to that of other osteochondral defects, but results from previous reports are controversial. Therefore, we compared the clinical results and rad...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070602701218

    authors: Han SH,Lee JW,Lee DY,Kang ES

    更新日期:2006-12-01 00:00:00

  • Intrachondral microvasculature in the human fetal talus.

    abstract::The intrachondral microvasculature of the growing talus of human was studied in 16 fetuses aged from 15 to 44 weeks of gestation, using interrupted serial sections and vascular injection of ink. The cartilage model of the talus was shown to be well vascularized throughout by cartilage canals. The cartilage canal conta...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110079701800604

    authors: Cheng X,Wang Y,Qu H

    更新日期:1997-06-01 00:00:00

  • Autografting satellite cells to repair damaged muscle induced by repeated compression: an animal model.

    abstract:BACKGROUND:Repeated elevation of intramuscular pressure (IMP) causes skeletal-muscles damage. The purpose of this paper was to investigate the regenerative effect of satellite cells autografted to the damaged muscle in a rabbit model. MATERIALS AND METHODS:Twenty-four adult rabbits were randomized into three groups: 1...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2010.0706

    authors: Li Q,Bai Y,Xu Y,Yu H

    更新日期:2010-08-01 00:00:00

  • Analysis of the Effect of Tibial Stem Length on Coronal Plane Deformity of the Tibial Component in Total Ankle Arthroplasty.

    abstract:BACKGROUND:Coronal plane deformity is common in patients who undergo total ankle arthroplasty. The correction of this deformity is paramount to the long-term survival of the implant. Coronal plane correction is achieved with soft tissue balancing and, in some part, is maintained through articular geometry constraint. T...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100719862744

    authors: Berlet GC,Langan TM,Jamieson MD,Ferrucci AM

    更新日期:2019-10-01 00:00:00

  • Clinical Outcome and Fusion Rate Following Simultaneous Subtalar Fusion and Total Ankle Arthroplasty.

    abstract:BACKGROUND:Patients with arthritis or severe dysfunction involving both the ankle and subtalar joints can benefit from tibiotalocalcaneal (TTC) arthrodesis or total ankle replacement and subtalar fusion. TTC fusion is considered by many as a salvage operation resulting in a stiff ankle and hindfoot, considerably limiti...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/1071100716642751

    authors: Usuelli FG,Maccario C,Manzi L,Gross CE

    更新日期:2016-07-01 00:00:00

  • Endoscopic bony and soft-tissue decompression of the retrocalcaneal space for the treatment of Haglund deformity and retrocalcaneal bursitis.

    abstract:BACKGROUND:The traditional operative management of Haglund deformity and retrocalcaneal bursitis consists of an open excision of the inflamed bursa, resection of the posterosuperior calcaneal tuberosity, and debridement of the Achilles tendinopathy. In an effort to reduce morbidity and recovery time, an endoscopic tech...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2007.0149

    authors: Ortmann FW,McBryde AM

    更新日期:2007-02-01 00:00:00

  • Optical plantar pressure analysis following internal fixation for displaced intra-articular os calcis fractures.

    abstract::Using optical pedobarography, the outcome of open reduction and internal fixation of displaced os calcis fractures was assessed. In 12 patients, well reconstructed heel contact widths and no reduction in heel-ground contact times were found. In conjunction with this, patients showed lateral deviation of the plantar pr...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.1177/107110070302401108

    authors: Davies MB,Betts RP,Scott IR

    更新日期:2003-11-01 00:00:00

  • Ultrasound guided alcohol ablation of Morton's neuroma.

    abstract:BACKGROUND:Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition. METHOD:Data from 87 treatment courses were included in this study with a mean follow of 14.3 months. RESULTS:Technical success was 100%. One patie...

    journal_title:Foot & ankle international

    pub_type: 杂志文章

    doi:10.3113/FAI.2012.0196

    authors: Musson RE,Sawhney JS,Lamb L,Wilkinson A,Obaid H

    更新日期:2012-03-01 00:00:00