Anatomical and Biomechanical Assessments of Medial Tibial Stress Syndrome

2010 ◽  
Vol 100 (2) ◽  
pp. 121-132 ◽  
Author(s):  
Katherine E. Bartosik ◽  
Michael Sitler ◽  
Howard J. Hillstrom ◽  
Howard Palamarchuk ◽  
Kellie Huxel ◽  
...  
Keyword(s):  
Center Of Pressure ◽  
Metatarsophalangeal Joint ◽  
Clinical Intervention ◽  
Gait Velocity ◽  
Medial Tibial Stress Syndrome ◽  
Cross Sectional ◽  
Physically Active ◽  
First Metatarsophalangeal Joint ◽  
Stress Syndrome ◽  
Cross Sectional Design

Background: Medial tibial stress syndrome is a common overuse injury in weightbearing, physically active individuals and in athletes. Most research associated with this condition is primarily based on static foot and lower-extremity measurements. Methods: A cross-sectional design was used to assess a set of static and dynamic measurements to determine which anatomical factors (limb length, ankle dorsiflexion, first metatarsophalangeal joint extension, and arch height) and biomechanical factors (center-of-pressure excursion index, malleolar valgus index, and gait velocity) are associated with medial tibial stress syndrome. Results: One-way analysis of variance models revealed that participants with medial tibial stress syndrome had significantly greater visual analog pain levels and slower gait velocity than noninjured controls (P = .05). No other significant differences were found between the two groups. Conclusions: Further investigation of these and other factors can help health professionals develop better strategies for the prevention and clinical intervention of medial tibial stress syndrome. (J Am Podiatr Med Assoc 100(2): 121–132, 2010)

Biomechanical Risk Factors in the Development of Medial Tibial Stress Syndrome in Distance Runners

2008 ◽  
Vol 98 (6) ◽  
pp. 436-444 ◽  
Author(s):  
Jo L. Tweed ◽  
Jackie A. Campbell ◽  
Steven J. Avil
Keyword(s):  
Range Of Motion ◽  
Metatarsophalangeal Joint ◽  
Medial Tibial Stress Syndrome ◽  
Distance Runners ◽  
Talocrural Joint ◽  
First Metatarsophalangeal Joint ◽  
Stress Syndrome ◽  
Foot Posture ◽  
The Difference ◽  
The Relationship

Background: We investigated the relationship between functional and static foot posture and medial tibial stress syndrome in distance runners. Methods: Twenty-eight runners with a clinical diagnosis of medial tibial stress syndrome and 12 asymptomatic runners were assessed with the Foot Posture Index to measure static overpronation. Range of motion was measured at the talocrural joint, with the knee extended and flexed as was range of motion at the first metatarsophalangeal joint and the angular difference between the neutral and relaxed calcaneal stance positions. Each participant was then videotaped while running on a treadmill shod and unshod. This videotape was analyzed using freeze frame to identify abnormal or mistimed pronation at each phase of gait. The results were analyzed using logistic regression to give the probability that a runner is likely to experience medial tibial stress syndrome, predicted from the static measurements and dynamic observations. Results: Variables identified as being significant predictors of medial tibial stress syndrome were the difference between the neutral and relaxed calcaneal stance positions, range of motion of the talocrural joint with the knee extended, early heel lift and abductory twist during gait, and apropulsive gait. Conclusion: Runners with suspected symptoms of medial tibial stress syndrome should be assessed dynamically and statically for abnormal or mistimed pronation. (J Am Podiatr Med Assoc 98(6): 436–444, 2008)

scholarly journals Lifetime occupation is not associated with radiographic osteoarthritis of the first metatarsophalangeal joint in a cohort study of UK women

2020 ◽  
Vol 13 (1) ◽  
Author(s):  
L. Cherry ◽  
L. Gates ◽  
N. K. Arden ◽  
C. J. Bowen
Keyword(s):  
Interactive Effect ◽  
Metatarsophalangeal Joint ◽  
Later Life ◽  
Population Based ◽  
Positive Trend ◽  
International Consensus ◽  
Cross Sectional ◽  
First Metatarsophalangeal Joint ◽  
High Heel ◽  
Radiographic Osteoarthritis

Abstract Objective The study aim was to determine whether lifetime occupation was associated with the presence of radiographic osteoarthritis (ROA) of the first metatarsophalangeal joint (MTPJ) in women. Method Data were collected from the prospective, population-based Chingford 1000 Women study. This cohort of women, aged 45–64 years at inception, was established in 1989 from a single general practice in Chingford, UK. Data has subsequently been collected repeatedly. Data from baseline, year six and year ten was used for the purposes of this cross-sectional study. The primary outcome was the presence of dorsal view ROA of the first MTPJ. The main exposure was lifetime occupation, categorised according to levels of occupation previously defined via international consensus: 1. Sedentary, 2. Light, 3. Light manual, 4. Heavy manual. Logistic regression analyses were conducted to quantify the relationship between lifetime occupation type and the presence of ROA of the first MTPJ, adjusting for age, body mass index and lifetime high-heeled footwear use as potential interactive variables for each decade. Results Data for 209 women were included within this study. The mean (SD) age was 57 (±5.2) years. Predominant lifetime occupation was reported as sedentary by 51.7%, as light by 0%, as light manual by 33.5% and as heavy manual by 14.8% of participants. There were no statistical associations between lifetime occupation type and the presence of ROA of the first MTPJ in either the unadjusted (OR = 0.99, CI = 0.78–1.26,P = 0.96) partially adjusted (for age and BMI; OR = 1.00, CI = 0.78–1.29, P = 0.99) or fully adjusted models (for age, BMI and lifetime high heel footwear use for each decade of working life (OR = 1.02, CI = 0.79–1.31, P = 0.91); high-heel footwear use up to 20s (OR = 0.83, CI = 0.71–1.31, P = 0.83); high-heel footwear use in 20–30s (OR = 1.00, CI = 0.75–1.3, P = 0.98); high-heel footwear use in 30–40s (OR = 1.00, CI = 0.70–1.42, P = 0.99); high-heel footwear use in 40–50s (OR = 0.90, CI = 0.58–1.40, P = 0.65); high-heel footwear use in 50s (OR = 0.63,CI = 0.36–1.09, P = 0.10). Conclusions The findings suggest that lifetime occupation is not associated with the presence of ROA of the fist metatarsophalangeal joint. There does not appear to be any interactive effect between lifetime occupation, lifetime high-heel footwear use, age or BMI and ROA of the first MTPJ. In later life a positive trend towards increased ROA in those who reported lifetime high-heel footwear use was noted and this may be worthy of further research.

scholarly journals Does Function Determine the Structure? Changes in Flexor Hallucis Longus Muscle and the Associated Performance Related to Dance Modality: A Cross-Sectional Study

Medicina ◽  
2020 ◽  
Vol 56 (4) ◽  
pp. 186
Author(s):  
Blanca De-la-Cruz-Torres ◽  
Irene Barrera-García-Martín ◽  
Mónica De la Cueva-Reguera ◽  
María Bravo-Aguilar ◽  
María Blanco-Morales ◽  
...  
Keyword(s):  
Metatarsophalangeal Joint ◽  
Cross Sectional Area ◽  
Flexor Hallucis Longus ◽  
Full Time ◽  
Sectional Area ◽  
Range Of Movement ◽  
Cross Sectional ◽  
First Metatarsophalangeal Joint ◽  
Counter Movement Jump ◽  
Longus Muscle

Background and Objectives: Flexor hallucis longus pathology is one of the most common conditions of the ankle and foot in dancers, due to the high demand of dance movements performed in an extreme plantar flexion and dorsiflexion range of motion. The objectives of this study were to determine the bilateral differences between the thickness and cross-sectional area of the flexor hallucis longus muscle in dancers, to establish possible differences between dance modalities, and to analyze whether there is a correlation between ultrasonographic parameters or performance variables and the dance modality. Material and Methods: A sample of 50 (29 classical and 21 contemporary) full-time pre-professional female dancers were included in the study. The thickness and cross-sectional area of the flexor hallucis longus muscle were evaluated for both limbs using ultrasound imaging. The range of movement of the first metatarsophalangeal joint was measured using functional extension with maximal ankle plantarflexion, balance was measured in a unilateral stance with the heel raised, endurance was evaluated through a modified heel rise fatigue test, and a counter movement jump to assess the vertical jump performance was measured bilaterally. Results: There were no significant differences recorded between the dominant and non-dominant limbs for each variable, within both groups. Contemporary dancers showed a greater thickness and cross-sectional area of the flexor hallucis longus muscle than classical dancers. However, classical dancers showed an increase of balance, endurance, range of movement of the first metatarsophalangeal joint, and counter movement jump with respect to contemporary dancers. Conclusion: Bilateral symmetry was identified in all variables for both groups. The size and performance of the flexor hallucis longus muscle may be influenced by the specific nature of dance modality.

Physical Activity and Headache: Results from the Nord-Trøndelag Health Study (HUNT)

Cephalalgia ◽  
2008 ◽  
Vol 28 (12) ◽  
pp. 1292-1297 ◽  
Author(s):  
E Varkey ◽  
K Hagen ◽  
J-A Zwart ◽  
M Linde
Keyword(s):  
Physical Activity ◽  
Migraine Headache ◽  
Linear Trend ◽  
Health Study ◽  
Cross Sectional ◽  
Physically Active ◽  
The Cross ◽  
Cross Sectional Design ◽  
The Relationship

The aim of this study was to evaluate, using a prospective and a cross-sectional design, the relationship between level of physical activity and migraine and non-migraine headache. In the prospective part, 22 397 participants, not likely to have headache, answered questions about physical activity at baseline (19841986) and responded to a headache questionnaire at follow-up. In the cross-sectional part (1995-1997), 46 648 participants answered questions about headache and physical activity. Physically inactive individuals at baseline were more likely than active individuals to have non-migraine headache 11 years later (odds ratio 1.14, 95± confidence interval 1.02, 1.28). In the cross-sectional analyses, low physical activity was associated with higher prevalence of migraine and non-migraine headache. In both headache groups, there was a strong linear trend ( P< 0.001) of higher prevalence of ‘low physical activity’ with increasing headache frequency. The result may indicate that physical inactivity among headache-free individuals is a risk factor for non-migraine headache and that individuals with headache are less physically active than those without headache.

scholarly journals Effects of Novel Inverted Rocker Orthoses for First Metatarsophalangeal Joint on Gastrocnemius Muscle Electromyographic Activity during Running: A Cross-Sectional Pilot Study

Sensors ◽  
2020 ◽  
Vol 20 (11) ◽  
pp. 3205
Author(s):  
Rubén Sánchez-Gómez ◽  
Carlos Romero-Morales ◽  
Álvaro Gómez-Carrión ◽  
Blanca De-la-Cruz-Torres ◽  
Ignacio Zaragoza-García ◽  
...  
Keyword(s):  
Pilot Study ◽  
Metatarsophalangeal Joint ◽  
Running Economy ◽  
Triceps Surae ◽  
Wilcoxon Test ◽  
Test Reliability ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Cross Sectional ◽  
First Metatarsophalangeal Joint

Background: The mobility of the first metatarsophalangeal joint (I MPTJ) has been related to the proper windlass mechanism and the triceps surae during the heel-off phase of running gait; the orthopedic treatment of the I MPTJ restriction has been made with typical Morton extension orthoses (TMEO). Nowadays it is unclear what effects TMEO or the novel inverted rocker orthoses (NIRO) have on the EMG activity of triceps surae during running. Objective: To compare the TMEO effects versus NIRO on EMG triceps surae on medialis and lateralis gastrocnemius activity during running. Study design: A cross-sectional pilot study. Methods: 21 healthy, recreational runners were enrolled in the present research (mean age 31.41 ± 4.33) to run on a treadmill at 9 km/h using aleatory NIRO of 6 mm, NIRO of 8 mm, TMEO of 6 mm, TMEO of 8 mm, and sports shoes only (SO), while the muscular EMG of medial and lateral gastrocnemius activity during 30 s was recorded. Statistical intraclass correlation coefficient (ICC) to test reliability was calculated and the Wilcoxon test of all five different situations were tested. Results: The reliability of values was almost perfect. Data showed that the gastrocnemius lateralis increased its EMG activity between SO vs. NIRO-8 mm (22.27 ± 2.51 vs. 25.96 ± 4.68 mV, p < 0.05) and SO vs. TMEO-6mm (22.27 ± 2.51 vs. 24.72 ± 5.08 mV, p < 0.05). Regarding gastrocnemius medialis, values showed an EMG notable increase in activity between SO vs. NIRO-6mm (22.93 ± 2.1 vs. 26.44 ± 3.63, p < 0.001), vs. NIRO-8mm (28.89 ± 3.6, p < 0.001), and vs. TMEO-6mm (25.12 ± 3.51, p < 0.05). Conclusions: Both TMEO and NIRO have shown an increased EMG of the lateralis and medialis gastrocnemius muscles activity during a full running cycle gait. Clinicians should take into account the present evidence when they want to treat I MTPJ restriction with orthoses, and consider the inherent triceps surae muscular cost relative to running economy.

scholarly journals The correlation between body mass index and the type of foot arches with the risk of hallux valgus in children aged 13–14 years old

2021 ◽  
Vol 9 (3) ◽  
pp. 680
Author(s):  
Govinda Vittala ◽  
Luh Putu Ratna Sundari ◽  
I Putu Radhe Bhakti Krisnanda ◽  
Ni Komang Dewi Semariasih
Keyword(s):  
Body Mass Index ◽  
Hallux Valgus ◽  
Body Mass ◽  
Random Sampling ◽  
Metatarsophalangeal Joint ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Cross Sectional ◽  
First Metatarsophalangeal Joint ◽  
The Relationship

Background: Hallux valgus is a deformity characterized by a change in the shape of the thumb with symptoms of swelling, redness and pain. Hallux valgus is progressive where there is a lump at the base of the thumb which can occur due to the weakness of the muscles and ligaments around the first metatarsophalangeal joint. The purpose of this study was to determine the relationship between body mass index and the type of foot arches on the risk of hallux valgus in children aged 13–14 years.  Methods: This research is a cross sectional analytic study with simple random sampling technique. The number of samples are 99 children (39 males, 60 females) aged 13–14 years. The variables measured were body mass index using body weight scales and a stature meter, the type of foot arches using a wet footprint test, and hallux valgus with a goniometer.Results: Our study shows that there is no significant correlation between body mass index and hallux valgus at the level of 0.157. However, there is a significant correlation between the type of foot arches and hallux valgus at the 0.003 level. In addition, there is a significant correlation between body mass index and foot arches.  Conclusions: There was a significant relationship between body mass index and foot arches and foot arches with the risk of hallux valgus. However, body mass index is not directly related to hallux valgus condition.   

scholarly journals Greater Well-Being in More Physically Active Cancer Patients Who Are Enrolled in Supportive Care Services

2020 ◽  
Vol 19 ◽  
pp. 153473542092143
Author(s):  
Maíra Tristão Parra ◽  
Naghmeh Esmeaeli ◽  
Jordan Kohn ◽  
Brook L. Henry ◽  
Stephen Klagholz ◽  
...  
Keyword(s):  
Supportive Care ◽  
Cancer Patients ◽  
Well Being ◽  
Integrative Care ◽  
Cross Sectional ◽  
Physically Active ◽  
Care Clinic ◽  
Inflammatory Biomarker ◽  
Care Services ◽  
Cross Sectional Design

Background: Cancers are one of the leading causes of mortality worldwide. Cancer patients are increasingly seeking integrative care clinics to promote their health and well-being during and after treatment. Aim: To examine relationships between physical activity (PA) and quality of life (QoL) in a sample of cancer patients enrolling in integrative care in a supportive care clinic. Also, to explore circulating inflammatory biomarkers and heart rate variability (HRV) in relationship to PA and QoL. Methods: A cross-sectional design of adult patients who sought care in the InspireHealth clinic, Vancouver, British Columbia, Canada. Patients with complete PA data (n = 118) answered psychosocial questionnaires, provided blood samples, and received HRV recordings before enrollment. Patients were stratified into “less” versus “more” active groups according to PA guidelines (150 minutes of moderate or 75 minutes of vigorous PA or an equivalent combination). Results: Breast (33.1%) and prostate (10.2%) cancers were the most prevalent primary diagnoses. Patients engaging in more PA reported better physical ( U = 1265.5, P = .013), functional ( U = 1306.5, P = .024), and general QoL ( U = 1341, P = .039), less fatigue ( U = 1268, P = .014), fewer physical cancer-related symptoms ( U = 2.338, P = .021), and less general distress ( U = 2.061, P = .021). Between PA groups, type of primary cancer diagnosis differed (χ2 = 41.79, P = .014), while stages of cancer did not (χ2 = 3.95, P = .412). Fewer patients reported depressed mood within the more active group (χ2 = 6.131, P = .047). More active patients were also less likely to have ever used tobacco (χ2 = 7.41, P = .025) and used fewer nutritional supplements (χ2 = 39.74, P ≤ .001). An inflammatory biomarker index was negatively correlated with vigorous PA ( rs = −0.215, P = .022). Multivariable linear regression ( R2 = 0.71) revealed that age (β = 0.22; P = .001), fatigue (β = −0.43; P ≤ .001), anxiety (β = −0.14; P = .048), and social support (β = 0.38; P = .001) were significant correlates of QoL.

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