Foot and Ankle Flashcards
What objective does the heel rocker in initial contact facilitate
forward progression
what angle and direction of flexion at the ankle is expected in loading response?
5 degrees PF
What muscle assists in forward progression heel rocker mechanism?
Tibialis anterior
From the end of loading response to the end of mid stance what is the change in ankle flexion?
5 PF to 5 DF
What does the change from 5 PF to 5 DF facilitate?
Progression of COM over BOS
What is the arc of motion from the end of loading response to the end of terminal stance at the ankle?
15 DF
What is the change in ankle flexion in terminal stance?
5 DF - 10 DF
What is the change in ankle flexion in pre-swing?
10 DF - 20 PF
What is the most rapid change of angle in the ankle in the gait cycle?
10 DF - 20 PF (Pre-swing)
What is the change in ankle flexion in initial swing?
20 PF - 5 PF
What is the change in ankle flexion in mid-swing?
5 PF - 0
What does the change in ankle flexion from 5 PF to 0 facilitate?
Foot clearance
What is the change in ankle flexion in Terminal Swing?
NONE (remains neutral)
What is the change in ankle rotation in initial contact?
3-5 Sup
Wha is the change in ankle rotation in loading response?
4-6 Pro
what is the change in ankle rotation in Midstance-terminal stance?
Pronation to neutral
What are objectives of pronation in loading response and midstance?
Shock absorption and Stance stability
What is the angle of the ankle in the sagital plane at initial contact?
90
What does pronation do to the midtarsal joints?
Unlockes them turning the foot into a mobile adaptor
What does supination in midstance/terminal stance facilitate?
Progression of COM beyond BOS (toe rocker)
What does supination do to the midtarsal joints?
Locks them turning the foot into a rigid lever
What does foot pronation during loading response facilitate in the tibia?
Internal rotation
What is the moment at the ankle during loading response?
Plantarflexion
What are the agonists at the ankle in loading response?
Eccentric dorsiflexors
What is the moment at the ankle during midstance?
Dorsiflextion
What are the agonists of the ankle during midstance?
Eccentric plantarflexors
What is the moment of the ankle during terminal stance?
increasing Dorsiflexion
What are the agonists of the ankle during terminal stance?
Eccentric plantarflexors
What is the moment of the ankle during pre-swing?
Reducing dorsiflexion
What are the agonists of the ankle during pre-swing?
Reducing concentric calf demand
What is the moment of the ankle during initial swing
Gravity driven plantarflexion
What are the agonists of the ankle during initial swing?
Concentric dorsiflexors
What is the moment of the ankle during mid-swing?
Gravity driven plantarflexion
What are the agonists of the ankle during mid-swing?
Concentric dorsiflexors
What is the moment of the ankle during Terminal swing?
Gravity driven plantarflexion
What are the agonists of the ankle during Terminal swing?
Isometric dorsiflexors
What 4 muscles control foot pronation during loading response?
Eccentric Inversion muscles:
- Tibialis posterior
- Tibialis Anterior
- Flexor hallicus longus
- Flexor digitorum longus
What 3 muscles control foot supination during midstance-terminal stance?
Concentric inversion muscles
- Tibialis posterior
- Flexor hallicus longus
- Flexor digitorum longus
What kind of torque pronates the foot?
Vertical
What is lateral sheer force?
Counterclockwise (pronation) torque
What increases lateral sheer force in footwear?
Wider platform
What increases plantarflexion torque and increases the demand of dorsiflexors in footwear?
Posterior flare