A 3-Dimensional Gait Analysis of the Effects of Fatigue-Induced Reduced Foot Adductor Muscle Strength on the Walking of Healthy Subjects

in Journal of Applied Biomechanics

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Rogerio Pessoto HirataSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark

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Alexander W. ErbsSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark

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Erik GadsbøllSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark

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Rannvá WintherSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark

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Sanne H. ChristensenSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark

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Morten Bilde SimonsenSport Sciences—Performance and Technology, Faculty of Medicine, Department of Health Science and Technology, Aalborg University, Aalborg East, Denmark
Centre for Clinical Research, North Denmark Regional Hospital, Hjoerring, Denmark

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DOI:
https://doi.org/10.1123/jab.2022-0032
Keywords:
inverse dynamics; bilateral analysis; muscle force
First Published Online:
14 Jul 2022
In Print:
Volume 38: Issue 4
Page Range:
271–279
Restricted access

Dysfunction of the tibialis posterior muscle is the most common cause of adult acquired flat foot. Tibialis posterior muscle weakness has been observed in several patient populations, including those in the early stages of rheumatoid arthritis. However, the influence of tibialis posterior weakness on gait mechanics is not fully understood, although gait instability has been reported. In 24 healthy participants, 3-dimension lower limb kinematics and kinetics during walking were evaluated bilaterally, before and after, a muscle fatigue protocol aiming to decrease the right foot adductor muscles strength, including the tibialis posterior muscle. The 3-dimension gait kinematics and kinetics were analyzed with statistical parametric mapping. The stance phase duration was increased for the right side. The right ankle external rotation moment decreased, and the left hip extension moment increased with reduced muscle strength compared with normal strength conditions. These changes are similar in patients with dysfunction in the tibialis posterior muscle, indicating that compensatory strategies observed in these patients might be related to the loss of tibialis posterior muscle strength. Such strategies may involve the unaffected side.

Hirata (rirata@hst.aau.dk) is corresponding author.

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