ABSTRACT
This paper aims to further our previous study to investigate the effect of speed on the human metatarsophalangeal (MP) joint kinematics during running on level ground. The 3D motion of the foot segments was captured by a twelve-camera motion analysis system, and the ground reaction forces and moments were recorded by using a six-force plate array. The relative movement between the tarsometatarsi (hindfoot) and phalanges (forefoot) segments were recorded to obtain the 3D orientation and position of the functional axis (FA) of the MP joint. The results show that the FA locates about an average of 19% foot length (FL) anterior to the anatomical axis (AA) across all running speeds, and is also 4.8% FL inferior to the AA during normal and fast run. Similar to walking, the functional axis is more oblique than the anatomical axis with a more anterior-inferior orientation across all the running speeds. This suggests that representing MP joint with the AA may mislead the calculation of joint moment/power and muscle moment arms in both running and walking gait. Compared with previous study, we found that walking and running speeds have statistically significant effects on the position of the FA. The functional axis moves frontward to a more anterior position when the speed increases during walking and running. It transfers upward in the superior direction with increasing speed of walking, but moves more toward the inferior position when the velocity increased further to running. Also, the orientation of FA in sagittal plane became more oblique toward the vertical direction as the speed increased. This may help in moderating the muscular effort, increase the muscle EMA and improve the locomotor performance. These results would contribute to understanding the in vivo biomechanical function of the MP joint and also the foot propulsion during human locomotion.
ABSTRACT
The objective of this study is to investigate the three-dimensional (3D) kinematics of the functional rotation axis of the human metatarsophalangeal (MP) joint during level walking at different speeds. A 12 camera motion analysis system was used to capture the 3D motion of the foot segments and a six force plate array was employed to record the simultaneous ground reaction forces and moments. The 3D orientation and position of the functional axis (FA) of the MP joint were determined based on the relative motion data between the tarsometatarsi (hindfoot) and phalanges (forefoot) segments. From the results of a series of statistical analyses, it was found that the FA remains anterior to the anatomical axis (AA), defined as a line connecting the first and fifth metatarsal heads, with an average distance about 16% of the foot length across all walking speeds, and is also superior to the AA with an average distance about 2% of the foot length during normal and fast walking, whereas the FA shows a higher obliquity than the AA with an anteriorly more medial and superior orientation. This suggests that using the AA to represent the MP joint may result in overestimated MP joint moment and power and also underestimated muscle moment arms for MP extensor muscles. It was also found that walking speed has statistically significant effect on the position of the FA though the FA orientation remains unchanged with varying speed. The FA moves forwards and upwards toward a more anterior and more superior position with increased speed. This axis shift may help to increase the effective mechanical advantage of MP extensor muscles, maximize the locomotor efficiency, and also reduce the risk of injury. Those results may further our understanding of the contribution of the intrinsic foot structure to the propulsive function of the foot during locomotion at different speeds.
