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History taking and clinical examination in musculoskeletal disease
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Ask the patient to walk on their heels with their feet inverted; the tibialis anterior tendon can be seen. With the patient's feet resting over the edge of the couch, ask the patient actively to dorsiflex and invert their foot to reach your hand. Palpate the tibialis anterior muscle.
The neurological examination
Published in Michael Y. Wang, Andrea L. Strayer, Odette A. Harris, Cathy M. Rosenberg, Praveen V. Mummaneni, Handbook of Neurosurgery, Neurology, and Spinal Medicine for Nurses and Advanced Practice Health Professionals, 2017
Tibialis anterior muscle (Figure 11.2f) Innervation: Deep peroneal nerve (L4 and L5).Function: Dorsiflexion of ankle joint.Physical examination: The patient tries to dorsiflex the foot against resistance.
Molecular Mechanisms of Training Effects
Published in Atko Viru, Adaptation in Sports Training, 2017
The eccentrically trained tibialis anterior muscle enlarged, however, in relation with daily contraction. After a 10-week heavy resistance training program, increases of 41% in α-actin mRNA, of 38% in total RNA, and of 28% in protein were recorded in the tibialis anterior muscle.36 Consequently, multiple control sites (pre-translational, translational, and post-translational) can be elicited by training.18
Fear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral pain
Published in Physiotherapy Theory and Practice, 2022
Marcella F. Pazzinatto, Danilo De Oliveira Silva, Richard W. Willy, Fábio M. Azevedo, Christian J. Barton
Pressure pain thresholds were assessed using a handheld pressure algometer (Wagner FPXTM25, Greenwich, CT, USA) with a stimulation area of 1 cm2 placed perpendicular to the skin. Pressure pain thresholds were assessed on the participant’s symptomatic (unilateral symptoms, n = 42) or most symptomatic (bilateral symptoms, n = 50) limb (Noehren et al., 2015; van der Heijden, Rijndertse, Bierma-Zeinstra, and van Middelkoop, 2018). All measurements were performed by the same trained rater to apply a pressure rate of 0.50kgf/s. Participants were instructed to indicate when the sensation changed from a sensation of pressure to the first sensation of pain (Pazzinatto et al., 2017). Measurements were completed with individuals in supine, with knees flexed at 20 degrees and supported by a cushion under the popliteal fossa. Three sites were assessed, in the following sequence: 1) acromion of the contralateral upper limb (widespread pressure hyperalgesia); 2) center of the patella (local pressure hyperalgesia); and 3) muscle belly of the tibialis anterior muscle (spread pressure hyperalgesia) (Rathleff et al., 2016). Pressure pain thresholds were measured twice at each site with a 30 second interval between each trial, with the average of the two scores used for analyses. This method of pressure pain threshold assessment has previously been reported to have good intra-rater reliability (ICC = 0.77) for people with PFP, and the minimal detectable change is 0.53kgf for people with PFP (Pazzinatto et al., 2016).
A standalone computing system to classify human foot movements using machine learning techniques for ankle-foot prosthesis control
Published in Computer Methods in Biomechanics and Biomedical Engineering, 2022
Agonist and antagonist kinds of muscles exist in human joints such as the hip, knee, and ankle. In addition, several muscles usually activate such a human joint. The skeletal muscles can be divided into mono-articular and bi-articular. A movement can be generated in only one joint for mono-articular muscles, whereas movement can be created in two adjacent joints for bi-articular muscles (Zagrodny et al. 2018). For example, dorsiflexion/plantarflexion motion of the human ankle joint is mainly actuated by the gastrocnemius, soleus, and tibialis anterior muscles. Here, the only gastrocnemius is the bi-articular muscle, and it works on both the ankle and knee joints. The below-knee muscle activities have been investigated during daily ankle-foot movements such as dorsiflexion, plantarflexion, inversion, eversion, medial rotation, and lateral rotation to control the power-ankle-foot prosthesis based on the muscle's electromyographic (EMG) signals.
Kinesiology Taping in Duchenne Muscular Dystrophy: Acute Effects on Performance, Gait Characteristics, and Balance
Published in Developmental Neurorehabilitation, 2021
Güllü Aydin Yağcioğlu, İpek Alemdaroğlu Gürbüz, Ayşe Karaduman, Numan Bulut, Öznur Yilmaz
For quadriceps femoris muscles, patients lied supine and knees were placed in flexion. I-shaped band was applied on quadriceps femoris from approximately 5 cm under the spina iliaca anterior superior to patella with approximately 25–50% tension of the original length of the band. Y-shaped band was continued around patella and the two parts of the band were joined together under the patella without tension.16 For tibialis anterior muscles, each children’s feet were placed at plantar flexion while knees were extended, and I-shaped band was applied over tibialis anterior from origin to insertion of muscle, bilaterally, with approximately 25–50% tension. In both applications, the first and last 5 cm of the bands were used as anchor and no tension was applied.16,25 KT application was shown in Figure 2.