Document Detail


Can footwear affect achilles tendon loading?
MedLine Citation:
PMID:  20818191     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the effects of footwear on Achilles tendon tension by directly measuring Achilles tendon tension and dorsiflexion range of motion.
DESIGN: A total of 48 matched pair tests were performed comparing the effects of shoe type (high-top vs low-top) for each shoelace configuration (tied vs untied). These were performed using the Achilles tendons of 4 human cadaver lower extremities that were instrumented with a customized load cell designed to measure tension. The lower extremity was inverted in a custom testing apparatus designed to inertially invoke dorsiflexion of the foot, putting the Achilles tendon in tension.
SETTING: Research laboratory.
PATIENTS: Left and right lower extremities of 2 human cadavers.
INTERVENTIONS: None. Independent variables were shoe type and shoelace configuration.
MAIN OUTCOME MEASURES: Achilles tendon tension and dorsiflexion range of motion.
RESULTS: High-top shoes significantly reduced peak Achilles tendon tension by an average of 9.9% when compared with low-top shoes. Tied laces significantly reduced peak tension for low-top (3.7%) and high-top (12.8%) shoes when compared with untied laces. With tied laces, high-top shoes significantly reduced peak dorsiflexion angle by an average of 7.2% when compared with low-top shoes. Tied laces with high-top shoes significantly reduced peak dorsiflexion angle by an average of 4.7% when compared with untied laces. A P value of 0.05 was determined to be significant.
CONCLUSIONS: This study offers valuable insight that footwear can affect Achilles tendon loading during dorsiflexion.
Authors:
Steven Rowson; Craig McNally; Stefan M Duma
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine     Volume:  20     ISSN:  1536-3724     ISO Abbreviation:  Clin J Sport Med     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9103300     Medline TA:  Clin J Sport Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  344-9     Citation Subset:  IM    
Affiliation:
Center for Injury Biomechanics, Virginia Tech-Wake Forest University, Blacksburg, VA, USA. srowson@vt.edu
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MeSH Terms
Descriptor/Qualifier:
Achilles Tendon*
Aged
Biomechanics
Cadaver
Humans
Male
Middle Aged
Range of Motion, Articular*
Shoes*
Weight-Bearing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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