Muscle Activity During Gait: Difference between revisions

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Eccentric contraction of hip flexors
Eccentric contraction of hip flexors
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'''Terminal Stance (or Heel Off) - 30-50%'''
'''Heel Off (or Terminal Stance) - 30-50%'''


Begins when the heel leaves the floor and continues until the contralateral foot contacts the ground. In addition to single limb support and stability, this event serves to propel the body forward. Bodyweight is divided over the metatarsal heads.
Begins when the heel leaves the floor and continues until the contralateral foot contacts the ground. In addition to single limb support and stability, this event serves to propel the body forward. Bodyweight is divided over the metatarsal heads.
{| class="wikitable"
{| class="wikitable"
!
|+Kinetics at Heel Off
!Kinematics/Joint Motion
!Joint
!Muscle Action
! colspan="2" |Kinetics
|-
|
|External forces
|Internal forces/Muscle action
|-
|-
|Ankle
|Ankle
|Gradual dorsiflexion until a maximum of 10° before beginning to plantarflex
|GRF anterior to axis of rotation of ankle
|Eccentric plantarflexors, then
External Dorsiflexion moment
concentric plantarflexors
|Internal plantarflexion moment
Concentric contraction of plantarflexors
|-
|-
|Knee
|Knee
|Continues extending until a maximum of of flexion before beginning to flex
|GRF anterior to axis of rotation of knee
|Concentric extensors, then
External extensor moment
eccentric extensors and concentric flexors
|Internal flexor moment
Concentric contraction of knee flexors
|-
|-
|Hip
|Hip
|Extends until a maximum of 10° extension
|GRF posterior to axis of rotation of hip
|Eccentric flexors
External extensor moment
|Internal flexor moment
Eccentric contraction of hip flexors
|}
|}
 
'''Toe Off (or Preswing) - 50-60%'''
 
'''Pre-Swing (or Toe Off) - 50-60%'''


Begins when the contralateral foot contacts the ground and continues until the ipsilateral foot leaves the ground. Provides the final burst of propulsion as the toes leave the ground.
Begins when the contralateral foot contacts the ground and continues until the ipsilateral foot leaves the ground. Provides the final burst of propulsion as the toes leave the ground.
{| class="wikitable"
{| class="wikitable"
!
|+Kinetics at Toe Off
!Kinematics/Joint Motion
!Joint
!Muscle Action
! colspan="2" |Kinetics
|-
|
|External Forces
|Internal Forces/Muscle Action
|-
|-
|Ankle
|Ankle
|Begins to plantarflex rapidly before foot leaves the ground
|GRF anterior to axis of rotation of ankle
|Concentric plantarflexors
External dorsiflexion moment
|Internal plantarflexion moment
Eccentric contraction of plantarflexors
 
Concentric contraction of dorsiflexors to propel the foot up
|-
|-
|Knee
|Knee
|Begins to flex rapidly
|GRF posterior to axis of rotation of knee
|Eccentric extensors
External flexion moment
|Internal extensor moment
Eccentric contraction of knee extensors
 
Concentric contraction of knee flexors
|-
|-
|Hip
|Hip
|Begins to flex before foot leaves the ground
|GRF posterior to axis of rotation of hip
|Concentric flexors
External extensor moment
|Internal flexor moment
Concentric contraction of hip flexors
|}
|}
'''Early Swing - 60-75%'''
'''Early Swing - 60-75%'''


Begins when the foot leaves the ground until it is aligned with the contralateral ankle. This event functions to advance the limb and shorten the limb for foot clearance.
Begins when the foot leaves the ground until it is aligned with the contralateral ankle. This event functions to advance the limb and shorten the limb for foot clearance.
{| class="wikitable"
!
!Kinematics/Joint Motion
!Muscle Action
|-
|Ankle
|Continues to plantarflex until a maximum of 20° before
moving back towards a neutral position
|Eccentric dorsiflexors, then
concentric dorsiflexors and eccentric plantarflexors
|-
|Knee
|Rapid knee flexion until a maximum of about 60°
|Eccentric extensors and concentric flexors
|-
|Hip
|Gradually flexes
|Concentric flexors
|}




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Begins from the ankle and foot alignment and continues until the swing leg tibia is vertical. As in early swing, it functions to advance the limb and shorten the limb for foot clearance.
Begins from the ankle and foot alignment and continues until the swing leg tibia is vertical. As in early swing, it functions to advance the limb and shorten the limb for foot clearance.
{| class="wikitable"
 
!
!Kinematics/Joint Motion
!Muscle Action
|-
|Ankle
|Maintains a neutral position
|Concentric dorsiflexors
|-
|Knee
|Begins to extend
|Eccentric flexors
|-
|Hip
|Continues to flex until a maximum of just over 30°
|Concentric flexors
|}




Line 221: Line 204:


Begins when the swing leg tibia is vertical and ends with initial contact. Limb advancement slows in preparation.
Begins when the swing leg tibia is vertical and ends with initial contact. Limb advancement slows in preparation.
{| class="wikitable"
 
!
!Kinematics/Joint Motion
!Muscle Action
|-
|Ankle
|Maintains a neutral position
|Concentric dorsiflexors
|-
|Knee
|Extends until full extension, and flexes just slightly before initial contact
|Eccentric flexors, then concentric flexors
|-
|Hip
|Hip remains flexed to around 30 °
|Concentric flexors and eccentric extensors,
then concentric extensors
|}





Revision as of 11:48, 15 September 2022

Original Editor - User Name

Top Contributors - Wanda van Niekerk, Jess Bell and Lucinda hampton  

Breakdown of Gait Cycle Sub-Phases[edit | edit source]

Initial Contact (or Heel Strike) - 0%

The moment the foot touches the ground and begins the first phase of double support. Its function is to establish contact with the ground surface and initiate weight acceptance.

Kinetics at Initial Contact
Joint Kinetics
Ankle External forces Internal forces/ Muscle Action
  • GRF posterior to axis of ankle joint
  • External plantar flexion moment created
Internal dorsiflexion moment

Eccentric contraction of dorsiflexors:

  • tibialis anterior
  • extensor digitorum longus
  • extensor hallucis longus
Knee
  • GRF anterior to axis of knee joint
  • External extensor moment created
Internal flexion moment

Concentric contraction of knee flexors:

  • hamstrings

Eccentric contraction of knee extensors:

  • quadriceps (range of motion change in knee 0° - 15°, this results in the shifting of GRF from anterior to posterior - this will result in external flexor torque and knee extensors will work eccentrically to control the knee)
Hip
  • GRF anterior to axis rotation of hip joint
  • External flexion moment created
Internal extensor moment

Concentric contraction of gluteal muscles (hip extensors):

  • gluteus maximus

Foot Flat (Loading Response) - 0-10%

Begins with initial contact and continues until the contralateral foot leaves the ground. The foot continues to accept weight and absorb shock by rolling into pronation.

Kinetics at Foot Flat
Joint Kinetics
External forces Internal forces/Muscle Action
Ankle GRF posterior to axis of rotation of ankle joint

External plantar flexion moment created

Internal dorsiflexion moment

Concentric contraction of dorsiflexors

Eccentric contraction of plantar flexors:

gastrocnemius

soleus

Range of motion change in ankle 5° plantarflexion to 5° dorsiflexion, results in the shifting of GRF from posterior to anterior thus posterior musculature (plantarflexors) are used eccentrically to control dorsiflexion

Knee GRF posterior to axis of rotation of knee joint

External flexion moment created

Internal extensor moment

Concentric contraction of knee extensors

Hip GRF anterior to axis of rotation of hip joint

External flexion moment created

Internal extensor moment

Concentric contraction of hip extensors

Midstance - 10-30%

Begins when the contralateral foot leaves the ground and continues until ipsilateral heel lifts off the ground. The body is supported by a single leg and begins to move from force absorption at impact to force propulsion forward.

Kinetics at Midstance
Joint Kinetics
External forces Internal forces/Muscle Actions
Ankle GRF anterior to axis of rotation of ankle

External dorsiflexion moment

Internal plantar flexor moment

Concentric contraction of plantarflexors

Knee GRF anterior to axis of rotation of knee joint

External extension moment

Internal flexor moment

Eccentric contraction of knee flexors

Hip GRF posterior to axis of rotation

External extension moment

Internal flexor moment

Eccentric contraction of hip flexors

Heel Off (or Terminal Stance) - 30-50%

Begins when the heel leaves the floor and continues until the contralateral foot contacts the ground. In addition to single limb support and stability, this event serves to propel the body forward. Bodyweight is divided over the metatarsal heads.

Kinetics at Heel Off
Joint Kinetics
External forces Internal forces/Muscle action
Ankle GRF anterior to axis of rotation of ankle

External Dorsiflexion moment

Internal plantarflexion moment

Concentric contraction of plantarflexors

Knee GRF anterior to axis of rotation of knee

External extensor moment

Internal flexor moment

Concentric contraction of knee flexors

Hip GRF posterior to axis of rotation of hip

External extensor moment

Internal flexor moment

Eccentric contraction of hip flexors

Toe Off (or Preswing) - 50-60%

Begins when the contralateral foot contacts the ground and continues until the ipsilateral foot leaves the ground. Provides the final burst of propulsion as the toes leave the ground.

Kinetics at Toe Off
Joint Kinetics
External Forces Internal Forces/Muscle Action
Ankle GRF anterior to axis of rotation of ankle

External dorsiflexion moment

Internal plantarflexion moment

Eccentric contraction of plantarflexors

Concentric contraction of dorsiflexors to propel the foot up

Knee GRF posterior to axis of rotation of knee

External flexion moment

Internal extensor moment

Eccentric contraction of knee extensors

Concentric contraction of knee flexors

Hip GRF posterior to axis of rotation of hip

External extensor moment

Internal flexor moment

Concentric contraction of hip flexors

Early Swing - 60-75%

Begins when the foot leaves the ground until it is aligned with the contralateral ankle. This event functions to advance the limb and shorten the limb for foot clearance.


Mid-Swing - 75-85%

Begins from the ankle and foot alignment and continues until the swing leg tibia is vertical. As in early swing, it functions to advance the limb and shorten the limb for foot clearance.


Late Swing/Deceleration - 85-100%

Begins when the swing leg tibia is vertical and ends with initial contact. Limb advancement slows in preparation.


Sub Heading 2[edit | edit source]

Sub Heading 3[edit | edit source]

Resources[edit | edit source]

  • bulleted list
  • x

or

  1. numbered list
  2. x

References[edit | edit source]