1. Normative Achilles and patellar tendon shear wave speeds and loading patterns during walking in typically developing children.
- Author
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Ebrahimi A, Kuchler RL, Pomeroy RL, Loegering IF, Martin JA, and Thelen DG
- Subjects
- Adolescent, Biomechanical Phenomena, Child, Gait, Humans, Walking, Achilles Tendon, Patellar Ligament, Tendinopathy
- Abstract
Background: Motion analysis is commonly used to evaluate joint kinetics in children with cerebral palsy who exhibit gait disorders. However, one cannot readily infer muscle-tendon forces from joint kinetics. This study investigates the use of shear wave tensiometry to characterize Achilles and patellar tendon forces during gait., Research Question: How do Achilles and patellar tendon wave speed and loading modulate with walking speed in typically developing children?, Methods: Twelve typically developing children (9-16 years old) walked on an instrumented treadmill with shear wave tensiometers over their Achilles (n = 11) and patellar (n = 9) tendons. Wave speeds were recorded at five leg length-normalized walking speeds (very slow to very fast). Achilles and patellar tendon moment arms were measured with synchronized ultrasound and motion capture. The tendon wave speed-load relationship was calibrated at the typical walking speed and used to estimate tendon loading at other walking speeds., Results: Characteristic Achilles and patellar tendon wave speed trajectories exhibited two peaks over a gait cycle. Peak Achilles tendon force closely aligned with peak ankle plantarflexor moment during pushoff, though force exhibited less modulation with walking speed. A second peak in late swing Achilles loading, which was not evident from the ankle moment, increased significantly with walking speed (p < 0.001). The two peaks in patellar tendon loading occurred at 12 ± 1% and 68 ± 6% of the gait cycle, matching the timing of peak knee extension moment in early stance and early swing. Both patellar tendon load peaks increased significantly with walking speed (p < 0.05)., Significance: This is the first study to use shear wave tensiometry to characterize Achilles and patellar tendon loading during gait in children. These data could serve as a normative comparison when using tensiometry to identify abnormal tendon loading patterns in individuals who exhibit equinus and/or crouch gait., (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Published
- 2021
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