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  • Re: Locating Tibialis Anterior tendon's actionlineusing MRI

    Daniel,

    I think some of the confusion lies in how we define the actions
    occurring at synovial joints.

    My preference is to specify a joint by locating its axis or axes of
    rotation. (The exception is where the axes of rotation are arbitrary
    and not anatomically determined , i.e. the gleno-humeral joint - that
    is another topic for a later time). Then locate the lines of force /
    action of all the muscles working / operating / passing the joint
    (more specifically the axis / axes of rotation.


    Another of our differences lies in the definition of the movements of
    inversion/eversion and supination and pronation.

    Simplistically ( or "simple mindedly" - your choice) in- and eversion
    occurs about the axes specified by the articular surfaces of the talus
    and calcaneous; and supination and pronation occurs about the second
    order instantaneous or resulting axis of rotation of the midtarsal,
    transverse tarsal or Chopart's joint.

    I may be wrong but I think that some investigators "define" these two
    terms as occurring about these two joints simulatneously.

    I find it difficult understanding why it is necessary to mention that
    "... is not pure to the anatomical sagittal plane."

    I don't think it is advisable to make any generalization as to the
    independance or dependance of two or more joints in a kinematic chain.

    I do think it would be useful to consider that any contracting muscle
    - concentric, eccentric and isometric, does have an effect on all
    joints it works / crosses and not only during concentric contraction.

    My two cents for whatever its worth! (Two Cents?)

    Cheers

    Al



    quoting Daniel Cipriani :

    > Hello Dr. Solimene,
    >
    > I do not disagree with your response...I was simply implying that to
    > consider the action of the TA, one must consider all the joints it crosses,
    > and not simply the ankle joint (dorsiflexion/plantarflexion)...and that if
    > one is describing the inversion/eversion action, it is important to identify
    > the joint at which this motion occurs. In the earlier discussion, it seemed
    > that inversion and dorsiflexion were mentioned without indication of the
    > joints involved in these motions (implying only movement at the ankle).
    >
    > And I agree that the anatomical plane of reference is troubling, given that
    > ankle dorsiflexion is not pure to the anatomical sagittal plane.
    >
    > I also concur that the movement at the ankle joint is not independent of the
    > subtalar joint, especially when we are describing a weight bearing action -
    > I failed to differentiate between a weight bearing action vs. a non weight
    > bearing action of the TA. Thank you for clarifying. Yes, most certainly,
    > when a muscle actively shortens, it involves all the axes it crosses.
    >
    > Daniel
    >
    >
    >
    > Daniel Cipriani, PT, PhD
    > School of Exercise and Nutritional Sciences
    > San Diego State University
    > 5500 Campanile Drive
    > San Diego CA 92182-7251
    > (office) 619.594.1922
    > (lab) 619.594.5625
    > (fax) 619.594.6553
    > http://www-rohan.sdsu.edu/dept/ens/ens_web/faculty/cipriani.htm
    >
    > -----Original Message-----
    > From: as572@columbia.edu [mailto:as572@columbia.edu]
    > Sent: Friday, May 09, 2008 9:52 AM
    > To: Daniel Cipriani
    > Cc: BIOMCH-L@NIC.SURFNET.NL
    > Subject: Re: [BIOMCH-L] Locating Tibialis Anterior tendon's actionlineusing
    > MRI
    >
    >
    > Dr. Cipriani,
    >
    > Actually the tendon of the TA crosses several joints on its way its
    > distal attachment. I believe it is necessary to define the line of
    > action relative to all the joints ( read - axes of rotation) it
    > passes. A task I do not believe has been done to this time.
    >
    > It is questionable if the talo-crural joint and subtalar are truly
    > independent. The line of action of a given muscle will "work" all
    > the joints it passes.
    >
    > Firstly, I find it difficult to accept the notion / concept that two
    > joints are independent when the movement occurring at these joints
    > occurs in different planes.
    >
    > Secondly, the idea / notion that a description of movement depends
    > upon the plane(s) in which that movement takes place is significant
    > eludes me.
    >
    > I believe, from your statement, that our definitions of inversion and
    > eversion are different. I don't understand the usage of your term "a
    > frontal plane motion" Nor indeed the term "is nearly a sagittal plane
    > motion " for the talo crural joint.
    >
    > My difficulty with the use of anatomical planes to describe motions is
    > that it does not take into account for the range of movement and the
    > repositioning of the involved joints. It is a static rather than a
    > more dynamic and functional approach.
    >
    > It is my belief that the usage of anatomical planes to describe
    > motions and movement unnecessarily complicates descriptions without
    > adding any additional useful or functional information. I think it is
    > clearer if one depends on body specific references rather than space
    > reference terms.
    >
    > Dr. Alfonso Solimene
    >
    >
    >
    > Quoting Daniel Cipriani :
    >
    >> In response to the discussion on the line of action for the TA, it is
    >> important to keep in mind that the TA works across two different joints,
    > the
    >> ankle joint and the subtalar joint, which are essentially independent.
    >>
    >> The ankle joint (talocural joint) and the subtalar joint...these two
    > joints
    >> are independent in that the ankle joint motion is nearly a sagittal plane
    >> motion (dorsiflexion/plantarflexion) - keeping in mind that the
    > orientation
    >> of the axis of motion for the ankle joint is not purely a
    > frontal-horizontal
    >> orientation. And the subtalar joint motion is mainly of inversion/eversion
    >> (a frontal plane motion), and its axis is not purely in the
    >> sagittal-horizontal orientation. The line of action of the TA might be
    >> described relative to the joint action of interest separately (ankle joint
    >> and dorsiflexion/plantarflexion, and the subtalar joint
    > inversion/eversion)
    >>
    >>
    >> Daniel Cipriani, PT, PhD
    >> School of Exercise and Nutritional Sciences
    >> San Diego State University
    >> 5500 Campanile Drive
    >> San Diego CA 92182-7251
    >> (office) 619.594.1922
    >> (lab) 619.594.5625
    >> (fax) 619.594.6553
    >>
    >>
    >> -----Original Message-----
    >> From: * Biomechanics and Movement Science listserver
    >> [mailto:BIOMCH-L@NIC.SURFNET.NL] On Behalf Of Greiner Thomas
    >> Sent: Thursday, May 08, 2008 10:43 AM
    >> To: BIOMCH-L@NIC.SURFNET.NL
    >> Subject: Re: [BIOMCH-L] Locating Tibialis Anterior tendon's action
    > lineusing
    >> MRI
    >>
    >> A few comments in response to my response on the tibialis anterior. I
    >> think we are mostly in agreement, but perhaps talking past each other.
    >>
    >>
    >> "1. The anatomical planes of reference are arbitrary.
    >>
    >> 2. The line of force or action of any muscle does / do not occur "along
    >> an artificial, and arbitrary, geometry" - it occurs where it occurs AND
    >> during the range of motion of the involved body segments the position of
    >> the line of action of a muscle continuously changes."
    >>
    >> This was my point exactly, although perhaps you say it better. The
    >> anatomical planes are artificial and arbitrary and if you limit your
    >> investigation to those planes you should not be surprised that muscle's
    >> action line has an oblique orientation.
    >>
    >> "4. I respectful disagree that the line of action need be in the
    >> sagittal plane to obtain meaningful data. It is done mathematically."
    >>
    >> I agree completely. This is a consequence that a muscle's force of
    >> action "occurs where it occurs." That, is another way of saying that you
    >> should not expect of find anatomical evidence of a muscular action line
    >> if you limit your investigation to a single anatomical plane.
    >> Investigations in three dimensions may eventually allow you to resolve
    >> an action line to a particular plane, but before you can do that math
    >> you need to know what the muscle does when it does something. Inasmuch
    >> as Tibialis Anterior is a dorisflexor and an inverter (or perhaps
    >> sometimes and everter) the line of action of its insertion tendon will
    >> lie oblique to the sagittal plane. Therefore you cannot caputre the
    >> muscle's action line if investigation is limited to that plane. This is,
    >> effectively, the same thing as saying that for the "TA there are more
    >> than one line of action."
    >>
    >> Thomas M. Greiner, Ph.D.
    >> Anatomist and Physical Anthropologist
    >> Dept. of Health Professions
    >> University of Wisconsin - La Crosse
    >> 1725 State Street
    >> La Crosse, WI 54601 USA
    >>
    >> -----Original Message-----
    >> From: as572@columbia.edu [mailto:as572@columbia.edu]
    >> Sent: Thursday, May 08, 2008 12:16 PM
    >> To: BIOMCH-L@NIC.SURFNET.NL
    >> Cc: Greiner Thomas
    >> Subject: Re: [BIOMCH-L] Locating Tibialis Anterior tendon's action
    >> lineusing MRI
    >>
    >>
    >> Dr Greiner,
    >>
    >> Four thoughts and observations ..
    >>
    >> 1. The anatomical planes of reference are arbitrary.
    >>
    >> 2. The line of force or action of any muscle does / do not occur "along
    >> an artificial, and arbitrary, geometry" - it occurs where it occurs AND
    >> during the range of motion of the involved body segments the position of
    >> the line of action of a muscle continuously changes.
    >>
    >> A long while ago - some anatomists differentiated "Pure" from "Compound"
    >> motion.
    >> Pure motion was supposed to occur within (parallel to) the three
    >> anatomical planes. Compound motion was any movement that
    >> simultaneous intersected two or more of the anatomical planes.
    >> Fortunately this unwieldy descriptive method is no longer widely used.
    >>
    >> a. To my knowledge there is no general agreement as to action of the
    >> tibialis anterior muscle. In Lanz and Wachsmuth's anatomical atlas, the
    >> tendon to the tibialis anterior lies on the axis of inversion and
    >> eversion, if that is its true location, i.e. its moment arm relative
    >> to this axis is zero. One can therefore conclude that in the
    >> anatomical position the TA is neither, and functions as a dorsi-flexor.
    >> This conclusion is perhaps most reasonable.
    >>
    >> I don't recall the reference, but I remember learning that electrical
    >> stimulation of the belly of the TA would produce inversion in @50% of
    >> cases and in @50% eversion. It may be worth redoing this study.
    >>
    >> 3b. In the case of the TA it is realistic to consider the reversal of
    >> muscle action during the range of motion of the foot at the ankle.
    >> This could be associated with the recruitment of muscle force during
    >> movement / locomotion.
    >>
    >> 4. I respectful disagree that the line of action need be in the sagittal
    >> plane to obtain meaningful data. It is done mathematically.
    >>
    >> For Dr. Miller -
    >> Most likely, given the width of the tendon and the area of attachment of
    >> the TA there are more than one line of action.
    >>
    >> For Thomas -
    >> FYI - I am also an anatomist and physical anthropologist
    >>
    >> Cheers
    >>
    >> Dr. Alfonso Solimene
    >>
    >>
    >>
    >> Quoting Greiner Thomas :
    >>
    >>>
    >>> I believe the problem you are encountering is due to the fact that
    >>> that action of tibialis anterior is oblique to the anatomical
    >>> reference planes. You are forcing the measurement of muscle activity
    >>> to occur along an artificial, and arbitrary, geometry.. Inasmuch as
    >>> tibialis anterior is primarily a foot inverter, I doubt that you would
    >>
    >>> ever be able to obtain realistic and meaningful measured values if
    >>> your perspective is limited to the sagittal plane.
    >>>
    >>> Thomas M. Greiner, Ph.D.
    >>> Anatomist and Physical Anthropologist
    >>> Dept. of Health Professions
    >>> University of Wisconsin - La Crosse
    >>> 1725 State Street
    >>> La Crosse, WI 54601 USA
    >>>
    >>> -----Original Message-----
    >>> From: * Biomechanics and Movement Science listserver
    >>> [mailto:BIOMCH-L@NIC.SURFNET.NL] On Behalf Of Stuart Miller
    >>> Sent: Wednesday, May 07, 2008 9:10 AM
    >>> To: BIOMCH-L@NIC.SURFNET.NL
    >>> Subject: [BIOMCH-L] Locating Tibialis Anterior tendon's action line
    >>> using MRI
    >>>
    >>> Hello all,
    >>>
    >>>
    >>>
    >>> My colleagues and I have recently started to calculate the moment arm
    >>> of the tibialis anterior and Achilles tendon. The method we are using
    >>> is the Reuleaux graphical analysis. The images of the ankle are
    >>> collected using MRI techniques. The images are collected in the
    >> sagittal plane.
    >>> This technique has been described in Maganaris et al. (1999); Clinical
    >>
    >>> Biomechanics 14 pp661-666.
    >>>
    >>>
    >>>
    >>> The problem we are experiencing is of locating the action line of the
    >>> tibialis anterior. The tibialis anterior tendon crosses the sagittal
    >>> plane, so only an oval cross-section can be seen. This does not appear
    >>
    >>> enough to accurately locate the action line of the tendon.
    >>>
    >>>
    >>>
    >>> I am wondering if anyone has experienced this problem whilst using
    >>> this technique, and if so, can suggest any solutions.
    >>>
    >>>
    >>>
    >>> The action line of the Achilles tendon is easy to see as it acts along
    >>
    >>> the sagittal plane.
    >>>
    >>>
    >>>
    >>> I will forward a summary of the responses in a few weeks.
    >>>
    >>>
    >>>
    >>> Thank you in advance.
    >>>
    >>>
    >>>
    >>>
    >>>
    >>> Stuart C. Miller BSc. (Hons)
    >>>
    >>> Centre for Sports Medicine and Human Performance
    >>>
    >>> Brunel University
    >>>
    >>> London
    >>>
    >>> Middlesex
    >>>
    >>> UB8 3PH
    >>>
    >>>
    >>>
    >>>
    >>>
    >>>
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    >>> Archives: http://listserv.surfnet.nl/archives/Biomch-L.html
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    >>>
    >>
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    >> Archives: http://listserv.surfnet.nl/archives/Biomch-L.html
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    >>
    >
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