Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy

Improving our understanding on how the foot and ankle joints kinematically adapt to coronally wedged surfaces is important for clarifying the pathogenetic mechanism and possible interventions for the treatment and prevention of foot and lower leg injuries. It is also crucial to interpret the basic b...

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Main Authors: Takuo Negishi, Shuhei Nozaki, Kohta Ito, Hiroyuki Seki, Koh Hosoda, Takeo Nagura, Nobuaki Imanishi, Masahiro Jinzaki, Naomichi Ogihara
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-02-01
Series:Frontiers in Bioengineering and Biotechnology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2022.800572/full
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author Takuo Negishi
Shuhei Nozaki
Kohta Ito
Hiroyuki Seki
Koh Hosoda
Takeo Nagura
Nobuaki Imanishi
Masahiro Jinzaki
Naomichi Ogihara
author_facet Takuo Negishi
Shuhei Nozaki
Kohta Ito
Hiroyuki Seki
Koh Hosoda
Takeo Nagura
Nobuaki Imanishi
Masahiro Jinzaki
Naomichi Ogihara
author_sort Takuo Negishi
collection DOAJ
description Improving our understanding on how the foot and ankle joints kinematically adapt to coronally wedged surfaces is important for clarifying the pathogenetic mechanism and possible interventions for the treatment and prevention of foot and lower leg injuries. It is also crucial to interpret the basic biomechanics and functions of the human foot that evolved as an adaptation to obligatory bipedal locomotion. Therefore, we investigated the three-dimensional (3D) bone kinematics of human cadaver feet on level (0°, LS), medially wedged (−10°, MWS), and laterally wedged (+10°, LWS) surfaces under axial loading using a biplanar X-ray fluoroscopy system. Five healthy cadaver feet were axially loaded up to 60 kg (588N) and biplanar fluoroscopic images of the foot and ankle were acquired during axial loading. For the 3D visualization and quantification of detailed foot bony movements, a model-based registration method was employed. The results indicated that the human foot was more largely deformed from the natural posture when the foot was placed on the MWS than on the LWS. During the process of human evolution, the human foot may have retained the ability to more flexibly invert as in African apes to better conform to MWS, possibly because this ability was more adaptive even for terrestrial locomotion on uneven terrains. Moreover, the talus and tibia were externally rotated when the foot was placed on the MWS due to the inversion of the calcaneus, and they were internally rotated when the foot was placed on the LWS due to the eversion of the calcaneus, owing to the structurally embedded mobility of the human talocalcaneal joint. Deformation of the foot during axial loading was relatively smaller on the MWS due to restricted eversion of the calcaneus. The present study provided new insights about kinematic adaptation of the human foot to coronally wedged surfaces that is inherently embedded and prescribed in its anatomical structure. Such detailed descriptions may increase our understanding of the pathogenetic mechanism and possible interventions for the treatment and prevention of foot and lower leg injuries, as well as the evolution of the human foot.
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spelling doaj.art-a33774925ad14a2bab8cdb8662a3a2422022-12-21T17:25:45ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852022-02-011010.3389/fbioe.2022.800572800572Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray FluoroscopyTakuo Negishi0Shuhei Nozaki1Kohta Ito2Hiroyuki Seki3Koh Hosoda4Takeo Nagura5Nobuaki Imanishi6Masahiro Jinzaki7Naomichi Ogihara8Department of Biological Sciences, Graduate School of Science, The University of Tokyo, Tokyo, JapanDepartment of Biological Sciences, Graduate School of Science, The University of Tokyo, Tokyo, JapanGraduate School of Human Sciences, Osaka University, Suita, JapanDepartment of Orthopedic Surgery, Ogikubo Hospital, Tokyo, JapanGraduate School of Engineering Science, Osaka University, Suita, JapanDepartment of Clinical Biomechanics, Keio University School of Medicine, Tokyo, JapanDepartment of Anatomy, Keio University School of Medicine, Tokyo, JapanDepartment of Radiology, Keio University School of Medicine, Tokyo, JapanDepartment of Biological Sciences, Graduate School of Science, The University of Tokyo, Tokyo, JapanImproving our understanding on how the foot and ankle joints kinematically adapt to coronally wedged surfaces is important for clarifying the pathogenetic mechanism and possible interventions for the treatment and prevention of foot and lower leg injuries. It is also crucial to interpret the basic biomechanics and functions of the human foot that evolved as an adaptation to obligatory bipedal locomotion. Therefore, we investigated the three-dimensional (3D) bone kinematics of human cadaver feet on level (0°, LS), medially wedged (−10°, MWS), and laterally wedged (+10°, LWS) surfaces under axial loading using a biplanar X-ray fluoroscopy system. Five healthy cadaver feet were axially loaded up to 60 kg (588N) and biplanar fluoroscopic images of the foot and ankle were acquired during axial loading. For the 3D visualization and quantification of detailed foot bony movements, a model-based registration method was employed. The results indicated that the human foot was more largely deformed from the natural posture when the foot was placed on the MWS than on the LWS. During the process of human evolution, the human foot may have retained the ability to more flexibly invert as in African apes to better conform to MWS, possibly because this ability was more adaptive even for terrestrial locomotion on uneven terrains. Moreover, the talus and tibia were externally rotated when the foot was placed on the MWS due to the inversion of the calcaneus, and they were internally rotated when the foot was placed on the LWS due to the eversion of the calcaneus, owing to the structurally embedded mobility of the human talocalcaneal joint. Deformation of the foot during axial loading was relatively smaller on the MWS due to restricted eversion of the calcaneus. The present study provided new insights about kinematic adaptation of the human foot to coronally wedged surfaces that is inherently embedded and prescribed in its anatomical structure. Such detailed descriptions may increase our understanding of the pathogenetic mechanism and possible interventions for the treatment and prevention of foot and lower leg injuries, as well as the evolution of the human foot.https://www.frontiersin.org/articles/10.3389/fbioe.2022.800572/fullfoot kinematicstibio-calcaneal couplingbipedal locomotionhuman evolutioninsolesubtalar joint
spellingShingle Takuo Negishi
Shuhei Nozaki
Kohta Ito
Hiroyuki Seki
Koh Hosoda
Takeo Nagura
Nobuaki Imanishi
Masahiro Jinzaki
Naomichi Ogihara
Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
Frontiers in Bioengineering and Biotechnology
foot kinematics
tibio-calcaneal coupling
bipedal locomotion
human evolution
insole
subtalar joint
title Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
title_full Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
title_fullStr Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
title_full_unstemmed Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
title_short Three-Dimensional Innate Mobility of the Human Foot on Coronally-Wedged Surfaces Using a Biplane X-Ray Fluoroscopy
title_sort three dimensional innate mobility of the human foot on coronally wedged surfaces using a biplane x ray fluoroscopy
topic foot kinematics
tibio-calcaneal coupling
bipedal locomotion
human evolution
insole
subtalar joint
url https://www.frontiersin.org/articles/10.3389/fbioe.2022.800572/full
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