The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.

The original windlass mechanism describes a one-to-one coupling between metatarsal joint dorsiflexion and medial longitudinal arch rise. The description assumes a sufficiently stiff plantar aponeurosis and absence of foot muscle activity. However, recent research calls for a broader interpretation o...

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Main Authors: Freddy Sichting, Florian Ebrecht
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0249965
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author Freddy Sichting
Florian Ebrecht
author_facet Freddy Sichting
Florian Ebrecht
author_sort Freddy Sichting
collection DOAJ
description The original windlass mechanism describes a one-to-one coupling between metatarsal joint dorsiflexion and medial longitudinal arch rise. The description assumes a sufficiently stiff plantar aponeurosis and absence of foot muscle activity. However, recent research calls for a broader interpretation of the windlass mechanism that accounts for an extensible plantar aponeurosis and active foot muscles. In this study, we investigate the rise of the arch in response to toe dorsiflexion when sitting, standing, and walking to discuss the windlass mechanism's contributions in static and dynamic load scenarios. 3D motion analysis allowed a kinematic investigation of the rise and drop of the arch relative to the extent of toe dorsiflexion. The results suggest that static windlass effects poorly predict the relationship between arch dynamics and metatarsophalangeal joint motion during dynamic load scenarios, such as walking. We were able to show that toe dorsiflexion resulted in an immediate rise of the longitudinal arch during sitting and standing. In contrast, a decrease in arch height was observed during walking, despite toe dorsiflexion at the beginning of the push-off phase. Further, the longitudinal arch rose almost linearly with toe dorsiflexion in the static loading scenarios, while the dynamic load scenario revealed an exponential rise of the arch. In addition to that, the rate of change in arch height relative to toe motion was significantly lower when sitting and standing compared to walking. Finally, and most surprisingly, arch rise was found to correlate with toe dorsiflexion only in the dynamic loading scenario. These results challenge the traditional perspective of the windlass mechanism as the dominating source of foot rigidity for push-off against the ground during bipedal walking. It seems plausible that other mechanisms besides the windlass act to raise the foot arch.
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spelling doaj.art-d620ee2356dc491fb442ca1ade2ea3442022-12-21T18:02:05ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01164e024996510.1371/journal.pone.0249965The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.Freddy SichtingFlorian EbrechtThe original windlass mechanism describes a one-to-one coupling between metatarsal joint dorsiflexion and medial longitudinal arch rise. The description assumes a sufficiently stiff plantar aponeurosis and absence of foot muscle activity. However, recent research calls for a broader interpretation of the windlass mechanism that accounts for an extensible plantar aponeurosis and active foot muscles. In this study, we investigate the rise of the arch in response to toe dorsiflexion when sitting, standing, and walking to discuss the windlass mechanism's contributions in static and dynamic load scenarios. 3D motion analysis allowed a kinematic investigation of the rise and drop of the arch relative to the extent of toe dorsiflexion. The results suggest that static windlass effects poorly predict the relationship between arch dynamics and metatarsophalangeal joint motion during dynamic load scenarios, such as walking. We were able to show that toe dorsiflexion resulted in an immediate rise of the longitudinal arch during sitting and standing. In contrast, a decrease in arch height was observed during walking, despite toe dorsiflexion at the beginning of the push-off phase. Further, the longitudinal arch rose almost linearly with toe dorsiflexion in the static loading scenarios, while the dynamic load scenario revealed an exponential rise of the arch. In addition to that, the rate of change in arch height relative to toe motion was significantly lower when sitting and standing compared to walking. Finally, and most surprisingly, arch rise was found to correlate with toe dorsiflexion only in the dynamic loading scenario. These results challenge the traditional perspective of the windlass mechanism as the dominating source of foot rigidity for push-off against the ground during bipedal walking. It seems plausible that other mechanisms besides the windlass act to raise the foot arch.https://doi.org/10.1371/journal.pone.0249965
spellingShingle Freddy Sichting
Florian Ebrecht
The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
PLoS ONE
title The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
title_full The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
title_fullStr The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
title_full_unstemmed The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
title_short The rise of the longitudinal arch when sitting, standing, and walking: Contributions of the windlass mechanism.
title_sort rise of the longitudinal arch when sitting standing and walking contributions of the windlass mechanism
url https://doi.org/10.1371/journal.pone.0249965
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