Alessandra Margaria
Impact of Active Ankle Foot Orthoses on Muscle Activation and Achilles Tendon Unloading: A Musculoskeletal Modeling Study.
Rel. Danilo Demarchi, Paolo Bonato, Michele Kanhonou, Giulia Corniani. Politecnico di Torino, Corso di laurea magistrale in Ingegneria Biomedica, 2024
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Abstract
The Triceps Surae muscles, comprising Soleus, Gastrocnemius Medialis and Lateralis, are located in the posterior compartment of the lower limb and are responsible for the plantar flexion of the foot. These muscles are linked to the calcaneus bone through the Achilles Tendon (AT), the thickest and strongest tendon in the human body. During the late-stance and push-off phases of the gait cycle, these muscles contract and generate high forces acting on the tendon that, despite its size and strength, often get injured. Injuries to the AT, like inflammation or rupture, are common, particularly among athletes, and evidence reported long-term effects and many bio-mechanical deficits in the post-surgery period.
Despite the lack of extensive scientific evidence on optimized rehabilitation programs after experiencing an AT injury, traditional ankle immobilization, while intended for healing, can lead to muscle atrophy, thrombosis events, and decreased muscle-tendon units’ functionality
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