Intrinsic ankle stiffness during standing increases with ankle torque and passive stretch of the Achilles tendon

PLoS One. 2018 Mar 20;13(3):e0193850. doi: 10.1371/journal.pone.0193850. eCollection 2018.

Abstract

Individuals may stand with a range of ankle angles. Furthermore, shoes or floor surfaces may elevate or depress their heels. Here we ask how these situations impact ankle stiffness and balance. We performed two studies (each with 10 participants) in which the triceps surae, Achilles tendon and aponeurosis were stretched either passively, by rotating the support surface, or actively by leaning forward. Participants stood freely on footplates which could rotate around the ankle joint axis. Brief, small stiffness-measuring perturbations (<0.7 deg; 140 ms) were applied at intervals of 4-5 s. In study 1, participants stood at selected angles of forward lean. In study 2, normal standing was compared with passive dorsiflexion induced by 15 deg toes-up tilt of the support surface. Smaller perturbations produced higher stiffness estimates, but for all perturbation sizes stiffness increased with active torque or passive stretch. Sway was minimally affected by stretch or lean, suggesting that this did not underlie the alterations in stiffness. In quiet stance, maximum ankle stiffness is limited by the tendon. As tendon strain increases, it becomes stiffer, causing an increase in overall ankle stiffness, which would explain the effects of leaning. However, stiffness also increased considerably with passive stretch, despite a modest torque increase. We discuss possible explanations for this increase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Achilles Tendon / physiology*
  • Adult
  • Ankle Joint / physiology*
  • Elasticity* / physiology
  • Electromyography
  • Female
  • Humans
  • Male
  • Middle Aged
  • Muscle, Skeletal / physiology
  • Physical Stimulation
  • Posture / physiology*
  • Rotation
  • Torque
  • Young Adult

Associated data

  • figshare/5692852
  • figshare/5692933

Grants and funding

This work was funded by a grant from the Biotechnology and Biological Sciences Research Council (BB/LO2103X/1), and also a PhD scholarship for Research Excellence for Brazilian students from the University of Birmingham PhD Scholarship for Research Excellence from Brazil to Dr. Sakanaka. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. There was no additional external funding received for this study.