Achilles tendon length has been measured using a straight‐line model. However, this model is associated with a greater measurement error compared with a curved‐line model. Therefore, we examined the influence of neglecting the curved path of the Achilles tendon on its length change at various ranges of motion. Ten male subjects participated in this study. First, the location of the Achilles tendon was confirmed by using ultrasonography, and markers were attached on the skin over the Achilles tendon path. Then, the three‐dimensional coordinates of each marker at dorsiflexion (DF) 15°, plantarflexion (PF) 0°, PF15°, and PF30° were obtained. Achilles tendon length in the curved‐line model was calculated as the sum of the distances among each marker. On the other hand, Achilles tendon length in the straight‐line model was calculated as the straight distance between the two most proximal and distal markers projected onto the sagittal plane. The difference of the Achilles tendon length change between curved‐line and straight‐line models was calculated by subtracting the Achilles tendon length change obtained in curved‐line model from that obtained in straight‐line model with three different ranges of motion (i.e., PF0°, PF15°, and PF30° from DF15°, respectively). As a result, the difference in Achilles tendon length change between the two models increased significantly as the range of motion increased. In conclusion, neglecting the curved path of the Achilles tendon induces substantial overestimation of its length change when the extent of ankle joint angle change is large.
The moment arm of muscle‐tendon force is a key parameter for calculating muscle and tendon properties. The tendon excursion method was used for determining the Achilles tendon moment arm (ATMA). However, the accuracy of this method remains unclear. This study aimed to investigate the magnitude of error introduced in determining the ATMA using the tendon excursion method by comparing it with the reference three‐dimensional (3D) method. The tendon excursion method determined the ATMA as the ratio between the Achilles tendon displacement during foot rotation from 15° of dorsiflexion to 15° of plantarflexion and the joint rotation angle. A series of foot images was obtained at 15° of dorsiflexion, the neutral position, and 15° of plantarflexion. The 3D value of the ATMA was determined as the shortest distance between the talocrural joint axis and the line of action of the Achilles tendon force. The ATMA determined by the tendon excursion method was smaller by 3.8 mm than that determined using the 3D method. This error may be explained mainly by the length change in the Achilles tendon due to the change in the force applied to it, as passive plantarflexion torque was different by 11 Nm between 15° of dorsiflexion and 15° of plantarflexion. Furthermore, the ATMAs determined using the 3D and tendon excursion methods were significantly correlated but the coefficient of determination was not large (R
2 = 0.352). This result suggests that the tendon excursion method may not be feasible to evaluate the individual variability of the ATMA.
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