Effective position of the rotation axis of an ankle stretching machine and the effect of misalignment

• Published in: Journal of biomechanical science and engineering Vol. 15; no. 4; p. 20-00202
• Main Authors: Yuma SHIRAISHI, Shogo OKAMOTO, Naomi YAMADA, Koki INOUE, Yasuhiro AKIYAMA, Yoji YAMADA
• Format: Journal Article
• Language: English
• Published: The Japan Society of Mechanical Engineers 2020
• Subjects: ankle contracture; ankle stretching machine; at-home rehabilitation; rotation axis; stretching
• ISSN: 1880-9863
• DOI: 10.1299/jbse.20-00202

The mechanical rotation axes of joint exercisers are believed to operate better when they match the biomechanical axes of human joints. However, there are few studies regarding ankle stretching machines. Further, the maleffects of rotation axis misalignments are not well known. Hence, we investigate the effective positions of rotation axes for ankle stretching machines and the effects of misalignments using a pneumatic-driven stretching machine developed in our previous study (Shiraishi et al., 2020). Eight healthy young males (ages 23.3 ± 1.4 years) participated in stretching exercises while the relative positions of the rotation axes between the machine and ankle were changed via plates installed under the heel. The stretching machine dorsiflexed the feet of the participants, and the dorsiflexion angles and three-axial forces applied to the forefeet were recorded. The measured values at the maximum dorsiflexion angle were evaluated by two-way analysis of variance and/or regression analysis. We determined that the rotation axis of the machine must be placed 7 mm above the lateral ankle because the normal force applied to the forefoot and maximum dorsiflexion angle were large, whereas the friction force was moderate. Further, the relationships among the dorsiflexion angle and contact forces were investigated via covariance selection. The three-axial forces significantly decreased as the axis of the machine was lowered below the ankle. Additionally, the force normal to the sole had large positive effects on the dorsiflexion angle and friction force of the sole, which could damage the skin. The misalignment of the rotation axis increased the contact force at the sole when the axis of the machine was above the ankle or decreased the efficiency of force transmission from the stretching machine to the user’s foot when the machine’s axis was below the ankle.