Is there a linkage between the toes and ankle range of motion ? Yes.

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Toe stiffness affects gait.
Awhile back we proposed a thought experiment on toe flexion and MTP joint extension and how the 2 might conflict during toe off in gait, thus producing some flexion plastic changes in the soft tissues.


We all read about ankle rocker and, when it is impaired, how it can wreak havoc on sagittal foot-ankle and gait mechanics. When ankle rocker/dorsiflexion is limited, moving our body mass forward over the foot-ankle complex can be a challenge because we have to compensate elsewhere to move forward (putting loads in places we do not want them, or working harder in areas we don't wish to be working so hard).
This study below suggests a linkage between the toes and ankle range of motion.
The study "characterized the effects of varying toe joint stiffness across a range of different ankle joint stiffness conditions, and the effects of varying toe shape on walking biomechanics. "
As we eluded to above, the study suggests "To our surprise, we found that varying toe joint stiffness affected COM Push-off dynamics during walking as much as, or in some cases even more than, varying ankle joint stiffness. Increasing toe joint stiffness increased COM Push-off work by up to 48% (6 J), and prosthetic ankle-foot Push-off work by up to 181% (12 J)."
Follow this thought experiment:
1. So, yesterday. (Oct. 15, 2018) we proposed a thought that increased toe flexion loads during stance phase loading can impact normal metatarsophalangeal (MTP) dorsiflexion. One will find it a biomechanical challenge to extend the toe when the flexors are trying to flex (yes, eccentric contractions thus come into play in this thought experiment but here today we are referring to those who over grip/clench into toe flexion for one of a myriad of mechanical reasons we will not discuss here today).
2. Note, MTP dorsiflexion (ie, extension) is what happens at the end of ankle rocker and progression thus into heel rise.
3. Heel rise encompasses posterior compartment engagement, in which studies suggest that up to 50% of propulsion comes from the calf-posterior compartment.
4. This study today said that "varying toe joint stiffness affected COM Push-off dynamics during walking as much as, or in some cases even more than, varying ankle joint stiffness. Increasing toe joint stiffness increased COM Push-off work by up to 48% (6 J), and prosthetic anklefoot Push-off work by up to 181% (12 J)."
5. So, is it possible to suggest that plastic changes in flexor tissues, capsule, and ligaments impair MTP function, thus impairing ankle rocker, thus demanding more, and premature calf complex loading work up to 48%?
Do you have a client with toe gripping and to flexion overdrive? Do they also have a loss of ankle rocker/dorsiflexion? Loss of hip extension and gluteal activity? Low back pain? After. all, we are just moving up the posterior chain, . . . we like to say,
. . . . the load has to go somewhere and the work will have to be done somewhere.
http://iopscience.iop.org/article/10.1088/1748-3190/aadf46

Unilateral heightened toe extensor tone.

Look at this foot. What do you see ? See the asymmetry ? This is a perfect case to prove our point, for those out there that love the short foot exercise, that insist on towel scrunches, marble pick-ups, or just mere foot rolling on the ball. These things are useless in some cases, arguably to us, much of the time actually. This is about having sufficient foot integrity, normal heel rocker, ankle rocker, forefoot rocker mechanics, and especially in this case, a NORMAL balance between the long and short flexors and extensors. These 4 must work together in harmony, and this is clearly not happening on the left foot. Head on over to this Archived blog post from 2014, and learn what is wrong here. One has to understand it, to fix it. And throwing a short foot regimen, or pilates foot work at it or even more flexor tone into this foot will not fix this. Exercise prescription is supposed to be specific, not a shot gun approach of "try this exercise", lets see if it helps. A 5th grader can give that advice, sadly it is more the industry norm at times. Yes, every exercise is a test, but do not be mistaken that every test is the exercise.

https://thegaitguys.tumblr.com/post/85726861424/unilateral-heightened-toe-extensor-tone-what-do

Unilateral heightened toe extensor tone.

What do we have here ? Well, it is obvious. The left foot is showing increased short extensor tone (EDB: extensor digitorum brevis) and heightened long flexor tone (FDL: flexor digitorum longus). This is the classic pairing for hammer toe development.  We also know from this post (link) and from this post (link) that this presentation is closely related with lumbrical weakness and distal fat pad migration.

So, at an assessment took we like to play games. Mental games to be precise. When we see something like this we immediately begin the mental gyrations of “what could have caused this, and what could this in turn be causing”. Remember, what you see is often not the problem, rather your clients compensation around the problem.  In this case, what goes through your mind ?  Without deep thought, our knee jerk thoughts are:

  • possible loss of ankle rocker dorsiflexion (the increased EDB tone can be recruited to help drive more ankle dorsiflexion indirectly)
  • plantar intrinsic weakness ?
  • flip flops or slip on shoes where the heel is riding up and down inside the shoe/sloppy fit ?  (initiating a gripping response from the FDL)
  • weak tib anterior (recruiting EDB to help)
  • weak peroneus tertius (recruiting EDB again)
  • Ankle /foot instability (more FDL gripping will help gain ground purchase)
  • lateral ankle instablity (same thing, more gripping)
  • Weak gastrosoleus (since the FDL is a posterior compartment neighbor it can kick into high gear and help with posterior comparment function, we have a whole video case based around this issue, check this out ! )
  • premature departure off of the good side leg, and thus an abrupt loading response onto this affected side can challenge the frontal plane of the body and thus require more grip response at the foot level.
  • how about simple weakness of the lumbricals or FDB , the short flexors. The long flexors will have to make up for it and present like this.  
  • the list goes on and on … .

These are just some quick cursory thoughts, and by NO means a complete exhaustive list.  Just some quick thoughts.

But what about hip function ?  if ankle rocker is blocked in terminal stance and the FDL fire like this what will that do to hip extension ? Well, heel rise will be premature because of the limitation and thus hip extension will be abbreviated. Thus glute function will be impaired to a degree.  This can become a viscous cycle, each feeding off of each other.

This diagnostic stuff is a tricky and difficult game. If you think you can diagnose or fix a problem from just changing what you see you are mistaken, unless you like driving compensation patterns and future injuries into your clients.   There must be a hands on examination and assessment with an intact educated brain attached to the process.

Just some mental gymnastics for you today.  

Dr Shawn Allen, one of the gait guys