Evidence map›Paper›PMID 31530823›Full record

ArticleScientific reports2019

Shear Wave Predictions of Achilles Tendon Loading during Human Walking.

Emily M Keuler, Isaac F Loegering, Jack A Martin, Joshua D Roth, Darryl G Thelen

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Achilles Tendon Shear Wave Velocity Within a 1-Year Follow-Up After Non-Operatively Treated Rupture.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Adjacent tissues modulate shear wave propagation in axially loaded tendons.Journal of the mechanical behavior of biomedical materials · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Atypical triceps surae force and work patterns underlying gait in children with cerebral palsy.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2022
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emily M KeulerDepartment of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Isaac F LoegeringDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Jack A MartinDepartment of Materials Science and Engineering, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Joshua D RothDepartment of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Darryl G ThelenDepartment of Mechanical Engineering, University of Wisconsin-Madison, Madison, WI, 53706, USA. dgthelen@wisc.edu.

Funding

Biology of Aging and Age-Related Diseases Training GrantT32AG000213 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI Rozalyn M. Anderson, Sanjay Asthana · 1991 to 2026
$9.9M
Influence of Age-Related Changes in Tendon on Motor PerformanceR01AG051748 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI BLEMKER, SILVIA SALINAS, THELEN, DARRYL G · 2016 to 2020
$1.8M
Noninvasive assessment of in vivo tissue loads to enhance the treatment of gait disordersR01HD092697 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI THELEN, DARRYL G · 2017 to 2021
$1.6M
NIA NIH HHS R01 AG051748NIA NIH HHS T32 AG000213NICHD NIH HHS R01 HD092697
6 · The paper itself

Abstract

The evaluation of in vivo muscle-tendon loads is fundamental to understanding the actuation of normal and pathological human walking. However, conventional techniques for measuring muscle-tendon loads in the human body are too invasive for use in gait analysis. Here, we demonstrate the use of noninvasive measures of shear wave propagation as a proxy for Achilles tendon loading during walking. Twelve healthy young adults performed isometric ankle plantarflexion on a dynamometer. Achilles tendon wave speed, tendon moment arms, tendon cross-sectional area and ankle torque were measured. We first showed that the linear relationship between tendon stress and wave speed squared can be calibrated from isometric tasks. There was no significant effect of knee angle, ankle angle or loading rate on the subject-specific calibrations. Calibrated shear wave tensiometers were used to estimate Achilles tendon loading when walking at speeds ranging from 1 to 2 m/s. Peak tendon stresses during pushoff increased from 41 to 48 MPa as walking speed was increased, and were comparable to estimates from inverse dynamics. The tensiometers also detected Achilles tendon loading of 4 to 7 MPa in late swing. Late swing tendon loading was not discernible in the inverse dynamics estimates, but did coincide with passive stretch of the gastrocnemius muscle-tendon units. This study demonstrates the capacity to use calibrated shear wave tensiometers to evaluate tendon loading in locomotor tasks. Such technology could prove beneficial for identifying the muscle actions that underlie subject-specific movement patterns.

Indexed as

Achilles TendonBiomechanical PhenomenaCalibrationFemaleHealthy VolunteersHumansMaleMonitoring, PhysiologicPostureShear StrengthWalkingYoung Adult

Identifiers

PMID31530823
PMCPMC6748912

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.