Evidence map›Paper›PMID 39985716›Full record

ArticleEuropean journal of applied physiology2025

Effect of foot position during plantarflexion on the neural drive to the gastrocnemii in runners with Achilles tendinopathy.

Gabriel L Fernandes, Lucas B R Orssatto, Anthony J Shield, Gabriel S Trajano

Abstract read
In one paragraph

Article in European journal of applied physiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Article
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

4 authors.

Gabriel L FernandesSchool of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, Australia. g2.fernandes@qut.edu.au.ORCID http://orcid.org/0000-0002-1941-3900
Lucas B R OrssattoCentre for Sensorimotor Performance, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia.ORCID http://orcid.org/0000-0003-3788-3700
Anthony J ShieldSchool of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, Australia.ORCID http://orcid.org/0000-0002-0393-2466
Gabriel S TrajanoSchool of Exercise and Nutrition Sciences, Faculty of Health, Queensland University of Technology (QUT), Brisbane, Australia.ORCID http://orcid.org/0000-0003-4667-4257

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Runners with Achilles tendinopathy have reduced neural drive to the gastrocnemius lateralis. Positioning feet-inwards (feet-in) can influence gastrocnemii activity in healthy individuals. Therefore, this study investigated if pointing (feet-in) during isometric plantarflexion would increase gastrocnemius lateralis electromyography root mean square amplitude (RMS) and motor unit discharge rates (MUDR), compared to feet-neutral (feet-neutral), in Achilles tendinopathy. High-density electromyograms were recorded from gastrocnemius lateralis and medialis, during 20-s feet-in and feet-neutral contraction, in runners with (n = 18) and without (n = 19) Achilles tendinopathy. During feet-in, gastrocnemius lateralis RMS was higher in both groups and gastrocnemius medialis RMS was lower in the Achilles tendinopathy, compared to feet-neutral. MUDR were lower during feet-in in gastrocnemius lateralis (p < 0.001) and in gastrocnemius medialis in the Achilles tendinopathy group. The Achilles tendinopathy group had lower triceps surae endurance during single leg heel raise. In summary, feet-in increases gastrocnemius lateralis RMS in both groups, conversely reducing MUDR in the Achilles tendinopathy group, compared to feet-neutral. Additionally, feet-in reduces gastrocnemius medialis RMS and MUDR only in the Achilles tendinopathy group, compared to feet-neutral. This would shift the gastrocnemius lateralis/medialis ratio excitation, favouring gastrocnemius lateralis. Nonetheless, while this strategy holds promise, it remains uncertain whether performing plantarflexion exercise with feet pointed inwards would provide additional benefits for the treatment of runners with Achilles tendinopathy. Our findings suggest that the increased gastrocnemius lateralis RMS during feet-in may not be as consequence of increased MUDR and, but it might be a result of recruitment of more motor units.

Indexed as

Achilles TendonFootMuscle, SkeletalPostureRunningTendinopathyAdultElectromyographyFemaleHumansMaleMiddle AgedAchilles tendonHD-EMGMotor unitNeural driveRunningTriceps surae

Identifiers

PMID39985716
PMCPMC12227464

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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.