Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism

Abstract This study aimed to explore the contributions of the plantar fascia and intrinsic foot muscles to medial longitudinal arch (MLA) support and the windlass mechanism under different toe extension angles in seated and single-leg standing postures. The study included 51 healthy adults (41 males...

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Main Authors: Hiroshi Shinohara, Yasuyuki Umezaki, Airi Ikeda, Takara Ikeda, Nao Tateyama
Format: Article
Language:English
Published: Nature Portfolio 2025-04-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-97477-3
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author Hiroshi Shinohara
Yasuyuki Umezaki
Airi Ikeda
Takara Ikeda
Nao Tateyama
author_facet Hiroshi Shinohara
Yasuyuki Umezaki
Airi Ikeda
Takara Ikeda
Nao Tateyama
author_sort Hiroshi Shinohara
collection DOAJ
description Abstract This study aimed to explore the contributions of the plantar fascia and intrinsic foot muscles to medial longitudinal arch (MLA) support and the windlass mechanism under different toe extension angles in seated and single-leg standing postures. The study included 51 healthy adults (41 males, 10 females; mean age: 21.3 ± 1.2 years) with no history of lower extremity injuries or pain in the past 3 months. Ultrasound elastography was used to measure the stiffness of the plantar fascia and flexor digitorum brevis under toe extension angles of 0°, 15°, 30°, and 45°. Dorsal arch height and arch height index (AHI) were evaluated to assess MLA changes. The plantar fascia and flexor digitorum brevis contributed to the windlass mechanism in the seated posture, while in the standing posture, the flexor digitorum brevis played a more pronounced role, with stiffness approximately six times greater than in the seated posture. The AHI was significantly higher in the seated posture than in the standing posture, and greater toe extension angles enhanced the windlass mechanism. These findings highlight the importance of intrinsic foot muscle training, such as towel curls, to improve MLA support and the windlass mechanism. Future studies should investigate their role in dynamic activities like walking.
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spelling doaj-art-d4d0ba6932224999beb0faa13630d6b12025-08-20T03:18:53ZengNature PortfolioScientific Reports2045-23222025-04-0115111110.1038/s41598-025-97477-3Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanismHiroshi Shinohara0Yasuyuki Umezaki1Airi Ikeda2Takara Ikeda3Nao Tateyama4Aomori University of Health and WelfareAomori University of Health and WelfareTakarazuka University of Medical and Health CareTakarazuka University of Medical and Health CareTakarazuka University of Medical and Health CareAbstract This study aimed to explore the contributions of the plantar fascia and intrinsic foot muscles to medial longitudinal arch (MLA) support and the windlass mechanism under different toe extension angles in seated and single-leg standing postures. The study included 51 healthy adults (41 males, 10 females; mean age: 21.3 ± 1.2 years) with no history of lower extremity injuries or pain in the past 3 months. Ultrasound elastography was used to measure the stiffness of the plantar fascia and flexor digitorum brevis under toe extension angles of 0°, 15°, 30°, and 45°. Dorsal arch height and arch height index (AHI) were evaluated to assess MLA changes. The plantar fascia and flexor digitorum brevis contributed to the windlass mechanism in the seated posture, while in the standing posture, the flexor digitorum brevis played a more pronounced role, with stiffness approximately six times greater than in the seated posture. The AHI was significantly higher in the seated posture than in the standing posture, and greater toe extension angles enhanced the windlass mechanism. These findings highlight the importance of intrinsic foot muscle training, such as towel curls, to improve MLA support and the windlass mechanism. Future studies should investigate their role in dynamic activities like walking.https://doi.org/10.1038/s41598-025-97477-3Windlass mechanismMedial longitudinal arch (MLA)Plantar fasciaIntrinsic foot musclesUltrasound elastography
spellingShingle Hiroshi Shinohara
Yasuyuki Umezaki
Airi Ikeda
Takara Ikeda
Nao Tateyama
Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
Scientific Reports
Windlass mechanism
Medial longitudinal arch (MLA)
Plantar fascia
Intrinsic foot muscles
Ultrasound elastography
title Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
title_full Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
title_fullStr Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
title_full_unstemmed Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
title_short Reconsideration of the load-bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
title_sort reconsideration of the load bearing functions of the plantar fascia and intrinsic foot muscles in the windlass mechanism
topic Windlass mechanism
Medial longitudinal arch (MLA)
Plantar fascia
Intrinsic foot muscles
Ultrasound elastography
url https://doi.org/10.1038/s41598-025-97477-3
work_keys_str_mv AT hiroshishinohara reconsiderationoftheloadbearingfunctionsoftheplantarfasciaandintrinsicfootmusclesinthewindlassmechanism
AT yasuyukiumezaki reconsiderationoftheloadbearingfunctionsoftheplantarfasciaandintrinsicfootmusclesinthewindlassmechanism
AT airiikeda reconsiderationoftheloadbearingfunctionsoftheplantarfasciaandintrinsicfootmusclesinthewindlassmechanism
AT takaraikeda reconsiderationoftheloadbearingfunctionsoftheplantarfasciaandintrinsicfootmusclesinthewindlassmechanism
AT naotateyama reconsiderationoftheloadbearingfunctionsoftheplantarfasciaandintrinsicfootmusclesinthewindlassmechanism