tibialis posterior การใช้

• The muscles tibialis anterior and tibialis posterior invert the foot.
• The tibialis posterior is the only muscle that attaches to the navicular bone.
• It gives attachment to an aponeurosis which separates the tibialis posterior from the soleus and flexor hallucis longus.
• As well as being a key muscle and tendon for stabilization, the tibialis posterior also contracts to produce inversion is lost.
• However, when the same subjects performed the exercise while wearing arch supporting orthotics and shoes, the tibialis posterior was selectively activated.
• It is where the tendons of the tibialis posterior and flexor digitorum longus course on their way to their insertions on the foot.
• The remaining part of the posterior surface is smooth and covered by the Tibialis posterior, Flexor digitorum longus, and Flexor hallucis longus.
• It provides motor innervation to plantaris, tibialis posterior, flexor hallucis longus, flexor digitorum longus as well as posterior muscles in the leg.
• It lies on the posterior aspect of the tibialis posterior and flexor digitorum longus muscles, and medial to the belly of flexor hallucis longus.
• Below the soleus muscle the nerve lies close to the tibia and supplies the tibialis posterior, the flexor digitorum longus and the flexor hallucis longus.
• The tendon of the tibialis posterior muscle ( sometimes called the "'posterior tibial tendon "') descends posterior to the medial cuneiform.
• The tendon of the tibialis posterior and the tendon of the flexor digitorum longus cross each other, in a spot above the medial malleolus, the crural tendinous chiasm.
• The posterior tibial artery, tibial nerve, and tendons of the tibialis posterior, flexor digitorum longus, and flexor hallucis longus muscles travel in a bundle through the tarsal tunnel.
• The surface of bone behind the groove is rough, for the attachment of the plantar calcaneocuboid ligament, a few fibers of the flexor hallucis brevis, and a fasciculus from the tendon of the tibialis posterior.
• As a result, the spring ligament and the tendon of the tibialis posterior muscle are stretched, so much so that the individual with pes planus loses the function of the medial longitudinal arch ( MLA ).
• Such discoveries suggest that the use of shoes with properly fitting, arch-supporting orthics will enhance selective activation of the tibialis posterior muscle thus, acting as an adequate treatment for the undesirable symptoms of pes planus.
• On the other side of the fascia are the tibialis posterior muscle, the flexor digitorum longus muscle, and the flexor hallucis longus muscle, along with the posterior tibial artery and posterior tibial vein and the tibial nerve.
• It marks the lower limit of the insertion of the Popliteus, serves for the attachment of the fascia covering this muscle, and gives origin to part of the Soleus, Flexor digitorum longus, and Tibialis posterior muscles.
• In a study performed to analyze the activation of the tibialis posterior muscle in adults with pes planus, it was noted that the tendon of this muscle may be dysfunctional and lead to disabling weightbearing symptoms associated with acquired flat foot deformity.
• This tendon passes behind the medial malleolus, in a groove, common to it and the tibialis posterior, but separated from the latter by a fibrous septum, each tendon being contained in a special compartment lined by a separate mucous sheath.