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The '''Tibialis anterior''' (Tibialis anticus) is situated on the '''lateral side of the tibia'''; it is thick and fleshy above, '''tendinous below'''. The fibers run vertically downward, and end in a tendon, which is apparent on the anterior surface of the muscle at the lower third of the leg. This muscle overlaps the anterior tibial vessels and deep peroneal nerve in the upper part of the leg.
The '''Tibialis anterior''' (Tibialis anticus) is situated on the '''lateral side of the tibia'''; it is thick and fleshy above, '''tendinous below'''. The fibers run vertically downward, and end in a tendon, which is apparent on the anterior surface of the muscle at the lower third of the leg. This muscle overlaps the anterior tibial vessels and deep peroneal nerve in the upper part of the leg.


''Variations.''—A deep portion of the muscle is rarely inserted into the talus, or a tendinous slip may pass to the head of the first metatarsal bone or the base of the first phalanx of the great toe. The Tibiofascialis anterior, a small muscle from the lower part of the tibia to the transverse or cruciate crural ligaments or deep fascia.Drake R, Vogl W, Mitchell AWM 2004 Gray’s Anatomy for Students. Edinburgh: Churchill Livingstone.
''Variations.''—A deep portion of the muscle is rarely inserted into the talus, or a tendinous slip may pass to the head of the first metatarsal bone or the base of the first phalanx of the great toe. The Tibiofascialis anterior, a small muscle from the lower part of the tibia to the transverse or cruciate crural ligaments or deep fascia.name=":0">Drake R, Vogl W, Mitchell AWM 2004 Gray’s Anatomy for Students. Edinburgh: Churchill Livingstone.


=== Origin ===
=== Origin===


It arises from:
It arises from:


*Lateral condyle and upper half or two-thirds of the lateral surface of the body of the tibia;
*Lateral condyle and upper half or two-thirds of the lateral surface of the body of the tibia;
*Adjoining part of theinterosseousmembrane;
*Adjoining part of theinterosseou
*smembrane;
*Deep surface of the fascia;
*Deep surface of the fascia;
*Intermuscular septum between it and the Extensor digitorum longus.
*Intermuscular septum between it and the Extensor digitorum longus.
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=== Insertion ===
=== Insertion ===


Medial and under surface of the first cuneiform bone, and the base of the first metatarsal bone.
Medial and under surface of the first cuneiform bone, and the base of the first metatarsal bone.


=== Nerve ===
=== Nerve ===


Deep Pereonal Nerve (L4, '''L5''', S1)
Deep Pereonal Nerve (L4, '''L5''', S1)


=== Artery ===
=== Artery ===


Anterior Tibial Artery
Anterior Tibial Artery


= Function =
= Function =


*Dorsal Flexionof the [[Ankle & Foot|ankle]],
*Tibialis anterior is the primary dorsiflexor nof the [[Ankle & Foot|ankle]] with synergistic action of [[Extensor Hallucis Longus|extensor hallicus longus]],extensor digitorium longus and peroneous tertius.
*Inversion of the foot
*Inversion of the foot.
*Adduction of the foot
*Adduction of the foot.
*Contributor of maintaining the medial arch of the footPasqualino A., Panattoni G.L. 2002 Anatomia Umana. Utet
*Contributor of maintaining the medial arch of the foot.Pasqualino A., Panattoni G.L. 2002 Anatomia Umana. Utet>
*At anticipatory postural adjustment (APA) phase during gait initiation tibialis anterior favor knee flexion at the stance limb by causing forward displacement of tibia.Jean LH, Marco S, Oscar C , Manh CD. The Neuro-Mechanical Processes That Underlie Goal-Directed Medio-Lateral APA during Gait Initiation. Frontiers Human Neuroscience. August 2016
*Eccentric deceleration of foot planterflexion and eversion and foot pronation.
=== Integreated anatomy ===
胫骨前是肌肉往往之一to be inhibited and underactiveAdvantage strength. Therapy Thursday: You’ve been crossed over. Available from: http://advantagestrength.com/therapy-thursday-youve-been-crossed-over/ (24JULY 2019)
this leads to overactive of synergestic muscles; [[Extensor Hallucis Longus|extensor hallicus longus]], extensor digitorium longus and peroneous tertius.
At people with inhibited or weak Tibialis anterior as people with hemiplegia or parkinsonsm they will have an abnormality in their anticipatory postural adjustment (APA) phase during gait initiation at their affected limb and they will try to compensate weakness of Tibialis anterior by overacting of the contralateral [[Tensor Fascia Lata|tensor fascia latae]] (TFL)>


==Video==
==Video==
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=== Palpation ===
=== Palpation ===


The client is supine. Place yourresistencehand on the medial side of the distal foot.
The client is supine. Place yourresistancehand on the medial side of the distal foot.


Resist the client from dorsiflexing and inverting the foot. Look the distal tendon of the tibialis anterior on the medial side of the ankle joint and foot; it is usually visible.
Resist the client from dorsiflexing and inverting the foot. Look the distal tendon of the tibialis anterior on the medial side of the ankle joint and foot; it is usually visible.


Palpate the distal tendon by strummingperpendiculaacross it. Continue palpating the tibialis anterior proximally to lateral tibial condyle by strumming perpendicular to the fibers.
Palpate the distal tendon by strummingperpendicularacross it. Continue palpating the tibialis anterior proximally to lateral tibial condyle by strumming perpendicular to the fibers.


Once the tibialis anterior has been located, have the client relax it and palpate to asses its baseline tone.Joseph E. Muscolino, 2011 Know the Body: Muscle, Bone, and Palpation Essentials. Mosby 1st Edition
Once the tibialis anterior has been located, have the client relax it and palpate to asses its baseline tone.Joseph E. Muscolino, 2011 Know the Body: Muscle, Bone, and Palpation Essentials. Mosby 1st Edition
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=== Strengthening ===
=== Strengthening ===


{{#ev:youtube|dG0uWjEviCs|300}} eHowFitness. Tibialis Anterior Exercises With Resistance Bands: Spice Up Your Workout Routine. Available from: https://youtu.be/dG0uWjEviCs
{{#ev:youtube|dG0uWjEviCs|300}} eHowFitness. Tibialis Anterior Exercises With Resistance Bands: Spice Up Your Workout Routine. Available from: https://youtu.be/dG0uWjEviCs


=== Stretching ===
=== Stretching ===


{{#ev:youtube|RgQOjtm9POw|300}} Jason Craig. Tibialis Anterior Stretching. Available from: https://youtu.be/RgQOjtm9POw
{{#ev:youtube|RgQOjtm9POw|300}} Jason Craig. Tibialis Anterior Stretching. Available from: https://youtu.be/RgQOjtm9POw


=== Dry Needling ===
=== Dry Needling ===


{{#ev:youtube|PLcgyu9cNJiqkby3RBT7PmLwOXbpR3uKLI|300}} Tim Trevail. Dry Needling: Tibialis Anterior. Available from: https://youtu.be/RmPU0pT8I0g
{{#ev:youtube|PLcgyu9cNJiqkby3RBT7PmLwOXbpR3uKLI|300}} Tim Trevail. Dry Needling: Tibialis Anterior. Available from: https://youtu.be/RmPU0pT8I0g




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[[Category:Anatomy]] [[Category:Muscles]] [[Category:Musculoskeletal/Orthopaedics]]
[[Category:Anatomy]]
[[Category:Muscles]]
[[Category:Musculoskeletal/Orthopaedics]]

Revision as of 04:09, 24 July 2019

起源al Editor- Daniele Barilla

Top Contributors-Daniele Barilla,Joao Costa,Kim Jackson,Ahmed Nasr,Nikhil Benhur Abburi,George Prudden,Evan Thomas,Oyemi Sillo,WikiSysopandSimisola Ajeyalemi;

Tibial anterior far.png

Description
Tibialis anterior close.png
[edit|edit source]

TheTibialis anterior(Tibialis anticus) is situated on thelateral side of the tibia; it is thick and fleshy above,tendinous below. The fibers run vertically downward, and end in a tendon, which is apparent on the anterior surface of the muscle at the lower third of the leg. This muscle overlaps the anterior tibial vessels and deep peroneal nerve in the upper part of the leg.

Variations.—A deep portion of the muscle is rarely inserted into the talus, or a tendinous slip may pass to the head of the first metatarsal bone or the base of the first phalanx of the great toe. The Tibiofascialis anterior, a small muscle from the lower part of the tibia to the transverse or cruciate crural ligaments or deep fascia.[1]

起源[1][edit|edit source]

It arises from:

  • Lateral condyle and upper half or two-thirds of the lateral surface of the body of the tibia;
  • Adjoining part of the interosseou
  • s membrane;
  • Deep surface of the fascia;
  • Intermuscular septum between it and the Extensor digitorum longus.

插入[edit|edit source]

Medial and under surface of the first cuneiform bone, and the base of the first metatarsal bone.[1]

Nerve[edit|edit source]

Deep Pereonal Nerve (L4,L5, S1)[1]

Artery[edit|edit source]

Anterior Tibial Artery[1]

Function[edit|edit source]

  • Tibialis anterior is the primary dorsiflexor n of theanklewith synergistic action ofextensor hallicus longus, extensor digitorium longus and peroneous tertius.
  • Inversion of the foot.
  • Adduction of the foot.
  • Contributor of maintaining the medial arch of the foot.[2]
  • At anticipatory postural adjustment (APA) phase during gait initiation tibialis anterior favor knee flexion at the stance limb by causing forward displacement of tibia.[3]
  • Eccentric deceleration of foot planterflexion and eversion and foot pronation.

Integreated解剖学[edit|edit source]

胫骨前是肌肉往往之一to be inhibited and underactive[4]this leads to overactive of synergestic muscles;extensor hallicus longus, extensor digitorium longus and peroneous tertius.

At people with inhibited or weak Tibialis anterior as people with hemiplegia or parkinsonsm they will have an abnormality in their anticipatory postural adjustment (APA) phase during gait initiation at their affected limb and they will try to compensate weakness of Tibialis anterior by overacting of the contralateraltensor fascia latae(TFL)[3]

Video[edit|edit source]

Clinical relevance[edit|edit source]

Pain along the path of this muscle is often referred to as "Shin splints". Also calledmedial tibial stress syndrome(MTSS)

Assessment[edit|edit source]

Palpation[edit|edit source]

The client is supine. Place your resistance hand on the medial side of the distal foot.

Resist the client from dorsiflexing and inverting the foot. Look the distal tendon of the tibialis anterior on the medial side of the ankle joint and foot; it is usually visible.

Palpate the distal tendon by strumming perpendicular across it. Continue palpating the tibialis anterior proximally to lateral tibial condyle by strumming perpendicular to the fibers.

Once the tibialis anterior has been located, have the client relax it and palpate to asses its baseline tone.[5]

Power[edit|edit source]

The action of the tibialis anterior muscle is considerably superior that others three dorsal flextor muscles of the foot, both for the size and for its function that affects the entire foot.[6]

Treatment[edit|edit source]

Strengthening[edit|edit source]

[7]

Stretching[edit|edit source]

[8]

Dry Needling[edit|edit source]

[9]


See also[edit|edit source]

Shin Splints
Ankle and Foot
Strength


References[edit|edit source]

  1. ↑1.01.11.21.31.4Drake R, Vogl W, Mitchell AWM 2004 Gray’s Anatomy for Students. Edinburgh: Churchill Livingstone.
  2. ↑Pasqualino A., Panattoni G.L. 2002 Anatomia Umana. Utet
  3. ↑3.03.1Jean LH, Marco S, Oscar C , Manh CD. The Neuro-Mechanical Processes That Underlie Goal-Directed Medio-Lateral APA during Gait Initiation. Frontiers Human Neuroscience. August 2016
  4. ↑Advantage strength. Therapy Thursday: You’ve been crossed over. Available from:http://advantagestrength.com/therapy-thursday-youve-been-crossed-over/(24JULY 2019)
  5. ↑Joseph E. Muscolino, 2011 Know the Body: Muscle, Bone, and Palpation Essentials. Mosby 1st Edition
  6. ↑Pirola V. 2004 Cinesiologia. Edi-Ermes
  7. ↑eHowFitness. Tibialis Anterior Exercises With Resistance Bands: Spice Up Your Workout Routine. Available from:https://youtu.be/dG0uWjEviCs
  8. ↑Jason Craig. Tibialis Anterior Stretching. Available from:https://youtu.be/RgQOjtm9POw
  9. ↑Tim Trevail. Dry Needling: Tibialis Anterior. Available from:https://youtu.be/RmPU0pT8I0g


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