Cooperative Control for Knee Joint Flexion-Extension Movement Restoration

2018 ◽  
Author(s):  
Mohamed Amine Alouane ◽  
Hala Rifai ◽  
Yacine Amirat ◽  
Samer Mohammed
Keyword(s):  
Knee Joint ◽  
Cooperative Control ◽  
Flexion Extension ◽  
Joint Flexion

scholarly journals The Effects of External Loads and Muscle Forces on the Knee Joint Ligaments during Walking: A Musculoskeletal Model Study

2021 ◽  
Vol 11 (5) ◽  
pp. 2356
Author(s):  
Carlo Albino Frigo ◽  
Lucia Donno
Keyword(s):  
Knee Joint ◽  
Cruciate Ligament ◽  
Musculoskeletal Model ◽  
Optimization Approach ◽  
Muscle Forces ◽  
Collateral Ligaments ◽  
Flexion Extension ◽  
Lateral Collateral Ligaments ◽  
Gastrocnemius Muscles ◽  
External Loads

A musculoskeletal model was developed to analyze the tensions of the knee joint ligaments during walking and to understand how they change with changes in the muscle forces. The model included the femur, tibia, patella and all components of cruciate and collateral ligaments, quadriceps, hamstrings and gastrocnemius muscles. Inputs to the model were the muscle forces, estimated by a static optimization approach, the external loads (ground reaction forces and moments) and the knee flexion/extension movement corresponding to natural walking. The remaining rotational and translational movements were obtained as a result of the dynamic equilibrium of forces. The validation of the model was done by comparing our results with literature data. Several simulations were carried out by sequentially removing the forces of the different muscle groups. Deactivation of the quadriceps produced a decrease of tension in the anterior cruciate ligament (ACL) and an increase in the posterior cruciate ligament (PCL). By removing the hamstrings, the tension of ACL increased at the late swing phase, while the PCL force dropped to zero. Specific effects were observed also at the medial and lateral collateral ligaments. The removal of gastrocnemius muscles produced an increase of tension only on PCL and lateral collateral ligaments. These results demonstrate how musculoskeletal models can contribute to knowledge about complex biomechanical systems as the knee joint.

Modeling the resistance mechanism of passive knee joint flexion and extension for use in rehabilitation equipment

2021 ◽  
pp. 095441192199013
Author(s):  
Mansoor Amiri ◽  
Farhad Tabatabai Ghomsheh ◽  
Farshad Ghazalian
Keyword(s):  
Knee Joint ◽  
Sagittal Plane ◽  
Resistance Mechanism ◽  
Time Dependent ◽  
Coefficient Of Determination ◽  
Joint Movement ◽  
Elastic Coefficient ◽  
Knee Movement ◽  
Joint Flexion ◽  
Flexion And Extension

The purpose of this study was to model the resistance mechanism of Passive Knee Joint Flexion and Extension to create a similar torque mechanism in rehabilitation equipment. In order to better model the behavior of passive knee tissues, it is necessary to exactly calculate the two coefficients of elasticity of time-independent and time-dependent parts. Ten healthy male volunteers (mean height 176.4+/−4.59 cm) participated in this study. Passive knee joint flexion and extension occurred at velocities of 15, 45, and 120 (degree/s), and in five consecutive cycles and within the range of 0 to 100° of knee movement on the sagittal plane on Cybex isokinetic dynamometer. To ensure that the muscles were relaxed, the electrical activity of knee muscles was recorded. The elastic coefficient, (KS) increased with elevating the passive velocity in flexion and extension. The elastic coefficient, (KP) was observed to grow with the passive velocity increase. While, the viscous coefficient (C) diminished with passive velocity rise in extension and flexion. The heightened passive velocity of the motion resulted in increased hysteresis (at a rate of 42%). The desired of passive velocity is lower so that there is less energy lost and the viscoelastic resistance of the tissue in the movement decreases. The Coefficient of Determination, R2 between the model-responses and experimental curves in the extension was 0.96 < R2 < 0.99 and in flexion was 0.95 < R2 < 0.99. This modeling is capable of predicting the true performance of the components of passive knee movement and we can create a resistance mechanism in the rehabilitation equipment to perform knee joint movement. Quantitative measurements of two elastic coefficients of Time-independent and Time-dependent parts passive knee joint coefficients should be used for better accurate simulation the behavior of passive tissues in the knee which is not seen in other studies.

A New Load Application System for In Vitro Study of Ligamentous Injuries to the Human Knee Joint

1995 ◽  
Vol 117 (4) ◽  
pp. 373-382 ◽  
Author(s):  
J. M. Bach ◽  
M. L. Hull
Keyword(s):  
Knee Joint ◽  
Degree Of Freedom ◽  
Load Application ◽  
Accuracy Evaluation ◽  
Application System ◽  
Human Knee ◽  
Human Knee Joint ◽  
Flexion Extension ◽  
External Loads

This paper describes the design and accuracy evaluation of a new six degree of freedom load application system for in vitro testing of the human knee joint. External loads of both polarity in all six degrees of freedom can be applied either individually or in any combination while the knee is permitted to move unconstrained in response to applied loads. The flexion/extension degree of freedom permits the full physiological range of motion. In addition to external loads, forces of the three major muscle groups (quadriceps, hamstrings, gastrocnemius) crossing the joint can be developed. Full automation and rapid convergence of loads to programmed values are achieved through a computer which feeds command signals to servo controller/electro-pneumatic servo valves. The servo valves regulate pressure to pneumatic actuators which develop the various loads. Experiments undertaken to quantify the accuracy of both load and displacement measurements reveal that errors particularly in load measurement are effectively controlled through the apparatus design.

scholarly journals Physiological Gait versus Gait in VR on Multidirectional Treadmill—Comparative Analysis

Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 517 ◽  
Author(s):  
Katarzyna Jochymczyk-Woźniak ◽  
Katarzyna Nowakowska ◽  
Jacek Polechoński ◽  
Sandra Sładczyk ◽  
Robert Michnik
Keyword(s):  
Comparative Analysis ◽  
Knee Joint ◽  
Hip Joint ◽  
Pelvic Tilt ◽  
Plantar Flexion ◽  
Center Of Mass ◽  
The Body ◽  
Joint Rotation ◽  
Active Motion ◽  
Flexion Extension

Background and objectives: Virtual reality (VR) is increasingly often finding applications in physiotherapy and health promotion. Recent years have seen the use of advanced technologies in the promotion of physical activity (PA) in society. New simulators, e.g., treadmills, enable the performance of PA (e.g., locomotive movements) in VR (artificially created virtual world). The question of how such movements are similar to natural forms of human locomotion (march, run) inspired the comparative analysis of physiological gait and gait in VR on a multidirectional Omni treadmill. Materials and Methods: The tests involved the use of the BTS Smart system for the triplanar analysis of motion. The test involved 10 healthy females aged 20–24 (weight: 52 ± 3.1 kg, height 162 ± 5.4 cm). Measurements were performed at two stages. The first stage involved the standard assessment of physiological gait, whereas the second was focused on gait forced by the Omni treadmill. The following gait parameters were analyzed: Flexion-extension in the ankle, knee joint and hip joint, rotation in the hip joint and knee joint, foot progression, adduction-abduction in the knee joint and hip joint, pelvic obliquity, pelvic tilt, pelvic rotation as well as energy expenditure and the movement of the body center of mass. Results: The analysis of the test results revealed the existence of differences in the kinematics of physical gait and gait on the treadmill. The greatest differences were recorded in relation to the dorsal-plantar flexion in the ankle, the foot progression, the rotation of the knee joint, pelvic tilt and rotation. In addition, the gait on the treadmill is characterized by the longer duration of the stance phase and reduced ranges of the following movements: Flexion-extension in the ankle, knee joint and hip joint, adduction-abduction in the hip joint as well as rotation in the ankle and hip joint. The values of potential, kinetic and total energy recorded in relation to forced gait are significantly lower than those of physiological gait. Conclusions: Because of the fact that the parameters of gait on the Omni platform vary significantly from the parameters of physical gait, the application of the Omni treadmill in the re-education of gait during rehabilitation should be treated with considerable care. Nonetheless, the treadmill has adequate potential to become a safe simulator enabling active motion in VR using locomotive movements.

Measurement of perioperative flexion-extension mechanics of the knee joint

2001 ◽  
Vol 16 (7) ◽  
pp. 877-881 ◽  
Author(s):  
Nicholas J. Giori ◽  
Kathy L. Giori ◽  
Steven T. Woolson ◽  
Stuart B. Goodman ◽  
John V. Lannin ◽  
...  
Keyword(s):  
Knee Joint ◽  
Flexion Extension

A Three-Dimensional Dynamic Finite Element Model of the Prosthetic Knee Joint: Simulation of Joint Laxity and Kinematics

2005 ◽  
Vol 219 (6) ◽  
pp. 415-424 ◽  
Author(s):  
M Barink ◽  
A van Kampen ◽  
M de Waal Malefijt ◽  
N Verdonschot
Keyword(s):  
Finite Element ◽  
Knee Joint ◽  
Finite Element Model ◽  
Mathematical Formulation ◽  
Three Dimensional ◽  
Element Model ◽  
Joint Kinematics ◽  
Published Data ◽  
Dynamic Finite Element ◽  
Flexion Extension

For testing purposes of prostheses at a preclinical stage, it is very valuable to have a generic modelling tool, which can be used to optimize implant features and to avoid poor designs being launched on to the market. The modelling tool should be fast, efficient, and multipurpose in nature; a finite element model is well suited to the purpose. The question posed in this study was whether it was possible to develop a mathematically fast and stable dynamic finite element model of a knee joint after total knee arthroplasty that would predict data comparable with published data in terms of (a) laxities and ligament behaviour, and (b) joint kinematics. The soft tissue structures were modelled using a relatively simple, but very stable, composite model consisting of a band reinforced with fibres. Ligament recruitment and balancing was tested with laxity simulations. The tibial and patellar kinematics were simulated during flexion-extension. An implicit mathematical formulation was used. Joint kinematics, joint laxities, and ligament recruitment patterns were predicted realistically. The kinematics were very reproducible and stable during consecutive flexion-extension cycles. Hence, the model is suitable for the evaluation of prosthesis design, prosthesis alignment, ligament behaviour, and surgical parameters with respect to the biomechanical behaviour of the knee.

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