scholarly journals Peak hip and knee joint moments during a sit-to-stand movement are invariant to the change of seat height within the range of low to normal seat height

2014 ◽  
Vol 13 (1) ◽  
pp. 27 ◽  
Author(s):  
Shinsuke Yoshioka ◽  
Akinori Nagano ◽  
Dean C Hay ◽  
Senshi Fukashiro
2007 ◽  
Vol 22 (7) ◽  
pp. 795-804 ◽  
Author(s):  
Guylaine Roy ◽  
Sylvie Nadeau ◽  
Denis Gravel ◽  
France Piotte ◽  
Francine Malouin ◽  
...  

2015 ◽  
Vol 40 (4) ◽  
pp. 522-527 ◽  
Author(s):  
M Jason Highsmith ◽  
Derek J Lura ◽  
Stephanie L Carey ◽  
Larry J Mengelkoch ◽  
Seok Hun Kim ◽  
...  

Background and aim: Longer residual limb lengths provide an increased lever arm. Longer residual limbs may produce increased joint moments; the two may be correlated. These correlations have not been evaluated in transfemoral amputees during transitional movements. Correlations between residual limb length and involved side joint moment could contribute to justification supporting maximal residual limb length preservation. This study investigated possible correlations between hip or knee moment and residual limb length. Technique: Hip and knee joint moments were determined while 21 transfemoral amputees performed sitting and standing movements and then evaluated for correlation with residual limb length. Discussion: Residual limb length was not correlated with either knee or involved side hip moments during sit to stand or stand to sit. Conversely, weak inverse correlations ( p < 0.05) existed between sound hip moment magnitude and residual limb length. These correlations suggest that in community ambulating transfemoral amputees, longer residual limb length could decrease sound hip kinetic burden during transitional movement. Beyond correlations between residual limb length and sound hip transitional movement kinetics, there are other considerations in determining residual limb length during amputation. Clinical relevance This study examines relationships between lower limb joint moments and residual limb length related to sit-to-stand and stand-to-sit activities. The results have implications for amputation surgery and rehabilitation.


2002 ◽  
Vol 82 (9) ◽  
pp. 866-879 ◽  
Author(s):  
Wim GM Janssen ◽  
Hans BJ Bussmann ◽  
Henk J Stam

Abstract Background and Purpose. The sit-to-stand (STS) movement is a skill that helps determine the functional level of a person. Assessment of the STS movement has been done using quantitative and semiquantitative techniques. The purposes of this study were to identify the determinants of the STS movement and to describe their influence on the performance of the STS movement. Methods. A search was made using MEDLINE (1980–2001) and the Science Citation Index Expanded of the Institute for Scientific Information (1988–2001) using the key words “chair,” “mobility,” “rising,” “sit-to-stand,” and “standing.” Relevant references such as textbooks, presentations, and reports also were included. Of the 160 identified studies, only those in which the determinants of STS movement performance were examined using an experimental setup (n=39) were included in this review. Results. The literature indicates that chair seat height, use of armrests, and foot position have a major influence on the ability to do an STS movement. Using a higher chair seat resulted in lower moments at knee level (up to 60%) and hip level (up to 50%); lowering the chair seat increased the need for momentum generation or repositioning of the feet to lower the needed moments. Using the armrests lowered the moments needed at the hip by 50%, probably without influencing the range of motion of the joints. Repositioning of feet influenced the strategy of the STS movement, enabling lower maximum mean extension moments at the hip (148.8 N·m versus 32.7 N·m when the foot position changed from anterior to posterior). Discussion and Conclusion. The ability to do an STS movement, according to the research reviewed, is strongly influenced by the height of the chair seat, use of armrests, and foot position. More study of the interaction among the different determinants is needed. Failing to account for these variables may lead to erroneous measurements of changes in STS performance.


Sensors ◽  
2021 ◽  
Vol 21 (22) ◽  
pp. 7709
Author(s):  
Serena Cerfoglio ◽  
Manuela Galli ◽  
Marco Tarabini ◽  
Filippo Bertozzi ◽  
Chiarella Sforza ◽  
...  

Nowadays, the use of wearable inertial-based systems together with machine learning methods opens new pathways to assess athletes’ performance. In this paper, we developed a neural network-based approach for the estimation of the Ground Reaction Forces (GRFs) and the three-dimensional knee joint moments during the first landing phase of the Vertical Drop Jump. Data were simultaneously recorded from three commercial inertial units and an optoelectronic system during the execution of 112 jumps performed by 11 healthy participants. Data were processed and sorted to obtain a time-matched dataset, and a non-linear autoregressive with external input neural network was implemented in Matlab. The network was trained through a train-test split technique, and performance was evaluated in terms of Root Mean Square Error (RMSE). The network was able to estimate the time course of GRFs and joint moments with a mean RMSE of 0.02 N/kg and 0.04 N·m/kg, respectively. Despite the comparatively restricted data set and slight boundary errors, the results supported the use of the developed method to estimate joint kinetics, opening a new perspective for the development of an in-field analysis method.


Author(s):  
Jana Holder ◽  
Ursula Trinler ◽  
Andrea Meurer ◽  
Felix Stief

The assessment of knee or hip joint loading by external joint moments is mainly used to draw conclusions on clinical decision making. However, the correlation between internal and external loads has not been systematically analyzed. This systematic review aims, therefore, to clarify the relationship between external and internal joint loading measures during gait. A systematic database search was performed to identify appropriate studies for inclusion. In total, 4,554 articles were identified, while 17 articles were finally included in data extraction. External joint loading parameters were calculated using the inverse dynamics approach and internal joint loading parameters by musculoskeletal modeling or instrumented prosthesis. It was found that the medial and total knee joint contact forces as well as hip joint contact forces in the first half of stance can be well predicted using external joint moments in the frontal plane, which is further improved by including the sagittal joint moment. Worse correlations were found for the peak in the second half of stance as well as for internal lateral knee joint contact forces. The estimation of external joint moments is useful for a general statement about the peak in the first half of stance or for the maximal loading. Nevertheless, when investigating diseases as valgus malalignment, the estimation of lateral knee joint contact forces is necessary for clinical decision making because external joint moments could not predict the lateral knee joint loading sufficient enough. Dependent on the clinical question, either estimating the external joint moments by inverse dynamics or internal joint contact forces by musculoskeletal modeling should be used.


2015 ◽  
Vol 742 ◽  
pp. 535-539
Author(s):  
Kun Liu ◽  
Jian Chen Zhao ◽  
En Guo Cao ◽  
Xuan Han

A new method for analyzing lower limb kinetics during sit to stand process is presented, and a trajectory control method (TCM) and an impedance control method (ICM) for a rehabilitation robot are developed. During the sit to stand process (SSP), body segment rotational angles, movement trajectories, ground reaction forces (GRF), center of pressure (COP) and rope tensile forces are measured by the robot sensor system, and the joint moments of ankle, knee and hip are calculated in real-time control program. Test experiments were performed on six volunteers. The experimental results validate the theory that the control methods can assure the accomplishment of the sit to stand process in comfortable postures, and improve the condition of joint moments. The control methods are suitable for self-supported home training, and can be applied to assess kinetics parameters during the sit to stand process and improve the rehabilitation of patients.


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