Added Load Alters Ankle And Knee Joint Moments During Stair Ascent

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 686
Author(s):  
William G. Robinson ◽  
Alexis K. Nelson ◽  
Jake A. Melaro ◽  
Alexander M. Carnall ◽  
Rachael Ard ◽  
...  
2017 ◽  
Vol 17 (06) ◽  
pp. 1750092
Author(s):  
MARYAM HAJIZADEH ◽  
ALIREZA HASHEMI OSKOUEI ◽  
FARZAN GHALICHI ◽  
GISELA SOLE

Analysis of knee kinematics and ground reaction forces (GRFs) is widely used to determine compensatory mechanisms of people with anterior cruciate ligament deficiency (ACLD). However, the practicality of the measurements is subject to their reliability during different trials. This study aims to determine the reliability and repeatability of knee joint rotations and GRFs in people with ACLD during stair ascent. Eight participants with unilateral ACL-deficient knees performed five trials of stair ascent with each leg. The movements were captured by VICON motion analysis system, and GRF components were recorded using force plate. Three-dimensional tibiofemoral joint rotations were calculated. Intraclass correlation coefficient (ICC), standard error of measurement (SEM) and coefficient of multiple correlation (CMC) were calculated ACL-deficient legs showed lower absolute reliability during swing ([Formula: see text]–6.4) than stance phase ([Formula: see text]–2.2) for knee joint rotations. Moderate to high average measure ICCs (0.59–0.98), relative reliability, were achieved for injured and uninjured sides. The results also demonstrated high repeatability for the knee joint rotation ([Formula: see text]–0.97) and GRF ([Formula: see text]–0.99). The outcomes of this study confirmed the consistency and repeatability of the knee joint rotations and GRFs in ACL-deficient subjects. Additionally, ACL-deficient legs exhibited similar levels of reliability and repeatability compared to contralateral legs.


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.


2010 ◽  
Vol 131 (3) ◽  
pp. 335-341 ◽  
Author(s):  
Yong Seuk Lee ◽  
Bee-Oh Lim ◽  
Jin Goo Kim ◽  
Ki-Kwang Lee ◽  
Hyung Oh Park ◽  
...  

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.


1987 ◽  
Vol 11 (3) ◽  
pp. 139-145 ◽  
Author(s):  
K. Koganezawa ◽  
H. Fujimoto ◽  
I. Kato

The multifunctional above-knee prosthesis WLP-7R (Waseda Leg Prosthesis - type 7 Refined) described in this study allows amputees to descend and ascend stairs with no external power sources. With the hydraulic circuit mounted in the shank, the ankle joint and the knee joint mutually conterbalance during stance phase in stair walking as well as level walking so that the following performances are obtained. The yielding (flexing) of the knee joint is prevented and smooth advance from stance-phase to swing-phase is realized in level walking. The gradual yielding of the knee joint and the ankle joint while sustaining full body weight is realized in stair descent. Reciprocal stepping with sound and disabled legs during stair ascent is also realised although the powerful extension of the knee joint during stance phase is not possible. The performance of the WLP-7R was examined by a walking experiment in which amputees could descend and ascend the stairs as well as walk on a flat surface after approximately one hour's training.


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