scholarly journals A Pilot Study of Musculoskeletal Abnormalities in Patients in Recovery from a Unilateral Rupture-Repaired Achilles Tendon

2020 ◽  
Vol 17 (13) ◽  
pp. 4642
Author(s):  
Dong Sun ◽  
Gusztáv Fekete ◽  
Julien S. Baker ◽  
Qichang Mei ◽  
Bíró István ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Knee Joint ◽  
Achilles Tendon ◽  
Ankle Joint ◽  
Muscle Forces ◽  
Joint Moments ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Joint Loads ◽  
Joint Reaction

The purpose of this study was to compare the inter-limb joint kinematics, joint moments, muscle forces, and joint reaction forces in patients after an Achilles tendon rupture (ATR) via subject-specific musculoskeletal modeling. Six patients recovering from a surgically repaired unilateral ATR were included in this study. The bilateral Achilles tendon (AT) lengths were evaluated using ultrasound imaging. The three-dimensional marker trajectories, ground reaction forces, and surface electromyography (sEMG) were collected on both sides during self-selected speed during walking, jogging and running. Subject-specific musculoskeletal models were developed to compute joint kinematics, joint moments, muscle forces and joint reaction forces. AT lengths were significantly longer in the involved side. The side-to-side triceps surae muscle strength deficits were combined with decreased plantarflexion angles and moments in the injured leg during walking, jogging and running. However, the increased knee extensor femur muscle forces were associated with greater knee extension degrees and moments in the involved limb during all tasks. Greater knee joint moments and joint reaction forces versus decreased ankle joint moments and joint reaction forces in the involved side indicate elevated knee joint loads compared with reduced ankle joint loads that are present during normal activities after an ATR. In the frontal plane, increased subtalar eversion angles and eversion moments in the involved side were demonstrated only during jogging and running, which were regarded as an indicator for greater medial knee joint loading. It seems after an ATR, the elongated AT accompanied by decreased plantarflexion degrees and calf muscle strength deficits indicates ankle joint function impairment in the injured leg. In addition, increased knee extensor muscle strength and knee joint loads may be a possible compensatory mechanism for decreased ankle function. These data suggest patients after an ATR may suffer from increased knee overuse injury risk.

The Effect of Knee Model on Estimates of Muscle and Joint Forces in Recumbent Pedaling

2009 ◽  
Vol 132 (1) ◽  
Author(s):  
Michael J. Koehle ◽  
M. L. Hull
Keyword(s):  
Knee Joint ◽  
Dynamic Simulation ◽  
Joint Model ◽  
Human Motion ◽  
Muscle Forces ◽  
Knee Model ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Simulation Results ◽  
Joint Reaction

The usefulness of forward dynamic simulations to studies of human motion is well known. Although the musculoskeletal models used in these studies are generic, the modeling of specific components, such as the knee joint, may vary. Our two objectives were (1) to investigate the effects of three commonly used knee models on forward dynamic simulation results, and (2) to study the sensitivity of simulation results to variations in kinematics for the most commonly used knee model. To satisfy the first objective, three different tibiofemoral models were incorporated into an existing forward dynamic simulation of recumbent pedaling, and the resulting kinematics, pedal forces, muscle forces, and joint reaction forces were compared. Two of these models replicated the rolling and sliding motion of the tibia on the femur, while the third was a simple pin joint. To satisfy the second objective, variations in the most widely used of the three knee models were created by adjusting the experimental data used in the development of this model. These variations were incorporated into the pedaling simulation, and the resulting data were compared with the unaltered model. Differences between the two rolling-sliding models were smaller than differences between the pin-joint model and the rolling-sliding models. Joint reactions forces, particularly at the knee, were highly sensitive to changes in knee joint model kinematics, as high as 61% root mean squared difference, normalized by the corresponding peak force of the unaltered reference model. Muscle forces were also sensitive, as high as 30% root mean squared difference. Muscle excitations were less sensitive. The observed changes in muscle force and joint reaction forces were caused primarily by changes in the moment arms and musculotendon lengths of the quadriceps. Although some level of inaccuracy in the knee model may be acceptable for calculations of muscle excitation timing, a representative model of knee kinematics is necessary for accurate calculation of muscle and joint reaction forces.

Prediction of Antagonistic Muscle Forces Using Inverse Dynamic Optimization During Flexion/Extension of the Knee

1999 ◽  
Vol 121 (3) ◽  
pp. 316-322 ◽  
Author(s):  
G. Li ◽  
K. R. Kaufman ◽  
E. Y. S. Chao ◽  
H. E. Rubash
Keyword(s):  
Dynamic Optimization ◽  
Optimization Procedure ◽  
Muscle Forces ◽  
Inverse Dynamic ◽  
Optimization Criteria ◽  
Flexion Extension ◽  
Antagonistic Muscle ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Joint Reaction

This paper examined the feasibility of using different optimization criteria in inverse dynamic optimization to predict antagonistic muscle forces and joint reaction forces during isokinetic flexion/extension and isometric extension exercises of the knee. Both quadriceps and hamstrings muscle groups were included in this study. The knee joint motion included flexion/extension, varus/valgus, and internal/external rotations. Four linear, nonlinear, and physiological optimization criteria were utilized in the optimization procedure. All optimization criteria adopted in this paper were shown to be able to predict antagonistic muscle contraction during flexion and extension of the knee. The predicted muscle forces were compared in temporal patterns with EMG activities (averaged data measured from five subjects). Joint reaction forces were predicted to be similar using all optimization criteria. In comparison with previous studies, these results suggested that the kinematic information involved in the inverse dynamic optimization plays an important role in prediction of the recruitment of antagonistic muscles rather than the selection of a particular optimization criterion. Therefore, it might be concluded that a properly formulated inverse dynamic optimization procedure should describe the knee joint rotation in three orthogonal planes.

Foot Rotation Gait Modifications Affect Hip and Ankle, But Not Knee, Stance Phase Joint Reaction Forces During Running

2020 ◽  
Vol 143 (2) ◽  
Author(s):  
Hunter J. Bennett ◽  
Kevin A. Valenzuela ◽  
Scott K. Lynn ◽  
Joshua T. Weinhandl
Keyword(s):  
Knee Joint ◽  
Stance Phase ◽  
External Rotation ◽  
Three Dimensional ◽  
Statistical Parametric Mapping ◽  
Muscle Physiology ◽  
Total Force ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Joint Reaction

Abstract Alterations of foot rotation angles have successfully reduced external knee adduction moments during walking and running. However, reductions in knee adduction moments may not result in reductions in knee joint reaction forces. The purpose of this study was to examine the effects of internal and external foot rotation on knee, hip, and ankle joint reaction forces during running. Motion capture and force data were recorded of 19 healthy adults running at 3.35 m/s during three conditions: (1) preferred (normal) and with (2) internal and (3) external foot rotation. Musculoskeletal simulations were performed using opensim and the Rajagopal 2015 model, modified to a two degree-of-freedom knee joint. Muscle excitations were derived using static optimization, including muscle physiology parameters. Joint reaction forces (i.e., the total force acting on the joints) were computed and compared between conditions using one-way analyses of variance (ANOVAs) via statistical parametric mapping (SPM). Internal foot rotation reduced resultant hip forces (from 18% to 23% stride), while external rotation reduced resultant ankle forces (peak force at 20% stride) during the stance phase. Three-dimensional and resultant knee joint reaction forces only differed at very early and very late stance phase. The results of this study indicate, similar to previous findings, that reductions in external knee adduction moments do not mirror reductions in knee joint reaction forces.

scholarly journals A Forefoot Strike Requires the Highest Forces Applied to the Foot Among Foot Strike Patterns

2017 ◽  
Vol 01 (02) ◽  
pp. E37-E42 ◽  
Author(s):  
Satoru Hashizume ◽  
Toshio Yanagiya
Keyword(s):  
Achilles Tendon ◽  
Ground Reaction Force ◽  
Reaction Force ◽  
Moment Arm ◽  
Moment Arms ◽  
Joint Reaction Forces ◽  
Force Moment ◽  
Foot Strike ◽  
Reaction Forces ◽  
Joint Reaction

AbstractGround reaction force is often used to predict the potential risk of injuries but may not coincide with the forces applied to commonly injured regions of the foot. This study examined the forces applied to the foot, and the associated moment arms made by three foot strike patterns. 10 male runners ran barefoot along a runway at 3.3 m/s using forefoot, midfoot, and rearfoot strikes. The Achilles tendon and ground reaction force moment arms represented the shortest distance between the ankle joint axis and the line of action of each force. The Achilles tendon and joint reaction forces were calculated by solving equations of foot motion. The Achilles tendon and joint reaction forces were greatest for the forefoot strike (2 194 and 3 137 N), followed by the midfoot strike (1 929 and 2 853 N), and the rearfoot strike (1 526 and 2 394 N). The ground reaction force moment arm was greater for the forefoot strike than for the other foot strikes, and was greater for the midfoot strike than for the rearfoot strike. Meanwhile, there were no differences in the Achilles tendon moment arm among all foot strikes. These differences were attributed mainly to differences in the ground reaction force moment arm among the three foot strike patterns.

scholarly journals Dependency of Lower Limb Joint Reaction Forces on Femoral Anteversion

2021 ◽  
Author(s):  
Luca Modenese ◽  
Martina Barzan ◽  
Christopher P Carty
Keyword(s):  
Body Weight ◽  
Knee Joint ◽  
Lower Limb ◽  
Femoral Anteversion ◽  
Accurate Estimation ◽  
Grand Challenge ◽  
Anteversion Angle ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Joint Reaction

AbstractBackgroundMusculoskeletal (MSK) models based on literature data are meant to represent a generic anatomy and are a popular tool employed by biomechanists to estimate the internal loads occurring in the lower limb joints, such as joint reaction forces (JRFs). However, since these models are normally just linearly scaled to an individual’s anthropometry, it is unclear how their estimations would be affected by the personalization of key features of the MSK anatomy, one of which is the femoral anteversion angle.Research QuestionHow are the lower limb JRF magnitudes computed through a generic MSK model affected by changes in the femoral anteversion?MethodsWe developed a bone-deformation tool in MATLAB (https://simtk.org/projects/bone_deformity) and used it to create a set of seven OpenSim models spanning from 2° femoral retroversion to 40° anteversion. We used these models to simulate the gait of an elderly individual with an instrumented prosthesis implanted at their knee joint (5th Grand Challenge dataset) and quantified both the changes in JRFs magnitude due to varying the skeletal anatomy and their accuracy against the correspondent in vivo measurements at the knee joint.ResultsHip and knee JRF magnitudes were affected by the femoral anteversion with variations from the unmodified generic model up to 11.7±5.5% at the hip and 42.6±31.0% at the knee joint. The ankle joint was unaffected by the femoral geometry. The MSK models providing the most accurate knee JRFs (root mean squared error: 0.370±0.069 body weight, coefficient of determination: 0.764±0.104, largest peak error: 0.36±0.16 body weight) were those with the femoral anteversion angle closer to that measured on the segmented bone of the individual.SignificanceFemoral anteversion substantially affects hip and knee JRFs estimated with generic MSK models, suggesting that personalizing key MSK anatomical features might be necessary for accurate estimation of JRFs with these models.

Joint Reaction Forces during the Recovery of Postural Balance of Human Body

2005 ◽  
Vol 297-300 ◽  
pp. 2308-2313
Author(s):  
Min Jwa Seo ◽  
Hyeon Ki Choi
Keyword(s):  
Ankle Joint ◽  
Human Body ◽  
Postural Balance ◽  
Soft Tissues ◽  
Balance Control ◽  
Camera Motion ◽  
Joint Reaction Forces ◽  
Reaction Forces ◽  
Angular Displacements ◽  
Joint Reaction

The purpose of this study was to calculate three dimensional angular displacements, moments and joint reaction forces (JRF) of the ankle joint during the waist pulling, and to assess the ankle JRF according to different perturbation modes and different levels of perturbation magnitude. Ankle joint model was assumed 3-D ball and socket joint which is capable of three rotational movements. We used 6 camera motion analysis system, force plate and waist pulling system. Two different waist pulling systems were adopted for forward sway with three magnitudes each. From motion data and ground reaction forces, we could calculate 3-D angular displacements, moments and JRF during the recovery of postural balance control. From the experiment using mass-falling perturbation, joint moments were larger than those from the experiment with milder perturbation using air cylinder pulling system. However, joint reaction forces were similar nevertheless the difference in joint moment. From the results, we could conjecture that the human body employs different strategies to protect joints by decreasing joint reaction forces, like using the joint movements or compensating JRF by distributing the forces on surrounding soft tissues. The results of this study provide us important insights for understanding the relationship between balance control and ankle injury mechanism.

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