A biomechanical analysis of joint contact forces in the posterior cruciate deficient knee

1996 ◽  
Vol 3 (4) ◽  
pp. 252-255 ◽  
Author(s):  
P. MacDonald ◽  
A. Miniaci ◽  
P. Fowler ◽  
P. Marks ◽  
B. Finlay
2015 ◽  
Vol 2 (6) ◽  
pp. 140449 ◽  
Author(s):  
Daniel J. Cleather ◽  
Anthony M. J. Bull

Traditional approaches to the biomechanical analysis of movement are joint-based; that is the mechanics of the body are described in terms of the forces and moments acting at the joints, and that muscular forces are considered to create moments about the joints. We have recently shown that segment-based approaches, where the mechanics of the body are described by considering the effect of the muscle, ligament and joint contact forces on the segments themselves, can also prove insightful. We have also previously described a simultaneous, optimization-based, musculoskeletal model of the lower limb. However, this prior model incorporates both joint- and segment-based assumptions. The purpose of this study was therefore to develop an entirely segment-based model of the lower limb and to compare its performance to our previous work. The segment-based model was used to estimate the muscle forces found during vertical jumping, which were in turn compared with the muscular activations that have been found in vertical jumping, by using a Geers' metric to quantify the magnitude and phase errors. The segment-based model was shown to have a similar ability to estimate muscle forces as a model based upon our previous work. In the future, we will evaluate the ability of the segment-based model to be used to provide results with clinical relevance, and compare its performance to joint-based approaches. The segment-based model described in this article is publicly available as a GUI-based M atlab ® application and in the original source code (at www.msksoftware.org.uk ).


2017 ◽  
Vol 27 (6) ◽  
pp. 746-753 ◽  
Author(s):  
James Shippen ◽  
Paul Alexander ◽  
Barbara May

Musculoskeletal injuries are commonly reported in workers employed in labor-intensive agricultural-type tasks. A novel method of determining joint angles, joint torques, and contact forces, using three-dimensional motion capture and musculoskeletal modeling, was applied to the movements of a sample of workers, engaged in the horticultural task of digging, to determine if objective biomechanical data could be correlated with a subjective visual assessment to predict risk of injury. The joint angle time histories of horticulturists were calculated from the motion capture data, and this was used to articulate a musculoskeletal model of the subjects. The joint torques were calculated using inverse dynamics methods from which the individual muscle loads were established using a cost function minimization approach. Finally, the joint contact forces were calculated including the muscle forces. The motion capture data of digging trials were observed by a team of horticulturists and physiotherapists who categorized each of the observed trials according to form, efficiency, and risk of injury. Trials demonstrating techniques which were more likely to yield injuries were identified as “examples of bad technique”; those judged to be less likely to yield injuries were categorized as “examples of good technique.” It was found that the joint torques and contact forces and their variability were lower in the trial which was identified as good technique, and consistently higher in the examples of bad technique. The results of the study suggest that measurement of joint angles, joint torques, joint contact forces, and forces in the muscles could serve as a valuable tool to develop training programs for horticultural workers engaged in certain high intensity tasks, such as digging, to effectively improve efficiency and reduce incidence of injury. It may also be possible to modify horticulture-related equipment to minimize the internal loads within the body to reduce the risk to health and, therefore, extend active participation in horticulture.


Spine ◽  
2008 ◽  
Vol 33 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Christina A. Niosi ◽  
Derek C. Wilson ◽  
Qingan Zhu ◽  
Ory Keynan ◽  
David R. Wilson ◽  
...  

2010 ◽  
Vol 4 (1) ◽  
pp. 99-106 ◽  
Author(s):  
Paola Formento Catalfamo ◽  
Gerardo Aguiar ◽  
Jorge Curi ◽  
Ariel Braidot

Previous research has shown that an increase in hamstring activation may compensate for anterior tibial transalation (ATT) in patients with anterior cruciate ligament deficient knee (ACLd); however, the effects of this compensation still remain unclear. The goals of this study were to quantify the activation of the hamstring muscles needed to compensate the ATT in ACLd knee during the complete gait cycle and to evaluate the effect of this compensation on quadriceps activation and joint contact forces. A two dimensional model of the knee was used, which included the tibiofemoral and patellofemoral joints, knee ligaments, the medial capsule and two muscles units. Simulations were conducted to determine the ATT in healthy and ACLd knee and the hamstring activation needed to correct the abnormal ATT to normal levels (100% compensation) and to 50% compensation. Then, the quadriceps activation and the joint contact forces were calculated. Results showed that 100% compensation would require hamstring and quadriceps activations larger than their maximum isometric force, and would generate an increment in the peak contact force at the tibiofemoral (115%) and patellofemoral (48%) joint with respect to the healthy knee. On the other hand, 50% compensation would require less force generated by the muscles (less than 0.85 of maximum isometric force) and smaller contact forces (peak tibiofemoral contact force increased 23% and peak patellofemoral contact force decreased 7.5% with respect to the healthy knee). Total compensation of ATT by means of increased hamstring activity is possible; however, partial compensation represents a less deleterious strategy.


2018 ◽  
Vol 34 (5) ◽  
pp. 419-423 ◽  
Author(s):  
Christopher M. Saliba ◽  
Allison L. Clouthier ◽  
Scott C.E. Brandon ◽  
Michael J. Rainbow ◽  
Kevin J. Deluzio

Abnormal loading of the knee joint contributes to the pathogenesis of knee osteoarthritis. Gait retraining is a noninvasive intervention that aims to reduce knee loads by providing audible, visual, or haptic feedback of gait parameters. The computational expense of joint contact force prediction has limited real-time feedback to surrogate measures of the contact force, such as the knee adduction moment. We developed a method to predict knee joint contact forces using motion analysis and a statistical regression model that can be implemented in near real-time. Gait waveform variables were deconstructed using principal component analysis, and a linear regression was used to predict the principal component scores of the contact force waveforms. Knee joint contact force waveforms were reconstructed using the predicted scores. We tested our method using a heterogenous population of asymptomatic controls and subjects with knee osteoarthritis. The reconstructed contact force waveforms had mean (SD) root mean square differences of 0.17 (0.05) bodyweight compared with the contact forces predicted by a musculoskeletal model. Our method successfully predicted subject-specific shape features of contact force waveforms and is a potentially powerful tool in biofeedback and clinical gait analysis.


Author(s):  
Yinghu Peng ◽  
Duo Wai-Chi Wong ◽  
Yan Wang ◽  
Tony Lin-Wei Chen ◽  
Qitao Tan ◽  
...  

Flatfoot is linked to secondary lower limb joint problems, such as patellofemoral pain. This study aimed to investigate the influence of medial posting insoles on the joint mechanics of the lower extremity in adults with flatfoot. Gait analysis was performed on fifteen young adults with flatfoot under two conditions: walking with shoes and foot orthoses (WSFO), and walking with shoes (WS) in random order. The data collected by a vicon system were used to drive the musculoskeletal model to estimate the hip, patellofemoral, ankle, medial and lateral tibiofemoral joint contact forces. The joint contact forces in WSFO and WS conditions were compared. Compared to the WS group, the second peak patellofemoral contact force (p < 0.05) and the peak ankle contact force (p < 0.05) were significantly lower in the WSFO group by 10.2% and 6.8%, respectively. The foot orthosis significantly reduced the peak ankle eversion angle (p < 0.05) and ankle eversion moment (p < 0.05); however, the peak knee adduction moment increased (p < 0.05). The reduction in the patellofemoral joint force and ankle contact force could potentially inhibit flatfoot-induced lower limb joint problems, despite a greater knee adduction moment.


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.


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