Tibiofemoral contact forces during walking, running and sidestepping
File(s)Saxby et al. G&P 2016 preprint.pdf (436.04 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
We explored the tibiofemoral contact forces and the relative contributions of muscles and external loads to those contact forces during various gait tasks. Second, we assessed the relationships between external gait measures and contact forces. A calibrated electromyography-driven neuromusculoskeletal model estimated the tibiofemoral contact forces during walking (1.44 ± 0.22 m s−1), running (4.38 ± 0.42 m s−1) and sidestepping (3.58 ± 0.50 m s−1) in healthy adults (n = 60, 27.3 ± 5.4 years, 1.75 ± 0.11 m, and 69.8 ± 14.0 kg). Contact forces increased from walking (∼1–2.8 BW) to running (∼3–8 BW), sidestepping had largest maximum total (8.47 ± 1.57 BW) and lateral contact forces (4.3 ± 1.05 BW), while running had largest maximum medial contact forces (5.1 ± 0.95 BW). Relative muscle contributions increased across gait tasks (up to 80–90% of medial contact forces), and peaked during running for lateral contact forces (∼90%). Knee adduction moment (KAM) had weak relationships with tibiofemoral contact forces (all R2 < 0.36) and the relationships were gait task-specific. Step-wise regression of multiple external gait measures strengthened relationships (0.20 < Radj2 < 0.78), but were variable across gait tasks. Step-wise regression equations from a particular gait task (e.g. walking) produced large errors when applied to a different gait task (e.g. running or sidestepping). Muscles well stabilized the knee, increasing their role in stabilization from walking to running to sidestepping. KAM was a poor predictor of medial contact force and load distributions. Step-wise regression models results suggest the relationships between external gait measures and contact forces cannot be generalized across tasks. Neuromusculoskeletal modelling may be required to examine tibiofemoral contact forces and role of muscle in knee stabilization across gait tasks.
Date Issued
2016-09-01
Date Acceptance
2016-06-10
Citation
Gait and Posture, 2016, 49, pp.78-85
ISSN
0966-6362
Publisher
Elsevier
Start Page
78
End Page
85
Journal / Book Title
Gait and Posture
Volume
49
Copyright Statement
© 2016, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Subjects
Science & Technology
Life Sciences & Biomedicine
Neurosciences
Orthopedics
Sport Sciences
Neurosciences & Neurology
Joint contact forces
EMG-driven model
Knee adduction moment
Walking
Running
Sidestepping
Joint stability
Musculoskeletal models
ANTERIOR CRUCIATE LIGAMENT
KNEE ADDUCTION MOMENT
IN-VIVO
MUSCLE-ACTIVITY
JOINT MOMENTS
GAIT
LOADS
MODEL
PREDICTIONS
STRATEGIES
Publication Status
Published