Evaluation of foot position and orientation as manipulated variables to control external knee adduction moments in leg extension training.

External knee adduction moments Inverse dynamic problem Inverse kinematic problem Manipulated variables Musculoskeletal model

Journal

Computer methods and programs in biomedicine
ISSN: 1872-7565
Titre abrégé: Comput Methods Programs Biomed
Pays: Ireland
ID NLM: 8506513

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 20 12 2015
revised: 31 08 2016
accepted: 09 09 2016
pubmed: 11 10 2016
medline: 10 8 2019
entrez: 11 10 2016
Statut: ppublish

Résumé

Effective leg extension training at a leg press requires high forces, which need to be controlled to avoid training-induced damage. In order to avoid high external knee adduction moments, which are one reason for unphysiological loadings on knee joint structures, both training movements and the whole reaction force vector need to be observed. In this study, the applicability of lateral and medial changes in foot orientation and position as possible manipulated variables to control external knee adduction moments is investigated. As secondary parameters both the medio-lateral position of the center of pressure and the frontal-plane orientation of the reaction force vector are analyzed. Knee adduction moments are estimated using a dynamic model of the musculoskeletal system together with the measured reaction force vector and the motion of the subject by solving the inverse kinematic and dynamic problem. Six different foot conditions with varying positions and orientations of the foot in a static leg press are evaluated and compared to a neutral foot position. Both lateral and medial wedges under the foot and medial and lateral shifts of the foot can influence external knee adduction moments in the presented study with six healthy subjects. Different effects are observed with the varying conditions: the pose of the leg is changed and the direction and center of pressure of the reaction force vector is influenced. Each effect results in a different direction or center of pressure of the reaction force vector. The results allow the conclusion that foot position and orientation can be used as manipulated variables in a control loop to actively control knee adduction moments in leg extension training.

Sections du résumé

BACKGROUND AND OBJECTIVE OBJECTIVE
Effective leg extension training at a leg press requires high forces, which need to be controlled to avoid training-induced damage. In order to avoid high external knee adduction moments, which are one reason for unphysiological loadings on knee joint structures, both training movements and the whole reaction force vector need to be observed. In this study, the applicability of lateral and medial changes in foot orientation and position as possible manipulated variables to control external knee adduction moments is investigated. As secondary parameters both the medio-lateral position of the center of pressure and the frontal-plane orientation of the reaction force vector are analyzed.
METHODS METHODS
Knee adduction moments are estimated using a dynamic model of the musculoskeletal system together with the measured reaction force vector and the motion of the subject by solving the inverse kinematic and dynamic problem. Six different foot conditions with varying positions and orientations of the foot in a static leg press are evaluated and compared to a neutral foot position.
RESULTS RESULTS
Both lateral and medial wedges under the foot and medial and lateral shifts of the foot can influence external knee adduction moments in the presented study with six healthy subjects. Different effects are observed with the varying conditions: the pose of the leg is changed and the direction and center of pressure of the reaction force vector is influenced. Each effect results in a different direction or center of pressure of the reaction force vector.
CONCLUSIONS CONCLUSIONS
The results allow the conclusion that foot position and orientation can be used as manipulated variables in a control loop to actively control knee adduction moments in leg extension training.

Identifiants

pubmed: 27720236
pii: S0169-2607(15)30450-8
doi: 10.1016/j.cmpb.2016.09.005
pii:
doi:

Types de publication

Journal Article

Langues

eng

Pagination

81-86

Informations de copyright

Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Auteurs

Melanie Kolditz (M)

Institute of Automatic Control, RWTH Aachen University, Germany. Electronic address: m.kolditz@irt.rwth-aachen.de.

Thivaharan Albin (T)

Institute of Automatic Control, RWTH Aachen University, Germany.

Dirk Abel (D)

Institute of Automatic Control, RWTH Aachen University, Germany.

Alessandro Fasse (A)

Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Germany.

Gert-Peter Brüggemann (GP)

Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Germany.

Kirsten Albracht (K)

Institute of Biomechanics and Orthopaedics, German Sport University Cologne, Germany.

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