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Fulltext Dynamic finite element analysis of mobile bearing type knee prosthesis under deep flexional motion

Anuar MA, Todo M, Nagamine R, Hirokawa S

ScientificWorldJournal, 2014;2014:586921.
PMID: 25133247 DOI: 10.1155/2014/586921

The primary objective of this study is to distinguish between mobile bearing and fixed bearing posterior stabilized knee prostheses in the mechanics performance using the finite element simulation. Quantifying the relative mechanics attributes and survivorship between the mobile bearing and the fixed bearing prosthesis remains in investigation among researchers. In the present study, 3-dimensional computational model of a clinically used mobile bearing PS type knee prosthesis was utilized to develop a finite element and dynamic simulation model. Combination of displacement and force driven knee motion was adapted to simulate a flexion motion from 0° to 135° with neutral, 10°, and 20° internal tibial rotation to represent deep knee bending. Introduction of the secondary moving articulation in the mobile bearing knee prosthesis has been found to maintain relatively low shear stress during deep knee motion with tibial rotation.

Matched MeSH terms: Knee/physiology
Patellar tendon in vivo regional strain with varying knee angle

Pearson SJ, Mohammed ASA, Hussain SR

J Biomech, 2017 08 16;61:45-50.
PMID: 28736078 DOI: 10.1016/j.jbiomech.2017.06.038

PURPOSE: Descriptive data on the aspects of site specific in vivo tendon strain with varying knee joint angle are non-existent. The present study determines and compares surface and deep layer strain of the patellar tendon during isometric contractions across a range of knee joint angles.
METHODS: Male participants (age 22.0±3.4) performed ramped isometric knee extensions at knee joint angles of 90°, 70°, 50° and 30° of flexion. Strain patterns of the anterior and posterior regions of the patellar tendon were determined using real-time B-mode ultrasonography at each knee joint angle. Regional strain measures were compared using an automated pixel tracking method.
RESULTS: Strain was seen to be greatest for both the anterior and posterior regions with the knee at 90° (7.76±0.89% and 5.06±0.76%). Anterior strain was seen to be significantly greater (p<0.05) than posterior strain for all knee angles apart from 30°, 90°=(7.76vs. 5.06%), 70°=(4.77vs. 3.75%), and 50°=(3.74vs. 2.90%). The relative strain (ratio of anterior to posterior), was greatest with the knee joint angle at 90°, and decreased as the knee joint angle reduced.
CONCLUSIONS: The results from this study indicate that not only are there greater absolute tendon strains with the knee in greater flexion, but that the knee joint angle affects the regional strain differentially, resulting in greater shear between the tendon layers with force application when the knee is in greater degrees of flexion. These results have important implications for rehabilitation and training.

Matched MeSH terms: Knee/physiology
A robust real-time gait event detection using wireless gyroscope and its application on normal and altered gaits

Gouwanda D, Gopalai AA

Med Eng Phys, 2015 Feb;37(2):219-25.
PMID: 25619613 DOI: 10.1016/j.medengphy.2014.12.004

Gait events detection allows clinicians and biomechanics researchers to determine timing of gait events, to estimate duration of stance phase and swing phase and to segment gait data. It also aids biomedical engineers to improve the design of orthoses and FES (functional electrical stimulation) systems. In recent years, researchers have resorted to using gyroscopes to determine heel-strike (HS) and toe-off (TO) events in gait cycles. However, these methods are subjected to significant delays when implemented in real-time gait monitoring devices, orthoses, and FES systems. Therefore, the work presented in this paper proposes a method that addresses these delays, to ensure real-time gait event detection. The proposed algorithm combines the use of heuristics and zero-crossing method to identify HS and TO. Experiments involving: (1) normal walking; (2) walking with knee brace; and (3) walking with ankle brace for overground walking and treadmill walking were designed to verify and validate the identified HS and TO. The performance of the proposed method was compared against the established gait detection algorithms. It was observed that the proposed method produced detection rate that was comparable to earlier reported methods and recorded reduced time delays, at an average of 100 ms.

Matched MeSH terms: Knee/physiology
Fulltext The effects of comprehensive warm-up programs on proprioception, static and dynamic balance on male soccer players

Daneshjoo A, Mokhtar AH, Rahnama N, Yusof A

PLoS One, 2012;7(12):e51568.
PMID: 23251579 DOI: 10.1371/journal.pone.0051568

The study investigated the effects of FIFA 11+ and HarmoKnee, both being popular warm-up programs, on proprioception, and on the static and dynamic balance of professional male soccer players.

Matched MeSH terms: Knee/physiology
The relationship of hip strength and dynamic knee valgus during single leg squat in physically active females

Jamaludin NI, Sahabuddin FNA, Hanafi H, Shaharudin S

J Bodyw Mov Ther, 2024 Oct;40:1238-1242.
PMID: 39593440 DOI: 10.1016/j.jbmt.2024.07.045

BACKGROUND: Single leg squat (SLS) is an important motion commonly observed in sports. Excessive dynamic knee valgus (DKV) during SLS may increase non-contact knee injury risks particularly in physically active females. As muscular strength plays crucial role in controlling DKV, the present study aims to evaluate the correlation between hip strength and knee frontal plane angle during SLS among females with and without excessive DKV.
METHODS: Thirty-four volunteers were allocated to the valgus (n = 17) and non-valgus (n = 17) groups. Their motions during SLS at 45° and 60° knee flexion were captured and analyzed using three-dimensional motion analysis system. Isokinetic hip strength was examined at 180°/s in flexion, extension, abduction, and adduction for both legs. Pearson's correlation test was computed to evaluate the relationship between hip strength and knee angle during SLS.
FINDINGS: Non-dominant hip extensor strength (r = -0.56, p = 0.02) and dominant hip adductor strength (r = -0.51, p = 0.04) were significantly related to the knee frontal plane angle during 45° SLS among those without DKV. Meanwhile, those with DKV showed a significant relationship between the knee frontal plane angle for both legs and non-dominant hip abductor strength during 60° SLS.
INTERPRETATION: Both groups demonstrated the relationship of hip strength on knee frontal plane angle during SLS, whereby increased hip strength may minimize excessive DKV. Those with excessive DKV should train to strengthen their hip abductor to reduce knee valgus particularly during deep squats.

Matched MeSH terms: Knee/physiology