作者
Ross H Miller, Scott CE Brandon, Kevin J Deluzio
发表日期
2013/1/1
期刊
Journal of biomechanical engineering
卷号
135
期号
1
页码范围
011007
出版商
American Society of Mechanical Engineers
简介
Both development and progression of knee osteoarthritis have been associated with the loading of the knee joint during walking. We are, therefore, interested in developing strategies for changing walking biomechanics to offload the knee joint without resorting to surgery. In this study, simulations of human walking were performed using a 2D bipedal forward dynamics model. A simulation generated by minimizing the metabolic cost of transport (CoT) resembled data measured from normal human walking. Three simulations targeted at minimizing the peak axial knee joint contact force instead of the CoT reduced the peak force by 12–25% and increased the CoT by 11–14%. The strategies used by the simulations were (1) reduction in gastrocnemius muscle force, (2) avoidance of knee flexion during stance, and (3) reduced stride length. Reduced gastrocnemius force resulted from a combination of changes in …
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