joint moments

Effect of low-pass filter cutoff frequencies on joint moments in walking

Calculating and interpreting joint moments using marker position and ground reaction force (GRF) data is a fundamental part of gait biomechanics research. Due to noise in marker positions, these data are low-pass filtered prior to performing inverse dynamics. Traditionally, kinematic data are filtered at low cutoff frequencies (~6 Hz) and kinetic data are filtered at high frequencies (~30-100 Hz). This technique can result in joint moment impact peaks, particularly during high-impact movements. Filtering marker and GRF data at the same cutoff frequency has been suggested to attenuate these impact artefacts. The effect of various filtering approaches on joint moments in walking is unknown. The purpose of this study was to compare the effect of low-pass filtering cutoff frequencies on joint moments during walking. We hypothesized that filtering would not affect peak joint moments during walking due to smaller violations of the rigid body assumption compared to high-impact movements. Kinetic and kinematic data were collected for twenty-four health adults walking at self-selected speed. Marker position and GRF were smoothed using a 4th-order dual-pass Butterworth filter with cutoff frequencies of 6/45 Hz, 6/6 Hz, 10/10 Hz, for markers and GRF, respectively. A one-way repeated measures ANOVA tested for the effect of filter frequency on peak hip and knee joint moments. Peak hip and knee moments were greater when filtered at 10/10 Hz compared to 6/45 Hz. Although there were differences between cutoff frequency conditions, the effect sizes were small, suggesting that the differences are not large enough to have a meaningful effect.
Listed In: Biomechanics

Effects of Transcutaneous Electrical Nerve Stimulation on Gait Kinetics in Individuals with Experimentally Induced Knee Joint Pain

Background: Knee joint pain (KJP) independently alters motor function and gait mechanics, and these alterations may accelerate chronic knee joint disease. While TENS restores motor function deficits, it is unclear whether TENS restores compensatory gait mechanics. The purpose was to examine the effects of KJP on lower-extremity joint moments, and the effects of TENS on the aforementioned variables. We hypothesized that KJP will result in altered gait patterns, and TENS will help restore these mechanical alterations. Methods: We randomly selected 15 subjects for the TENS group, after which subjects were matched for the placebo group. Subjects underwent 3 sessions (hypertonic, isotonic, control). A 20-gauge flexible catheter was inserted into the right infrapatellar fat pad, and an infusion pump infused a saline of 0.154 mL•min¯¹ for 50 min (total = 7.7 mL). A TENS protocol was set at a biphasic mode with 120 µs and 180 Hz for 20 min. To blind placebo treatment, subjects in the placebo group was told that an electrical stimulation had been set to sub-sensory level. High-speed video (240 Hz) and an instrumented treadmill (1200 Hz) were used for gait analysis. Functional analysis of variance were used to evaluate differences between groups over time for joint moments. The mean curve with 95% CIs is represented by polynomial functions, showing us the entire stance, rather than identifying discrete peak points. If 95% CIs did not cross zero, significant difference existed (P < 0.05). Discussion: KJP independently increase internal knee varus moments, which were consistent with previous finding using patients with osteoarthritic knee pain. These compensatory gait patterns may be a result of a pain-avoidance motor deficits strategies. Since observed patterns can create altered mechanical and biological stress patterns on articular surface, it may increase the risk of degenerative knee disease. However, attempting to reduce perceived pain and increase neuron activation through TENS can help overcome deficits in knee and hip joint moments.
Listed In: Biomechanics, Gait, Sports Science

Stud Type Affects Knee Biomechanics on Infilled Synthetic Turf during a 180° Cut, but not during a Single-Leg Land-Cut Task

Higher ACL injury frequencies have been reported on synthetic turfs compared to natural turfs. However, assessments of cleat stud type on lower extremity biomechanics worn on these surfaces are limited. The purpose of this study was to examine the knee biomechanics of a non-studded running shoe (RS), a football shoe with natural turf studs (NTS), and with synthetic turf studs (STS) during single-leg land-cut and 180°-cut tasks on synthetic turf. Fourteen recreational football players performed five trials of 180°-cut and land-cut tasks in the three shoe conditions on an infilled synthetic turf. Knee biomechanics were analyzed using a 2x3 (task x shoe) repeated measures ANOVA followed by post-hoc paired samples t-tests (p<0.05). For the 180° cut, 1st peak internal knee adduction moments were increased in RS and STS compared to NTS (Table) and in 1st peak knee extensor moments in RS compared NTS and STS. The peak negative knee extensor power was increased in RS compared to NTS and STS. The land-cut had significantly greater peak extensor moments, sagittal plane powers, and abduction angles, and significantly lower adduction moments compared to the 180°-cut. As expected, the land-cut movement involved increased power absorption, power generation, and extensor moment compared to the 180°-cut. However, shoe effects lie only in the 180°-cut. Decreased medial ground reaction force1, knee adduction and extensor moments in NTS suggest the knee may be in a safer environment using these studs during cutting maneuvers. Reduced knee adduction moments in NTS could have implications in non-contact ACL injury.
Listed In: Biomechanics, Gait, Sports Science