Contribution of Hip and Knee Muscles to Lateral Knee Stability During Gait

Overview

Journal J Phys Ther Sci

Date 2020 Dec 7

PMID 33281288

Citations 3

Authors

Masayuki Kawada

Yasufumi Takeshita

Takasuke Miyazaki

Yuki Nakai

Kazutaka Hata

Shintaro Nakatsuji

Ryoji Kiyama

Affiliations

Soon will be listed here.

Abstract

[Purpose] Lateral knee instability is frequently observed in patients with knee injury or risk factors associated with knee osteoarthritis. Physical exercises can strengthen muscles that stabilize the knee joint. The purpose of this study was to define the contribution of the knee and hip muscles to lateral knee stability by comparing the muscle forces, as assessed by musculoskeletal simulation using one or two degrees-of-freedom (1-DOF and 2-DOF) knee models. [Participants and Methods] We evaluated the normal gait of 15 healthy subjects. We conducted a three-dimensional gait analysis using a motion analysis system and a force plate. We considered a muscle as a lateral knee stabilizer when the calculated muscle force was greater with the 2-DOF model than with the 1-DOF model. [Results] During early and late stance, the muscle forces of the lateral knee and hip joint increased in the 2-DOF model as opposed to in the 1-DOF model. In contrast, the forces of the medial knee muscles decreased. Furthermore, hip muscle forces increased during the late stance. [Conclusion] Our results show that the lateral knee and hip muscles contribute to lateral knee stability. Thus, exercises to strengthen these muscles could improve lateral knee stability.

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References

Gok H, Ergin S, Yavuzer G . Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. Acta Orthop Scand. 2003; 73(6):647-52. DOI: 10.1080/000164702321039606. View

Kainz H, Modenese L, Lloyd D, Maine S, Walsh H, Carty C . Joint kinematic calculation based on clinical direct kinematic versus inverse kinematic gait models. J Biomech. 2016; 49(9):1658-1669. DOI: 10.1016/j.jbiomech.2016.03.052. View

Anderson F, Pandy M . Static and dynamic optimization solutions for gait are practically equivalent. J Biomech. 2001; 34(2):153-61. DOI: 10.1016/s0021-9290(00)00155-x. View

Dupre T, Dietzsch M, Komnik I, Potthast W, David S . Agreement of measured and calculated muscle activity during highly dynamic movements modelled with a spherical knee joint. J Biomech. 2018; 84:73-80. DOI: 10.1016/j.jbiomech.2018.12.013. View

Pohl M, Kendall K, Patel C, Wiley J, Emery C, Ferber R . Experimentally reduced hip-abductor muscle strength and frontal-plane biomechanics during walking. J Athl Train. 2015; 50(4):385-91. PMC: 4560003. DOI: 10.4085/1062-6050-49.5.07. View

Sasaki K, Neptune R . Individual muscle contributions to the axial knee joint contact force during normal walking. J Biomech. 2010; 43(14):2780-4. PMC: 2963724. DOI: 10.1016/j.jbiomech.2010.06.011. View

Navacchia A, Hume D, Rullkoetter P, Shelburne K . A computationally efficient strategy to estimate muscle forces in a finite element musculoskeletal model of the lower limb. J Biomech. 2019; 84:94-102. PMC: 8230727. DOI: 10.1016/j.jbiomech.2018.12.020. View

Flaxman T, Alkjaer T, Simonsen E, Krogsgaard M, Benoit D . Predicting the Functional Roles of Knee Joint Muscles from Internal Joint Moments. Med Sci Sports Exerc. 2016; 49(3):527-537. DOI: 10.1249/MSS.0000000000001125. View

Suzuki Y, Iijima H, Shimoura K, Tsuboyama T, Aoyama T . Patients with early-stage knee osteoarthritis and knee pain have decreased hip abductor muscle strength while descending stairs. Clin Rheumatol. 2019; 38(8):2249-2254. DOI: 10.1007/s10067-019-04523-3. View

10.

Buchanan T, Lloyd D . Muscle activation at the human knee during isometric flexion-extension and varus-valgus loads. J Orthop Res. 1997; 15(1):11-7. DOI: 10.1002/jor.1100150103. View

11.

Rutherford D, Hubley-Kozey C, Stanish W . Hip abductor function in individuals with medial knee osteoarthritis: Implications for medial compartment loading during gait. Clin Biomech (Bristol). 2014; 29(5):545-50. DOI: 10.1016/j.clinbiomech.2014.03.009. View

12.

Mokhtarzadeh H, Perraton L, Fok L, Munoz M, Clark R, Pivonka P . A comparison of optimisation methods and knee joint degrees of freedom on muscle force predictions during single-leg hop landings. J Biomech. 2014; 47(12):2863-8. DOI: 10.1016/j.jbiomech.2014.07.027. View

13.

Kuroyanagi Y, Nagura T, Kiriyama Y, Matsumoto H, Otani T, Toyama Y . A quantitative assessment of varus thrust in patients with medial knee osteoarthritis. Knee. 2011; 19(2):130-4. DOI: 10.1016/j.knee.2010.12.007. View

14.

Cohen J . A power primer. Psychol Bull. 2009; 112(1):155-9. DOI: 10.1037//0033-2909.112.1.155. View

15.

Schipplein O, Andriacchi T . Interaction between active and passive knee stabilizers during level walking. J Orthop Res. 1991; 9(1):113-9. DOI: 10.1002/jor.1100090114. View

16.

Alexander N, Schwameder H . Comparison of Estimated and Measured Muscle Activity During Inclined Walking. J Appl Biomech. 2015; 32(2):150-9. DOI: 10.1123/jab.2015-0021. View

17.

Schmitt L, Rudolph K . Muscle stabilization strategies in people with medial knee osteoarthritis: the effect of instability. J Orthop Res. 2008; 26(9):1180-5. PMC: 3112363. DOI: 10.1002/jor.20619. View

18.

Alexander N, Schwameder H . Lower limb joint forces during walking on the level and slopes at different inclinations. Gait Posture. 2016; 45:137-42. DOI: 10.1016/j.gaitpost.2016.01.022. View

19.

Komura T, Prokopow P, Nagano A . Evaluation of the influence of muscle deactivation on other muscles and joints during gait motion. J Biomech. 2004; 37(4):425-36. DOI: 10.1016/j.jbiomech.2003.09.022. View

20.

Wibawa A, Verdonschot N, Halbertsma J, Burgerhof J, Diercks R, Verkerke G . Musculoskeletal modeling of human lower limb during normal walking, one-legged forward hopping and side jumping: Comparison of measured EMG and predicted muscle activity patterns. J Biomech. 2016; 49(15):3660-3666. DOI: 10.1016/j.jbiomech.2016.09.041. View