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A Musculoskeletal Model for Biomechanical Analysis of Transfemoral Amputees Climbing Stairs  

Bae, Tae-Soo (Biomechanics team, Korea Orthopedics and Rehabilitation Engineering Center)
Kim, Shin-Ki (Biomechanics team, Korea Orthopedics and Rehabilitation Engineering Center)
Mun, Mu-Seong (Biomechanics team, Korea Orthopedics and Rehabilitation Engineering Center)
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Abstract
Understanding the characteristics of amputee gait is key in developing more advanced prostheses. The aim of this study was to quantitatively analyze a stair-climbing task for transfemoral amputees with a prosthesis and to predict the muscle forces and joint moments at musculoskeletal joints using a dynamic analysis. A three-dimensional musculoskeletal model of the lower extremities was constructed from a gait analysis using transformation software for two transfemoral amputees and ten healthy people. The measured ground reaction forces and kinematical data of each joint from the gait analysis were used as input data for an inverse dynamic analysis. Dynamic analyses of an transfemoral amputee climbing stairs were performed using musculoskeletal models. The results showed that the summed muscle forces of the hip extensor of an amputated leg were greater than those of a sound leg. The opposite was true at the hip abductor and knee flexor of an amputated leg. We also found that higher moments at the hip and knee joints of the sound leg were required to overcome the flexion moment caused by the body weight and amputated leg. Dynamic analyses using musculoskeletal models may be a useful means to predict muscle forces and joint moments for specific motion tasks related to rehabilitation therapy.
Keywords
Musculoskeletal model; Stair climb; Inverse dynamic analysis;
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Times Cited By Web Of Science : 3  (Related Records In Web of Science)
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1 Heller, M. O., Bergman, G., Deuretzbacher, G., Durselen, L., Pohl, M., Claes, L., Haas, N. P. and Duda, G. N., 'Musculo-skeletal loading conditions at the hip during walking and stair climbing,' J. Biomechanics, Vol. 34, No. 7, pp. 883-893, 2001   DOI   ScienceOn
2 Schmalz, T., Blumentritt, S. and Marx, B., 'Biomechanical analysis of stair ambulation in lower limb amputees,' Gait Posture, Vol. 25, No. 2, pp. 267-278, 2007   DOI   ScienceOn
3 Hoy, M. G., Zajac, F. E. and Gordon, M. E., 'A musculoskeletal model of the human lower extremity: the effect of muscle, tendon, and moment arm on the moment-angle relationship of musculotendon actuators at the hip, knee, and ankle,' Journal of Biomechanics, Vol 23. No.2, pp. 157-169, 1990   DOI   ScienceOn
4 Schutte, L.M., Hayden, S.W., and Gage, J.R., 'Lengths of hamstrings and psoas muscles during crouch gait: effects of femoral anteversion,' Journal of Orthopaedic Research, Vol. 15, No. 4, pp. 615-621, 1997   DOI   ScienceOn
5 Wickiewicz, T. L., Roy, R. R., Powell, P. L., Perrin, J. J. and Edgerton, V. R., 'Muscle architecture and force-velocity relationships in humans,' Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology, Vol. 57, Issue 2, pp. 435-443, 1984
6 Winters, D. A., 'Anthropometry, Biomechanics and Motor Control of Human Movement, John Wiley & Sons, pp. 51-74, 1990
7 Zhang, M., "MRI investigation of musculoskeletal action of transfemoral residual limb inside a prosthetic socket,' Annual International Conference of the IEEE Engineering in Medicine and Biology-Proceedings, Hong Kong, China: IEEE, pp. 2741-2742, 1998
8 Delp, S. L. and Loan, J. P., 'A computer-graphics software system to develop and analyze models of musculoskeletal structures,' Computers in Biology and Medicine, Vol. 25, No.1, pp. 21-34, 1995   DOI   ScienceOn
9 Yamaguchi, G. T., Sawa, A. G. U., Moran, D. W., Fessler, M. J. and Winters, J. M., 'A survey of human musculotendon actuator parameters,' in Multiple Muscle Systems: Biomechanics and Movement Organization, Springer, pp. 717-774, 1990
10 Wickiewicz, T. L., Roy, R. R. and Powell, P. L., 'Muscle architecture of the human lower limb,' Clinical Orthopedics and Related Research, Issue 179, pp. 275-283, 1983
11 Winters, J. M., 'Hill-based muscle models: A systems engineering perspective,' In: Multiple Muscle Systems: Biomechanics and Movement Organization, Springer, pp. 69-93, 1990
12 Bae, T. S., Kang, S. J., Choi, K. J., Kim, S. K., Ryu, J. W., Jin, M. R. and Mun, M. S., 'The validation of musculoskeletal model during isokinetic exercise at knee joint: an experimental and simulation study,' Journal of Orthopaedic Research, Vol.6, No.2, pp. 186-195, 2003
13 Bae, T. S., Choi, K. W., Hong, D. H. and Mun, M. S., 'Dynamic analysis of above-knee amputee gait,' Clinical Biomechanics, Vol. 22, No. 5, pp. 557-566, 2007   DOI   ScienceOn
14 Riener, R., Rabuffetti, M. and Frigo, C., 'Stair ascent and descent at different inclinations,' Gait Posture, Vol.15, No.1, pp. 32-44, 2002   DOI   ScienceOn