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Biomedical subjects

P Dyhre-Poulsen

Publications and source records attributed to P Dyhre-Poulsen.

At least 19 recordsLinked to original sources
PubMed2003

Differential strain patterns of the human gastrocnemius aponeurosis and free tendon, in vivo.

AIM: The mechanical characteristics of the human free tendon and aponeurosis, in vivo, remains largely unknown. The present study evaluated the longitudinal displacement of the separate free Achilles tendon and distal (deep) aponeurosis of the medial gastrocnemius muscle during voluntary isometric contraction. METHODS: Ultrasonography-obtained displacement of the free tendon and tendon-aponeurosis complex, electromyography of the gastrocnemius, soleus, and dorsiflexor muscles, and joint angular rotation were recorded during isometric plantarflexion (n = 5). Tendon cross-sectional area, moment arm and segment lengths (L(o)) were measured using magnetic resonance imaging. Tendon force was calculated from joint moments and tendon moment arm, and stress was obtained by dividing force by cross-sectional area. The difference between the free tendon and tendon-aponeurosis complex deformation yielded separate distal aponeurosis deformation. Longitudinal aponeurosis and tendon strain were obtained from the deformations normalized to segment lengths. RESULTS: At a common tendon force of 2641 +/- 306 N, the respective deformation and Lo were 5.85 +/- 0.85 and 74 +/- 0.8 mm for the free tendon and 2.12 +/- 0.64 and 145 +/- 1.3 mm for the distal aponeurosis, P < 0.05. Longitudinal strain was 8.0 +/- 1.2% for the tendon and 1.4 +/- 0.4% for the aponeurosis, P < 0.01. Stiffness and stored energy was 759 +/- 132 N mm(-1) and 6.14 +/- 1.89 J, respectively, for the free tendon. Cross-sectional area of the Achilles tendon was 73 +/- 4 mm2, yielding a stress of 36.5 +/- 4.6 MPa and Young's modulus of 788 +/- 181 MPa. CONCLUSION: The free Achilles tendon demonstrates greater strain compared with that of the distal (deep) aponeurosis during voluntary isometric contraction, which suggests that separate functional roles may exist during in vivo force transmission.

Achilles Tendon↗
PubMed2002

Muscle reflexes during gait elicited by electrical stimulation of the posterior cruciate ligament in humans.

We investigated the influence of electrical stimulation of the posterior cruciate ligament (PCL) on the motoneuron pool of the thigh and calf muscle during gait. The study group comprised eight young men without any history of injury to the knee joints. Multistranded teflon-insulated stainless steel wires were inserted into the PCL guided by sonography and in four subjects also into the fat pad of the knee. The PCL was electrically stimulated during gait on a treadmill at heel strike and 100 ms after heel strike. Electromyographic signals were recorded with bipolar surface electrodes placed over the vastus medialis, rectus femoris, vastus lateralis, biceps femoris caput longum, and semitendinosus muscles. The stimuli consisted of four pulses delivered at 200 Hz; the stimulus amplitude was two to three times the sensory threshold. The electrical stimulation of the PCL inhibited the ongoing muscle activity in both the quadriceps and the hamstrings. The latency of the inhibition ranged between 78 and 148 ms in the quadriceps, between 88 and 110 ms in the hamstrings and between 189 and 258 ms in m. gastrocnemius. Stimulation of the fat pad of the knee did not influence the thigh and calf muscle motoneuron pool as evidenced by electromyography. The response elicited from the stimulation of the PCL was not limited to a specific muscle group but depended on ongoing muscle contraction, which suggests that the mechanoreceptors in the PCL are involved in the control of all muscles acting on the knee joint during gait.

Adult↗
PubMed2002

Load-displacement properties of the human triceps surae aponeurosis and tendon in runners and non-runners.

The load-displacement and stress-strain characteristics of the human triceps surae tendon and aponeurosis, in vivo, was examined during graded maximal voluntary plantarflexion efforts in runners who trained 80 km/ week or more and age-matched non-runners. Synchronous real-time ultrasonography of triceps surae tendon and aponeurosis displacement, electromyography of the gastrocnemius, soleus and dorsiflexor muscles, and joint angular rotation were obtained. Tendon cross-sectional area and ankle joint moment arm were obtained from magnetic resonance imaging. Tensile tendon force was calculated from the joint moments and tendon moment arm and stress was obtained by dividing force by cross-sectional area. Strain was obtained from the displacements normalized to tendon length. Antagonist coactivation and small amounts of ankle joint rotation significantly affected tensile tendon force and aponeurosis and tendon displacement, respectively (P < 0.01). Plantarflexion moment was similar in runners (138 +/- 27 Nm, mean +/- SEM) and non-runners (142 +/- 17 Nm). Tendon moment arm was alike in non-runner (58.3 +/- 0.2 mm) and runners (55.1 +/- 0.1 mm). Similarly, there was no difference in tendon tensile force between runners (2633 +/- 465 N) and non-runners (2556 +/- 401 N). The cross-sectional area of the Achilles tendon was larger in runners (95 +/- 3 mm2) than non-runners (73 +/- 3 mm(2)) (P < 0.01). The load-deformation data yielded similar stiffness (runners 306 +/- 61 N/mm, non-runners 319 +/- 42 N/mm). The maximal strain and stress was 4.9 +/- 0.8% and 38.2 +/- 9.8 MPa in non-runners and 4.1 +/- 0.8% and 26.3 +/- 5.1 MPa in runners. The larger tendon cross-sectional area in trained runners suggests that chronic exposure to repetitive loading has resulted in a tissue adaptation.

Achilles Tendon↗
PubMed2001

A mechanism for increased contractile strength of human pennate muscle in response to strength training: changes in muscle architecture.

1. In human pennate muscle, changes in anatomical cross-sectional area (CSA) or volume caused by training or inactivity may not necessarily reflect the change in physiological CSA, and thereby in maximal contractile force, since a simultaneous change in muscle fibre pennation angle could also occur. 2. Eleven male subjects undertook 14 weeks of heavy-resistance strength training of the lower limb muscles. Before and after training anatomical CSA and volume of the human quadriceps femoris muscle were assessed by use of magnetic resonance imaging (MRI), muscle fibre pennation angle (theta(p)) was measured in the vastus lateralis (VL) by use of ultrasonography, and muscle fibre CSA (CSA(fibre)) was obtained by needle biopsy sampling in VL. 3. Anatomical muscle CSA and volume increased with training from 77.5 +/- 3.0 to 85.0 +/- 2.7 cm(2) and 1676 +/- 63 to 1841 +/- 57 cm(3), respectively (+/- S.E.M.). Furthermore, VL pennation angle increased from 8.0 +/- 0.4 to 10.7 +/- 0.6 deg and CSA(fibre) increased from 3754 +/- 271 to 4238 +/- 202 microm (2). Isometric quadriceps strength increased from 282.6 +/- 11.7 to 327.0 +/- 12.4 N m. 4. A positive relationship was observed between theta(p) and quadriceps volume prior to training (r = 0.622). Multifactor regression analysis revealed a stronger relationship when theta(p) and CSA(fibre) were combined (R = 0.728). Post-training increases in CSA(fibre) were related to the increase in quadriceps volume (r = 0.749). 5. Myosin heavy chain (MHC) isoform distribution (type I and II) remained unaltered with training. 6. VL muscle fibre pennation angle was observed to increase in response to resistance training. This allowed single muscle fibre CSA and maximal contractile strength to increase more (+16 %) than anatomical muscle CSA and volume (+10 %). 7. Collectively, the present data suggest that the morphology, architecture and contractile capacity of human pennate muscle are interrelated, in vivo. This interaction seems to include the specific adaptation responses evoked by intensive resistance training.

Adult↗
PubMed2001

Load-displacement properties of the human triceps surae aponeurosis in vivo.

1. The present investigation measured the load-displacement and stress-strain characteristics of the proximal and distal human triceps surae aponeurosis and tendon in vivo during graded voluntary 10 s isometric plantarflexion efforts in five subjects. 2. During the contractions synchronous real-time ultrasonography of aponeurosis displacement, electromyography of the gastrocnemius, soleus and dorsiflexor muscles, and joint angular rotation were obtained. Tendon cross-sectional area and moment arm were obtained from magnetic resonance (MR) images. Force and electromyography data from dorsiflexion efforts were used to examine the effect of coactivation. 3. Tendon force was calculated from the joint moments and tendon moment arm, and stress was obtained by dividing force by cross-sectional area. Aponeurosis and tendon strain were obtained from the displacements normalised to tendon length. 4. Tendon force was 3171 +/- 201 N, which corresponded to 2.6 % less than the estimated force when coactivation was accounted for (3255 +/- 206 N). Aponeurosis displacement (13.9- 12.9 mm) decreased 30 % (9.6-10.7 mm) when accounting for joint angular rotation (3.6 deg). Coactivation and angular rotation-corrected stiffness yielded a quadratic relationship, R 2 = 0.98 +/- 0.01, which was similar for the proximal (467 N mm(-1)) and distal (494 N mm(-1)) aponeurosis and tendon. Maximal strain and stress were 4.4-5.6 % and 41.6 +/- 3.9 MPa, respectively, which resulted in a Young's modulus of 1048-1474 MPa. 5. The mechanical properties of the human triceps surae aponeurosis and tendon in vivo were for the first time examined. The stiffness and Young's modulus exceeded those previously reported for the tibialis anterior tendon in vivo, but were similar to those obtained for various isolated mammalian and human tendons.

Adult↗
PubMed2001

Soleus H-reflex gain in humans walking and running under simulated reduced gravity.

The Hoffmann (H-) reflex is an electrical analogue of the monosynaptic stretch reflex, elicited by bypassing the muscle spindle and directly stimulating the afferent nerve. Studying H-reflex modulation provides insight into how the nervous system centrally modulates stretch reflex responses.A common measure of H-reflex gain is the slope of the relationship between H-reflex amplitude and EMG amplitude. To examine soleus H-reflex gain across a range of EMG levels during human locomotion, we used simulated reduced gravity to reduce muscle activity. We hypothesised that H-reflex gain would be independent of gravity level.We recorded EMG from eight subjects walking (1.25 m s-1) and running (3.0 m s-1) at four gravity levels (1.0, 0.75, 0.5 and 0.25 G (Earth gravity)). We normalised the stimulus M-wave and resulting H-reflex to the maximal M-wave amplitude (Mmax) elicited throughout the stride to correct for movement of stimulus and recording electrodes relative to nerve and muscle fibres. Peak soleus EMG amplitude decreased by ~30% for walking and for running over the fourfold change in gravity. As hypothesised, slopes of linear regressions fitted to H-reflex versus EMG data were independent of gravity for walking and running (ANOVA, P > 0.8). The slopes were also independent of gait (P > 0.6), contrary to previous studies. Walking had a greater y-intercept (19.9% Mmax) than running (-2.5% Mmax; P < 0.001). At all levels of EMG, walking H-reflex amplitudes were higher than running H-reflex amplitudes by a constant amount. We conclude that the nervous system adjusts H-reflex threshold but not H-reflex gain between walking and running. These findings provide insight into potential neural mechanisms responsible for spinal modulation of the stretch reflex during human locomotion.

Adult↗
PubMed2001

Inhibition of dynamic thigh muscle contraction by electrical stimulation of the posterior cruciate ligament in humans.

We investigated the influence of electrical stimulation of the posterior cruciate ligament (PCL) on the motoneuron pool of the thigh muscle during voluntary static and dynamic muscle contraction. The study group comprised nine young men with no history of injury to the knee joints. Multistranded Teflon-insulated stainless-steel wires were inserted into the PCL guided by ultrasound. In three subjects wires were also inserted into the fat pad of the knee. The PCL was electrically stimulated during static, concentric, or eccentric muscle contraction with a constant load of 20% of the maximal voluntary contraction of either the quadriceps or the hamstrings. Electromyographic signals were recorded with bipolar surface electrodes placed over the vastus medialis, rectus femoris, vastus lateralis, biceps femoris caput longum, and semitendinosus muscles. The stimuli consisted of four pulses delivered at 200 HZ; the stimulus amplitude was two to three times the sensory threshold. The electrical stimulation of the PCL inhibited the ongoing muscle activity in both the quadriceps and hamstrings with latencies of 114-150 ms and 99-130 ms, respectively. Stimulation of the fat pad of the knee did not influence the muscle activity. The study suggests that the mechanoreceptors in the PCL are involved in controlling muscle activity during both static and active muscle contractions. The relative long latency of the reflex makes it unlikely that it can serve as a directly protective reflex for the cruciate ligaments.

Adult↗
PubMed2001

Comparison of inverse dynamics calculated by two- and three-dimensional models during walking.

The purpose of the study was to compare joint moments calculated by a two- (2D) and a three-dimensional (3D) inverse dynamics model to examine how the different approaches influenced the joint moment profiles. Fifteen healthy male subjects participated in the study. A five-camera video system recorded the subjects as they walked across two force plates. The subjects were invited to approach a walking speed of 4.5 km/h. The ankle, knee and hip joint moments in the sagittal plane were calculated by 2D and 3D inverse dynamics analysis and compared. Despite the uniform walking speed (4.53 km/h) and similar footwear, relatively large inter-individual variations were found in the joint moment patterns during the stance phase. The differences between individuals were present in both the 2D and 3D analysis. For the entire sample of subjects the overall time course pattern of the ankle, knee and hip joint moments was almost identical in 2D and 3D. However, statistically significant differences were observed in the magnitude of the moments, which could be explained by differences in the joint centre location and joint axes used in the two approaches. In conclusion, there were differences between the magnitude of the joint moments calculated by 2D and 3D inverse dynamics but the inter-individual variation was not affected by the different models. The simpler 2D model seems therefore appropriate for human gait analysis. However, comparisons of gait data from different studies are problematic if the calculations are based on different approaches. A future perspective for solving this problem could be to introduce a standard proposal for human gait analysis.

Adult↗
PubMed2001

Is proprioception altered during loaded knee extension shortly after ACL rupture?

Knee joint angle reproduction was measured without loading of the quadriceps and during concentric quadriceps contractions at 20% of maximal voluntary contraction. The threshold of movement detection was measured. The reproducibility of the methods and the effect of an acute ACL rupture < 10 wks post-injury were examined. A test-retest protocol with a 1 wk hiatus was conducted on 15 healthy subjects. Side-to-side differences were tested in 10 patients with acute ACL rupture. The test-retest protocol did not show any significant differences and yielded correlations of r=0.7-0.9 (p<0.01) and coefficients of variations of 5.7-13.0%. No side-to-side differences were detected in the ACL subjects. Quadriceps loaded; injured 3.96 +/- 2.21 , uninjured 4.7 +/- 1.23, unloaded; injured 2.85 +/- 0.56 degrees, uninjured 2.92+/-1.20 degrees. Threshold of movement detection; injured 1.48+/-0.81 degrees, uninjured 1.44+/-0.65 degrees. Therefore, it may be questioned if the ACL itself plays a major role in proprioception performance as it is commonly measured in the laboratory.

Adult↗
PubMed2000

Antagonist muscle coactivation during isokinetic knee extension.

The aim of the present study was to quantify the amount of antagonist coactivation and the resultant moment of force generated by the hamstring muscles during maximal quadriceps contraction in slow isokinetic knee extension. The net joint moment at the knee joint and electromyographic (EMG) signals of the vastus medialis, vastus lateralis, rectus femoris muscles (quadriceps) and the biceps femoris caput longum and semitendinosus muscles (hamstrings) were obtained in 16 male subjects during maximal isokinetic knee joint extension (KinCom, ROM 90-10 degrees, 30 degrees x s(-1)). Two types of extension were performed: [1] maximal concentric quadriceps contractions and [2] maximal eccentric hamstring contractions Hamstring antagonist EMG in [1] were converted into antagonist moment based on the EMG-moment relationships determined in [2] and vice versa. Since antagonist muscle coactivation was present in both [1] and [2] a set of related equations was constructed to yield the moment/EMG relationships for the hamstring and quadriceps muscles, respectively. The equations were solved separately for every 0.05 degrees knee joint angle in the 90-10 degrees range of excursion (0 degrees = full extension) ensuring that the specificity of muscle length and internal muscle lever arms were incorporated into the moment/EMG relationships established. Substantial hamstring coactivation was observed during quadriceps agonist contraction. This resulted in a constant level of antagonist hamstring moment of about 30 Nm throughout the range of motion. In the range of 30-10 degrees from full knee extension this antagonist hamstring moment corresponded to 30-75% of the measured knee extensor moment. The level of antagonist coactivation was 3-fold higher for the lateral (Bfcl) compared to medial (ST) hamstring muscles The amount of EMG crosstalk between agonist-antagonist muscle pairs was negligible (Rxy2<0.02-0.06). The present data show that substantial antagonist coactivation of the hamstring muscles may be present during slow isokinetic knee extension. In consequence substantial antagonist flexor moments are generated. The antagonist hamstring moments potentially counteract the anterior tibial shear and excessive internal tibial rotation induced by the contractile forces of the quadriceps near full knee extension. In doing so the hamstring coactivation is suggested to assist the mechanical and neurosensory functions of the anterior cruciate ligament (ACL).

Adult↗
PubMed2000

Muscular reflexes elicited by electrical stimulation of the anterior cruciate ligament in humans.

Anterior cruciate ligament (ACL)-deficient knees have impaired proprioception, and, although mechanoreceptors have been found in the ACL, the existence of a reflex elicited from these receptors has not been directly demonstrated in humans. In eight patients that underwent knee arthroscopy and had no sign of ACL disease, thin wire electrodes were inserted into the proximal and mid parts of the ACL. Postoperatively, the sensory nerve fibers inside the ACL were stimulated electrically while motor activity in the knee muscles was recorded using electromyography. In seven of the eight patients, a muscular contraction of the semitendinosus muscle could be elicited with stimulus trains consisting of at least two stimuli. The latency was 95 +/- 35 ms. Stimulation during isometric contraction of either extensor or flexor muscles elicited a short, complete inhibition of the muscle activity in the contracting muscles. The latency of the inhibitory responses was 65 +/- 20 ms in the semitendinosus muscle and 70 +/- 15 ms in the rectus femoris muscle.

Adult↗
PubMed2000

Neural inhibition during maximal eccentric and concentric quadriceps contraction: effects of resistance training.

Despite full voluntary effort, neuromuscular activation of the quadriceps femoris muscle appears inhibited during slow concentric and eccentric contractions. Our aim was to compare neuromuscular activation during maximal voluntary concentric and eccentric quadriceps contractions, hypothesizing that inhibition of neuromuscular activation diminishes with resistance training. In 15 men, pretraining electromyographic activity of the quadriceps muscles [vastus medialis (VM), vastus lateralis (VL), and rectus femoris (RF)] was 17-36% lower during slow and fast (30 and 240 degrees/s) eccentric and slow concentric contractions compared with fast concentric contractions. After 14 wk of heavy resistance training, neuromuscular inhibition was reduced for VL and VM and was completely removed for RF. Concurrently, electromyographic activity increased 21-52, 22-29, and 16-32% for VL, VM, and RF, respectively. In addition, median power frequency decreased for VL and RF. Eccentric quadriceps strength increased 15-17%, whereas slow and fast concentric strength increased 15 and 8%, respectively. Pre- and posttraining median power frequency did not differ between eccentric and concentric contractions. In conclusion, quadriceps motoneuron activation was lower during maximal voluntary eccentric and slow concentric contractions compared with during fast concentric contraction in untrained subjects, and, after heavy resistance training, this inhibition in neuromuscular activation was reduced.

Adult↗
PubMed1999

Amplitude of the human soleus H reflex during walking and running.

1. The objective of the study was to investigate the amplitude and modulation of the human soleus Hoffmann (H) reflex during walking and during running at different speeds. 2. EMGs were recorded with surface electrodes from the soleus, the medial and lateral head of the gastrocnemius, the vastus lateralis and the anterior tibial muscles. The EMGs and the soleus H reflex were recorded while walking on a treadmill at 4.5 km h-1 and during running at 8, 12 and 15 km h-1. 3. The amplitudes of the M wave and the H reflex were normalized to the amplitude of a maximal M wave elicited by a supramaximal stimulus just after the H reflex to compensate for movements of the recording and stimulus electrodes relative to the nerve and muscle fibres. The stimulus intensity was set to produce M waves that had an amplitude near to 25 % of the maximal M wave measured during the movements. As an alternative, the method of averaging of sweeps in sixteen intervals of the gait cycle was applied to the data. In this case the amplitude of the H reflex was expressed relative to the maximal M wave measured whilst in the standing position. 4. The amplitude of the H reflex was modulated during the gait cycle at all speeds. During the stance phase the reflex was facilitated and during the swing and flight phases it was suppressed. The size of the maximal M wave varied during the gait cycle and this variation was consistent for each subject although different among subjects. 5. The peak amplitude of the H reflex increased significantly (P = 0.04) from walking at 4.5 km h-1 to running at 12 and 15 km h-1 when using the method of correcting for variations of the maximal M wave during the gait cycle. The sweep averaging method showed a small but non-significant decrease (P = 0. 3) from walking to running at 8 km h-1 and a small decrease with running speed (P = 0.3). The amplitude of the EMG increased from walking to running and with running speed. 6. The relatively large H reflex recorded during the stance phase in running indicates that the stretch reflex may influence the muscle mechanics during the stance phase by contributing to the motor output and enhancing muscle stiffness.

Adult↗
PubMed1999

EMG activity of the iliopsoas muscle and leg kinetics during the soccer place kick.

The purpose of the study was to develop a method to record intramuscular electromyogram (EMG) from the iliopsoas muscle and to relate this activity to the kinetics during the soccer place kick. Seven skilled soccer players performed 3 maximal velocity place kicks. The kicks were filmed with a high-speed camera (400 Hz) and EMG recordings were obtained from 5 muscles of the kicking leg, including wire electrodes inserted into the m. iliopsoas. The EMG signals were compared to the kinetics of the kicking leg, which were calculated from the digitised film. The results showed hardly any torque reversal about the hip joint before impact. Angular deceleration of the thigh segment did not increase the angular velocity of the shank (work -3.57 to 0.0%). M. iliopsoas was active during the entire kicking motion (average EMG 65.1-100.9%), even in the period when the thigh was decelerating. Wire electrodes can successfully be applied to EMG recordings of fast unloaded movements.

Adult↗
PubMed1998

Modulation of short latency stretch reflexes during human hopping.

To gain insight into central and peripheral reflex control mechanisms in moving humans we have investigated short latency stretch reflex activity in m. triceps surae during two legged hopping. The objectives were: (1) to compare movement induced short latency stretch reflexes in soleus and medial gastrocnemius (MG) muscles, (2) to determine the relationship between the size of these reflexes and the muscle spindle stretch velocities, and (3) to compare the size of the movement induced short latency stretch reflexes and the H-reflexes simultaneously. Six well-trained healthy male subjects participated and they hopped at three different work rates. Surface electromyogram (EMG) and H-reflexes were recorded during hopping. Muscle spindle length changes were estimated as the difference between estimated origin-to-insertion length changes and tendon length changes. The important findings were that during hopping: (1) movement induced short latency stretch reflexes were observed consistently in soleus, (2) the EMG amplitude of this stretch reflex was negatively correlated with the estimated peak muscle spindle stretch velocity (rs = -0.52, P < 0.02), and (3) the amplitude of the soleus H-reflex at touchdown did not change in parallel with the stretch reflex. The negative correlation observed between the stretch reflex and the estimated peak muscle spindle stretch velocity in soleus is opposite to the basic velocity sensitive behaviour of stretch reflexes mechanically elicited during resting conditions. Possible control mechanisms are discussed. Additionally, muscle spindle length changes estimated from changes in the skeletal movements (joint angles) should be inferred cautiously because of tendon compliance, especially at high tendon forces.

Adult↗
PubMed1997

The anterior cruciate ligament does play a role in controlling axial rotation in the knee.

This study deals with the influence of peroperative ligament tension on total tibial rotation at different knee flexion angles. Fourteen human cadaver knees with a mean age of 56 years (range 42-84 years) were examined. The cadaver knees were subjected to internal/external (i/e) rotational torque of 6 Nm, at 10, 30, 50, 70 and 90 deg of knee flexion. The mean total i/e rotation with the anterior cruciate ligament (ACL) intact at 10 deg of knee flexion was 30.4 deg and after removing the ACL, 33.1 deg. At 10 and 30 deg of knee flexion, the increase in i/e rotation was significant, while there was no significant difference in mean values at greater knee flexion. Ligament reconstruction with a tension of 5 N at 30 deg of knee flexion using either the over the top or through the femoral condyle reconstructive procedure restored normal tibial rotation. With increased graft tension the knee motion was increasingly restricted at low angles of knee flexion. Our results indicate that the ACL does play a role in limiting axial rotation, and even minor tensioning forces introduced in any of the two ACL reconstructions used produced restricted knee motion.

Adult↗
PubMed1997

Mechanisms contributing to different joint moments observed during human walking.

The present study investigated factors that contribute to the formation of a previously reported knee joint flexor moment during the stance phase of walking. Contradictory results have been reported on this flexor moment, which some but not all individuals exhibit. Seven healthy male subjects were high speed filmed while walking across a force platform, and EMG recordings were obtained from five leg muscles. To investigate segment interactions, net joint moments about the ankle, knee and hip joint were calculated by inverse dynamics and each term in the equation used for the moment calculation was evaluated during the time-course of the step cycle. To test the hypothesis that net joint moments are balanced by an external moment formed by the resulting ground reaction vector multiplied by the perpendicular distance to the actual joint, external moment arms were calculated by the floor reaction force vector approach (FRFV). Contrasting two subjects with different net joint moments about the knee and ankle joint revealed that the knee joint flexor moment could not be explained by an opposite external moment. The external moments were calculated by a simplified method (FRFV) in which the point of force application is incorrect for joints above the ankle joint. However, at the ankle joint the net joint moment was always opposed by an external moment of opposite polarity. A detailed examination of the equation used for the net joint moment calculation showed that a knee joint flexor moment can be caused directly by a large plantar flexor moment about the ankle joint. For example. the soleus muscle can pull the tibia and generate an extensor moment about the knee joint, which in turn has to be opposed by a knee flexor moment from the hamstring muscles. Otherwise the desired joint angles cannot be obtained during human walking. It is therefore suggested that the kinematics regarding how the foot is placed on the ground may influence the net ankle joint moment, while the moment patterns about the knee and hip joint are determined by segment interaction and the requirements for controlling the direction of the resulting ground reaction vector. In vertical jumping it is advantageous to generate extensor moments about the knee and hip joint simultaneously, while in horizontal locomotion this would result in inefficient vertical movements.

Adult↗