Purpose: It is unclear whether biarticular hamstring muscles (HAM) can act as knee extensors or not. The purpose of this study is to identify the conditions that HAM can act as a knee extensor by using a computational simulation approach.Methods: The modified Gait2392 musculoskeletal model was used in this study. The posture was determined with a hip flexion angle that ranged from -30° to 90° and a knee flexion angle that ranged from -10 ° to 90 °. The simulations were executed under two conditions: all segments are free to move, non-contact with the ground (nCG), and the foot is constrained on the ground, contact with the ground (CG). Induced acceleration analysis was applied to determine the contribution of the HAM to the knee angular acceleration.Results: Three key findings were discovered. 1) HAM can act as knee extensors that have CG condition as well as nCG condition. 2) The HAM function changes depending on the posture. 3) The range of the hip joint that HAM was able to act as a knee extensor was expanded for the CG condition from the nCG condition.Conclusions: We identified the situations in which HAM can act as knee extensors and demonstrated that the HAM function on the knee joint changes depending on the posture and the foot contact condition. Our findings suggest that HAM can be used as compensatory movement strategy for patients with a reduced capacity to generate knee extension if the patients have enough HAM strength.
Background: Females are two times as likely to experience patellofemoral pain syndrome (PFPS) than males; however, the reason for this sex difference remains unclear. Patellofemoral joint (PFJ) stress is believed to contribute to PFPS alterations through knee joint rotation alignment, but the influence of knee joint rotation conditions on PFJ stress is unclear. We aimed to investigate the influence of sex and knee joint rotation alignment on PFJ stress. Methods: Simulation ranges were set to knee joint flexion angles of 10°-45° (common to both sexes) and extension moments of 0-240 Nm (males) and 0-220 Nm (females). The quadriceps force and effective lever arm length at the quadriceps muscle were determined as a function of the knee joint flexion angle and extension moment. The PFJ contact area, which is specific to sex, and knee joint rotation was calculated from cadaver data, and PFJ stress was estimated. Results: In all knee joint rotation conditions, PFJ stress was higher in females than in males. Additionally, PFJ stress in males and females was the largest under neutral conditions compared with other rotation conditions. Conclusion: The results may be useful for understanding the underlying mechanisms contributing to the differences in PFPS in males and females.
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