Kinematics of hip, knee, ankle of the young and elderly Chinese people during kneeling activity

Zhou, Hongyang; Wang, Dongmei; Liu, Tao-ran; Zeng, Xiangsen; Wang, Chengtao

doi:10.1631/jzus.b1100355

Cited by 14 publications

(17 citation statements)

References 16 publications

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“…The reliabilities of these kinematic data can be verified by comparison with previously published literature (Hemmerich et al, 2006;Queen et al, 2006;Protopapadaki et al, 2007;Zhou et al, 2012). The ROM of flexion/extension at the hip was much higher than the ROMs of adduction/abduction and internal/ external rotation.…”

supporting

confidence: 62%

Motion performance and impingement risk of total hip arthroplasty with a simulation module

Zhou

Wang

et al. 2013

J. Zhejiang Univ. Sci. B

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The present study introduced a new motion analysis method for total hip arthroplasty (THA). A motion simulation module of THA was designed and developed, which can simulate the THA's implantation condition and motion and detect the theoretic range of motion (ROM) before the prosthetic component impingement happens. The impingement risk of THA should be investigated through comparing the analysis data of module with the realistic kinematics obtained from hip motion measurement. Furthermore, in order to demonstrate how to use this module, the kinematic data of the hip were recorded by measuring the lower limbs motion of general population in six activities of daily living (ADLs), i.e., kneeling, squatting, ascending stair, descending stair, walking, and jogging. Analysis results showed that the possibilities of impingement and dislocation were larger during the squatting activity. It is reasonable to believe that the motion simulation module of THA in the present study is helpful for clinical medicine engineering, and hip implant design and optimization.Impingement has presented a high occurrence rate since THA has been wildly applied in clinic, and does great harm to patients (Yoshimine and Ginbayashi, 2002;Brown and Callaghan, 2008;Kessler et al., 2008;Tanino et al., 2008;Patel et al., 2010). The study on the subjects of the impingement and dislocation of THA has attracted scientists and doctors' attention. There are various factors that increase the propensity of impingement or dislocation; except the patients themselves, factors that we cannot choose, the clinical factor and hip implant design are the main factors. In the clinical factor, inappropriate selection of the implant option has a great chance to lead to cup/neck impingement or dislocation. As well, poor alignment of implants for individual patient also leads to serious consequences which depend on three implantation parameters: femoral anteversion, acetabular anteversion, and acetabular inclination (Ji et al., 2010). In implant design, impingement is also related with four design parameters: neck design, head-neck ratio, stem-neck angle, and cup opening plane design (Ji et al., 2010). In fact, these major factors are in direct linkage with human lower limb activity. If the realistic hip motion requirement of some activities is far more than the theoretic ROM provided by THA, then cup/neck impingement or dislocation will be bound to occur.In the present study, we used a 3D parameterized motion simulation module of THA to investigate THA's motion performance and impingement risk. All the implantation and design parameters mathematically influencing the theoretical ROM were involved. The module can easily imitate the implant environment of THA, simulate the motions of implants, and detect the maximum ROM before the cup/neck impingement happens. Furthermore, in order to demonstrate how to use this module, the

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supporting

confidence: 62%

Motion performance and impingement risk of total hip arthroplasty with a simulation module

Zhou

Wang

et al. 2013

J. Zhejiang Univ. Sci. B

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“…In order to minimize soft tissue artifacts, seven optical tracking rigid plates, each consisting of four markers and one shell, were designed according to segment characteristics and were attached to the lateral aspects of the feet (bilateral instep), shanks (bilateral surface of tibia), thighs (bilateral surface of the thigh), and pelvis (over the center point between both posterior superior iliac spines) using flexible cohesive elastic bandage. 12 All subjects wore shorts, and the rigid plates were secured by a common non-elastic medical bandage so as to avoid loosening and relative displacement between the markers and skin. As stated earlier, distinct nervous control strategies were adopted at 6-9 or 15 .…”

Section: Methodsmentioning

confidence: 99%

“…Local coordinate systems were defined for the foot, shank, thigh and pelvis segments through digitized palpated bony landmarks using a digital probe. 12 The local coordinate system for each segment was linked to the segment's individual tracking plate, which enabled the calculation of joint angles at the ankle, knee, and hip. The interested variables included spatiotemporal parameters (step length, cadence, double limb stance duration, and single limb stance duration) and angular parameters at the hip, knee and ankle joint (ranges of motion (ROM), maximum flexion angles, maximum extension angles, and joint angles at heel strike).…”

Section: Methodsmentioning

confidence: 99%

The Influence of Walking Speed on Gait Patterns During Upslope Walking

Han¹

2015

J Med Imaging Hlth Inform

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Gait patterns were significantly influenced by the speed during level walking. This study aimed to characterize the effect of speed on gait kinematics and spatiotemporal parameters during upslope walking, as such data could be valuable in optimizing athletes' sport training and rehabilitation programs for patients with joint disorders. Forty-five healthy subjects (22 males, 23 females; mean age = 21.3 years (SD = 3.1); height = 1.69 meters (SD = 0.05); weight = 65.2 kg (SD = 7.8)) participated in the study. Participants walked on a treadmill at speeds of 1, 2, 3, and 4 km/h with slopes of 8 , and 15 during which three-dimensional kinematics data were recorded. The spatiotemporal parameters and the joint angles at hip, knee and ankle were calculated. Analyses of the data showed that most parameters of interest were significantly influenced by gait speed during upslope walking. With increasing walking speed, both the cadence and step length increased, whereas the double limb stance duration decreased. The subjects increased joint motions as they walked faster. During 8 upslope walking, the joint ROMs increased from 44.7 at 1 km/h to 57.9 at 4 km/h for the hip joint, from 45.9 to 61.6 for the knee joint, and from 31.1 to 37.8 for the ankle joint. The data improved our understanding of biomechanical requirements across speeds during slope walking, and suggested that upslope walking might be an effective way for sports training and rehabilitation of patients with joint injuries.

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“…Patients who received CPM therapy immediately after TKA surgery were categorized into rapid-, normal-, and slow-progress groups according to their response to CPM during their acute inpatient stay. Knee pain, passive knee flexion, and knee function-measured using the Western Ontario and McMaster Universities Osteoarthritis Index After TKA, a patient's ability to perform activities of daily living (ADLs) depends on the degree of regained knee motion, particularly for high-flexion activities such as stair climbing, squatting, and kneeling [46]. Overall, a knee flexion ≥120° is adequate for most ADLs [25,43].…”

Section: Introductionmentioning

confidence: 99%

Continuous passive motion and its effects on knee flexion after total knee arthroplasty in patients with knee osteoarthritis

Liao

Huang

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Kinematics of hip, knee, ankle of the young and elderly Chinese people during kneeling activity

Cited by 14 publications

References 16 publications

Motion performance and impingement risk of total hip arthroplasty with a simulation module

Motion performance and impingement risk of total hip arthroplasty with a simulation module

The Influence of Walking Speed on Gait Patterns During Upslope Walking

Continuous passive motion and its effects on knee flexion after total knee arthroplasty in patients with knee osteoarthritis

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