Lower-limb sagittal joint moments during gait are important variables for evaluating the risk of disease progression, such as that of orthopedic diseases. Therefore, quantifying lower-limb sagittal joint moments during walking is important to continuously evaluate the risk of disease progression. A motion capture system and force plate are employed in the calculation of lower-limb sagittal joint moments during gait. However, they cannot be used during daily walking. Therefore, it is important to estimate these moments during walking from the vertical ground reaction force (vGRF), which can be measured using a wearable sensor, such as an insole device. Thus, this study aimed to estimate the lower-limb sagittal joint moments during gait using only the vGRF and confirmed its accuracy. This study included 188 healthy adults, and each participant walked at a comfortable speed (10 trials). We estimated the moments from the vGRF using a feedforward neural network. Our major findings are that our method can estimate lower-limb sagittal joint moments using the vGRF with accuracies of NRMSE¯ within 6.0-11.7% (NRMSEs¯ of the hip, knee, and ankle were 8.4, 11.7, and 6.0%, respectively). To the best of our knowledge, this study is the first to estimate lower-limb sagittal joint moments (including those of the hip, knee, and ankle joints) during gait using only the vGRF. Our method may be useful to estimate lower-limb sagittal joint moments during daily walking using only the vGRF, which can be measured by an insole device in the future.
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http://dx.doi.org/10.1016/j.jbiomech.2022.111389 | DOI Listing |
J Biomech
January 2025
Department of Orthopedic Surgery and Orthopedic Research Institute, West China Hospital, Sichuan University Chengdu Sichuan Province China. Electronic address:
OpenCap, a smartphone-based markerless system, offers a cost-effective alternative to traditional marker-based systems for gait analysis. However, its kinematic measurement accuracy must be evaluated before widespread use in clinical practice. This study aimed to evaluate OpenCap for lower-limb joint angle measurements during walking in patients with knee osteoarthritis (OA) and to compare error metrics between patients and healthy controls.
View Article and Find Full Text PDFClin Biomech (Bristol)
January 2025
Department of Veterans Affairs, Center for Limb Loss and MoBility, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA. Electronic address:
Background: Ambulatory individuals with lower limb amputations often face challenges with body support, body propulsion, and balance control. Carrying an infant, toddler, backpack, or other load can exacerbate these challenges and highlights the importance of prescribing the most suitable prosthetic foot. The aim of this study was to examine the influence of five different prosthetic feet on walking performance during various load carriage conditions.
View Article and Find Full Text PDFJ Clin Med
January 2025
Department of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.
After open-wedge high tibial osteotomy (OWHTO), the patella is displaced distally, causing patellofemoral joint degeneration. The objective of this study was to ascertain whether the combination of OWHTO and lateral retinacular release (LRR) can prevent articular cartilage degeneration of the patellofemoral joint using magnetic resonance imaging T2 mapping. This study included 37 patients (37 knees) who underwent OWHTO alone (OWHTO group) and 37 patients (37 knees) who underwent OWHTO with LRR (OWHTO + LRR group) with a correction angle of <10° for varus knee osteoarthritis.
View Article and Find Full Text PDFKnee Surg Relat Res
January 2025
Department of Orthopedic Surgery, Seoul National University Hospital, Seoul National University College of Medicine, 28 Yeongeon-Dong, Jongno-Gu, Seoul, 03080, Korea.
Background: Patellofemoral pain syndrome (PFPS) is one of the most common conditions affecting the knee joint, yet its pathomechanics remain unclear. The aim of this study was to investigate changes in muscle activation and gait patterns and to analyze the relationship between muscle activation and kinetic gait patterns in patients with PFPS.
Methods: This study included 31 patients with PFPS and 28 healthy volunteers without any symptoms.
Clin Biomech (Bristol)
January 2025
Department of Physical Education, Yonsei University, Republic of Korea. Electronic address:
Background: We aimed to synthesize the kinematics and kinetics during landing and walking/running tasks of ankle copers compared with patients with chronic ankle instability and controls.
Methods: We systematically searched PubMed, CINAHL, SPORTDiscus, and Web of Science. Tri-planar lower extremity biomechanics (joint angle and moment at maximum and initial contact, and joint displacement) were synthesized using standard mean difference and 95 % confidence intervals.
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