Ankle, knee, and hip moments during standing with and without joint contractures

Simulation study for functional electrical stimulation

Hitoshi Kagaya, Mukut Sharma, Rudi Kobetic, E. Byron Marsolais

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Joint contractures have been one of the contraindications for use of functional electrical stimulation for standing in paraplegic patients. A simulation study using a three-segment link mechanical model of the human body was performed to calculate the muscle moments at the ankles, knees, and hips during standing with and without having joint contractures. The knee and hip angles were varied in 5°increments, whereas the ankle angles were varied in 1°increments. It was assumed that energy efficient posture was obtained with the least sum of the squared moments of the ankles, knees, and hips joints by the muscles. Ankles at 5°of dorsiflexion, knees at 0°, and hips at 15°of extension resulted in the most energy efficient posture without joint contractures. The muscle moments increased with the increase in angle of contractures. The joint contractures at ankle angles ≤6°of plantar flexion, knee angles ≤20°of flexion, and/or hip angles ≤20°of flexion produce a potentially unstable posture. These findings suggest that some degree of joint contractures can be tolerated in paraplegic patients using functional electrical stimulation for standing.

Original languageEnglish
Pages (from-to)49-54
Number of pages6
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume77
Issue number1
DOIs
Publication statusPublished - 01-01-1998

Fingerprint

Contracture
Ankle
Electric Stimulation
Hip
Knee
Joints
Posture
Muscles
Ankle Joint
Hip Joint
Knee Joint
Human Body

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

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abstract = "Joint contractures have been one of the contraindications for use of functional electrical stimulation for standing in paraplegic patients. A simulation study using a three-segment link mechanical model of the human body was performed to calculate the muscle moments at the ankles, knees, and hips during standing with and without having joint contractures. The knee and hip angles were varied in 5°increments, whereas the ankle angles were varied in 1°increments. It was assumed that energy efficient posture was obtained with the least sum of the squared moments of the ankles, knees, and hips joints by the muscles. Ankles at 5°of dorsiflexion, knees at 0°, and hips at 15°of extension resulted in the most energy efficient posture without joint contractures. The muscle moments increased with the increase in angle of contractures. The joint contractures at ankle angles ≤6°of plantar flexion, knee angles ≤20°of flexion, and/or hip angles ≤20°of flexion produce a potentially unstable posture. These findings suggest that some degree of joint contractures can be tolerated in paraplegic patients using functional electrical stimulation for standing.",
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Ankle, knee, and hip moments during standing with and without joint contractures : Simulation study for functional electrical stimulation. / Kagaya, Hitoshi; Sharma, Mukut; Kobetic, Rudi; Marsolais, E. Byron.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 77, No. 1, 01.01.1998, p. 49-54.

Research output: Contribution to journalArticle

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