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ANKLE, KNEE, AND HIP MOMENTS DURING STANDING WITH AND WITHOUT JOINT CONTRACTURES Simulation Study for Functional Electrical Stimulation

 

作者: Hitoshi,   Kagaya Mukut,   Sharma Rudi,   Kobetic E.,  

 

期刊: American Journal of Physical Medicine and Rehabilitation  (OVID Available online 1998)
卷期: Volume 77, issue 1  

页码: 49-54

 

ISSN:0894-9115

 

年代: 1998

 

出版商: OVID

 

关键词: Simulation;Moment;Standing;Functional Electrical Stimulation

 

数据来源: OVID

 

摘要:

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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