The Effect of Foot Progression Angle on Knee Joint Compression Force during Walking

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Henrik Koblauch Baldvinsson, Thomas Heilskov-Hansen, Tine Alkjær, Erik B Simonsen, Marius Henriksen

It is unclear how rotations of the lower limb affect the knee joint compression forces during walking. Increases in the frontal plane knee moment have been reported when walking with internally rotated feet and a decrease when walking with externally rotated feet. The aim of this study was to investigate the knee joint compressive forces during walking with internal, external and normal foot rotation and to determine if the frontal plane knee joint moment is an adequate surrogate for the compression forces in the medial and lateral knee joint compartments under such gait modifications. Ten healthy males walked at a fixed speed of 4.5 km/h under three conditions: Normal walking, internally rotated and externally rotated. All gait-trials were recorded by six infrared cameras. Net joint moments were calculated by 3D inverse dynamics. The results revealed that the medial knee joint compartment compression force increased during EFR and the lateral knee joint compartment compression force increased during IFR. The increases in joint loads may be a result of increased knee flexion angles. Further these data suggest that the frontal plane knee joint moment is not a valid surrogate measure for knee joint compression forces but rather indicates the medial-to-lateral load distribution.
TidsskriftJournal of Applied Biomechanics
Udgave nummer3
Sider (fra-til)329-35
Antal sider7
StatusUdgivet - 2013

ID: 40533655