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Forces Generated by Vastus Lateralis and Vastus Medialis Decrease with Increasing Stair Descent Speed

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Abstract

Stair descent (SD) is a common, difficult task for populations who are elderly or have orthopaedic pathologies. Joint torques of young, healthy populations during SD increase at the hip and ankle with increasing speed but not at the knee, contrasting torque patterns during gait. To better understand the sources of the knee torque pattern, we used dynamic simulations to estimate knee muscle forces and how they modulate center of mass (COM) acceleration across SD speeds (slow, self-selected, and fast) in young, healthy adults. The vastus lateralis and vastus medialis forces decreased from slow to self-selected speeds as the individual lowered to the next step. Since the vasti are primary contributors to vertical support during SD, they produced lower forces at faster speeds due to the lower need for vertical COM support observed at faster speeds. In contrast, the semimembranosus and rectus femoris forces increased across successive speeds, allowing the semimembranosus to increase acceleration downward and forward and the rectus femoris to provide more vertical support and resistance to forward progression as SD speed increased. These results demonstrate the utility of dynamic simulations to extend beyond traditional inverse dynamics analyses to gain further insight into muscle mechanisms during tasks like SD.

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References

  1. Anderson, F. C., and M. G. Pandy. Static and dynamic optimization solutions for gait are practically equivalent. J. Biomech. 2:153–161, 2001.

    Article  Google Scholar 

  2. Andriacchi, T. P., and R. P. Mikosz. Musculoskeletal dynamics, locomotion and clinical applications. In: Basic Orthopaedic Biomechanics, edited by V. C. Mow, and W. C. Hayes. New York: Raven Press, 1991, pp. 51–92.

    Google Scholar 

  3. Andriacchi, T. P., et al. A study of lower-limb mechanics during stair-climbing. J. Bone Joint Surg. Am. 5:749–757, 1980.

    Article  Google Scholar 

  4. Arnold, E. M., et al. A model of the lower limb for analysis of human movement. Ann. Biomed. Eng. 2:269–279, 2010.

    Article  Google Scholar 

  5. Asay, J. L., et al. Adaptive patterns of movement during stair climbing in patients with knee osteoarthritis. J. Orthop. Res. 3:325–329, 2009.

    Article  Google Scholar 

  6. Bennell, K. L., et al. Neuromuscular versus quadriceps strengthening exercise in patients with medial knee osteoarthritis and varus malalignment: a randomized controlled trial. Arthritis Rheumatol. 4:950–959, 2014.

    Article  Google Scholar 

  7. Caruthers, E. J., et al. Muscle forces and their contributions to vertical and horizontal acceleration of the center of mass during sit-to-stand transfer in a young, healthy population. J. Appl. Biomech. 32(5):487–503, 2016.

    Article  PubMed  Google Scholar 

  8. Chaudhari, A. M., T. P. Andriacchi, and J. S. Fischgrund. Orthopaedic Knowledge Update (9th ed.). Rosemont, IL: American Academy of Orthopaedic Surgeons, pp. 379–387, 2008.

    Google Scholar 

  9. Cluff, T., and D. G. Robertson. Kinetic analysis of stair descent: Part 1. Forwards step-over-step descent. Gait Posture. 3:423–428, 2011.

    Article  Google Scholar 

  10. Crowninshield, R. D. Use of optimization techniques to predict muscle forces. J. Biomech. Eng. 2:88–92, 1978.

    Article  Google Scholar 

  11. Delp, S. L., et al. OpenSim: open-source software to create and analyze dynamic Simulations of movement. IEEE Trans. Biomed. Eng. 11:1940–1950, 2007.

    Article  Google Scholar 

  12. Guralnik, J. M., et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. A Biol. Sci. Med. Sci. 2:85–94, 1994.

    Article  Google Scholar 

  13. Hamner, S. R., and S. L. Delp. Muscle contributions to fore-aft and vertical body mass center accelerations over a range of running speeds. J. Biomech. 4:780–787, 2013.

    Article  Google Scholar 

  14. Hicks, J. Simulation with OpenSim - Best Practices. 2012, http://simtk-confluence.stanford.edu:8080/display/OpenSim/Simulation+with+OpenSim+-+Best+Practices

  15. Hicks, J. OpenSim User’s Guide CMC Best Practices. 2012, http://simtk-confluence.stanford.edu:8080/x/3IMz

  16. Hicks, J. L., et al. Is my model good enough? Best practices for verification and validation of musculoskeletal models and simulations of movement. J. Biomech. Eng. 137(2):020905, 2015.

    Article  PubMed  Google Scholar 

  17. Hicks-Little, C. A., et al. Lower extremity joint kinematics during stair climbing in knee osteoarthritis. Med. Sci. Sports Exerc. 3:516–524, 2011.

    Article  Google Scholar 

  18. Hinman, R. S., et al. Delayed onset of quadriceps activity and altered knee joint kinematics during stair stepping in individuals with knee osteoarthritis. Arch. Phys. Med. Rehabil. 8:1080–1086, 2002.

    Article  Google Scholar 

  19. Hurley, M. V., and D. J. Newham. The influence of arthrogenous muscle inhibition on quadriceps rehabilitation of patients with early, unilateral osteoarthritic knees. Br. J. Rheumatol. 2:127–131, 1993.

    Article  Google Scholar 

  20. Jamison, S. T., et al. Knee moments during run-to-cut maneuvers are associated with lateral trunk positioning. J. Biomech. 11:1881–1885, 2012.

    Article  Google Scholar 

  21. Kauppila, A. M., et al. Disability in end-stage knee osteoarthritis. Disabil. Rehabil. 5:370–380, 2009.

    Article  Google Scholar 

  22. Kennis, E., et al. Longitudinal impact of aging on muscle quality in middle-aged men. AGE. 4:1–12, 2014.

    Google Scholar 

  23. Lewis, J., et al. Changes in lower extremity peak angles, moments and muscle activations while stair climbing at different speeds. J. Electromyogr. Kinesiol. 25(6):982–989, 2015.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Lin, Y. C., et al. Muscle coordination of support, progression and balance during stair ambulation. J. Biomech. 48(2):340–347, 2014.

    Article  PubMed  Google Scholar 

  25. Liu, M. Q., et al. Muscle contributions to support and progression over a range of walking speeds. J. Biomech. 15:3243–3252, 2008.

    Article  Google Scholar 

  26. McFadyen, B. J., and D. A. Winter. An integrated biomechanical analysis of normal stair ascent and descent. J. Biomech. 9:733–744, 1988.

    Article  Google Scholar 

  27. Nadeau, S., et al. Frontal and sagittal plane analyses of the stair climbing task in healthy adults aged over 40 years: what are the challenges compared to level walking? Clin. Biomech. 18(10):950–959, 2003.

    Article  CAS  Google Scholar 

  28. National Safety Council. Accidents facts. Chicago, IL: National Safety Council, 1985.

  29. Novacheck, T. F. The biomechanics of running. Gait Posture. 1:77–95, 1998.

    Article  Google Scholar 

  30. Schoenborn, C. A., and K. M. Heyman. Health characteristics of adults aged 55 years of age and over, United States, 2004–2007, 2009, http://purl.fdlp.gov/GPO/gpo20664.

  31. Schwartz, M. H., et al. The effect of walking speed on the gait of typically developing children. J. Biomech. 8:1639–1650, 2008.

    Article  Google Scholar 

  32. Thompson, J. A., et al. Gluteus maximus and soleus compensate for simulated quadriceps atrophy and activation failure during walking. J. Biomech. 13:2165–2172, 2013.

    Article  Google Scholar 

  33. Türker, K. S., and T. S. Miles. Cross-talk from other muscles can contaminate EMG signals in reflex studies of the human leg. Neurosci. Lett. 1:164–169, 1990.

    Article  Google Scholar 

  34. Winter, D. A. The Biomechanics and Motor Control of Human Gait: Normal. Ontario: Elderly and Pathological. University of Waterloo Press, 1991.

    Google Scholar 

  35. Zajac, F. E. Muscle coordination of movement: a perspective. J Biomech. 26:109–124, 1993.

    Article  PubMed  Google Scholar 

  36. Zajac, F. E., and M. E. Gordon. Determining muscle’s force and action in multi-articular movement. Exerc. Sports Sci. Rev. 17:187–230, 1989.

    CAS  Google Scholar 

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Acknowledgments

This material is based upon work supported by the National Science Foundation. Graduate Research Fellowship Program under Grant No DGE-0822215 as well as by the National Institute of Arthritis and Musculoskeletal and Skin Diseases under Award No R01AR056700.

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Correspondence to Elena J. Caruthers.

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Associate Editor Thurmon E. Lockhart oversaw the review of this article.

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Caruthers, E.J., Oxendale, K.K., Lewis, J.M. et al. Forces Generated by Vastus Lateralis and Vastus Medialis Decrease with Increasing Stair Descent Speed. Ann Biomed Eng 46, 579–589 (2018). https://doi.org/10.1007/s10439-018-1979-9

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  • DOI: https://doi.org/10.1007/s10439-018-1979-9

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