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  • knee model advice

    Dear Subscribers,

    Please bear with yet another request for advice on knee models: I would
    appreciate hearing from those of you who have implemented one of the
    many published models of the knee to solve the indeterminate problem.

    My goal is a familiar one: to predict the muscle, ligament, and
    articular contact forces throughout the gait cycle using kinematic,
    ground reaction force, and anthropometric data. I’d prefer to use an
    existing dynamic, rigid body model. Accuracy, particularly of the
    contact forces, is my primary concern; ease of implementation is
    secondary. I’ve identified the following models/approaches as possible
    candidates:

    Schipplein and Andriacchi (1991) Interaction between active and passive
    knee stabilizers during level walking. J Orthop Res 9:113-119

    Tumer and Engin (1993) Three-body segment dynamic model of the human
    knee. Transactions of the ASME 115:350-6 (modified for the inverse
    dynamic problem)

    Collins JJ (1995) The redundant nature of locomotor optimization laws. J
    Biomech 28(3):251-267. (later modified and validated by Lu et al
    (1997))

    Glitsch and Baumann (1997) The three-dimensional determination of
    internal loads in the lower extremity. J Biomech 11/12:1123-1131


    Before committing to one, I would appreciate advice from anyone who has
    had practical experience (good or bad) with any of the above. Are there
    well-established benefits/limitations of each? How sensitive is the
    model to anatomical detail (i.e., can generic anatomy be used with
    reasonable confidence if CT/MRI of individual subjects is not possible)?
    And is there a more appropriate model that I have overlooked? General
    comments (of the ‘if I knew then what I know now’ kind) concerning 2D
    vs. 3D, phenomenological vs. anatomical models, the importance of
    including the patellofemoral joint, optimization criteria, role of EMG,
    etc. would also be most welcome.

    Thanks in advance for your help.


    --

    Carol F. Kallfelz, MS, Engr
    Supervisor, Motion Analysis Laboratory
    RR&D Center for Limb Loss Prevention and Prosthetics Engineering
    VA Puget Sound Health Care System
    1660 S. Columbian Way MS 151
    Seattle, WA 98121
    Phone: (206) 762-1010, ext. 63223
    Fax: (206) 764-2127
    Email: kallfelz@u.washington.edu

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