Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions

Continuous passive motion (CPM) machines are commonly used after various knee surgeries, but information on tibiofemoral forces (TFFs) during CPM cycles is limited. This study aimed to explore the changing trend of TFFs during CPM cycles under various ranges of motion (ROM) and body weights (BW) by...

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Main Authors: Yunlong Yang, Huixuan Huang, Junlong Guo, Fei Yu, Yufeng Yao
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/13/4947
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author Yunlong Yang
Huixuan Huang
Junlong Guo
Fei Yu
Yufeng Yao
author_facet Yunlong Yang
Huixuan Huang
Junlong Guo
Fei Yu
Yufeng Yao
author_sort Yunlong Yang
collection DOAJ
description Continuous passive motion (CPM) machines are commonly used after various knee surgeries, but information on tibiofemoral forces (TFFs) during CPM cycles is limited. This study aimed to explore the changing trend of TFFs during CPM cycles under various ranges of motion (ROM) and body weights (BW) by establishing a two-dimensional mathematical model. TFFs were estimated by using joint angles, foot load, and leg–foot weight. Eleven healthy male participants were tested with ROM ranging from 0° to 120°. The values of the peak TFFs during knee flexion were higher than those during knee extension, varying nonlinearly with ROM. BW had a significant main effect on the peak TFFs and tibiofemoral shear forces, while ROM had a limited effect on the peak TFFs. No significant interaction effects were observed between BW and ROM for each peak TFF, whereas a strong linear correlation existed between the peak tibiofemoral compressive forces (TFCFs) and the peak resultant TFFs (R<sup>2</sup> = 0.971, <i>p</i> < 0.01). The proposed method showed promise in serving as an input for optimizing rehabilitation devices.
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spelling doaj.art-29c9d62026ce4318a8963737b16fbeb42023-12-01T21:42:01ZengMDPI AGSensors1424-82202022-06-012213494710.3390/s22134947Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive MotionsYunlong Yang0Huixuan Huang1Junlong Guo2Fei Yu3Yufeng Yao4State Key Laboratory of Robotics and System, Harbin Institute of Technology, Harbin 150001, ChinaOrthopaedical Rehabilitation Centre, Weihai Municipal Hospital, Weihai 264209, ChinaDepartment of Mechanical Engineering, School of Naval Architecture and Ocean Engineering, Harbin Institute of Technology (Weihai), Weihai 264209, ChinaDepartment of Neurology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, ChinaState Key Laboratory of Robotics and System, Harbin Institute of Technology, Harbin 150001, ChinaContinuous passive motion (CPM) machines are commonly used after various knee surgeries, but information on tibiofemoral forces (TFFs) during CPM cycles is limited. This study aimed to explore the changing trend of TFFs during CPM cycles under various ranges of motion (ROM) and body weights (BW) by establishing a two-dimensional mathematical model. TFFs were estimated by using joint angles, foot load, and leg–foot weight. Eleven healthy male participants were tested with ROM ranging from 0° to 120°. The values of the peak TFFs during knee flexion were higher than those during knee extension, varying nonlinearly with ROM. BW had a significant main effect on the peak TFFs and tibiofemoral shear forces, while ROM had a limited effect on the peak TFFs. No significant interaction effects were observed between BW and ROM for each peak TFF, whereas a strong linear correlation existed between the peak tibiofemoral compressive forces (TFCFs) and the peak resultant TFFs (R<sup>2</sup> = 0.971, <i>p</i> < 0.01). The proposed method showed promise in serving as an input for optimizing rehabilitation devices.https://www.mdpi.com/1424-8220/22/13/4947tibiofemoral forcesranges of motionrehabilitationCPM
spellingShingle Yunlong Yang
Huixuan Huang
Junlong Guo
Fei Yu
Yufeng Yao
Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
Sensors
tibiofemoral forces
ranges of motion
rehabilitation
CPM
title Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
title_full Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
title_fullStr Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
title_full_unstemmed Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
title_short Estimation of Tibiofemoral Joint Contact Forces Using Foot Loads during Continuous Passive Motions
title_sort estimation of tibiofemoral joint contact forces using foot loads during continuous passive motions
topic tibiofemoral forces
ranges of motion
rehabilitation
CPM
url https://www.mdpi.com/1424-8220/22/13/4947
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AT huixuanhuang estimationoftibiofemoraljointcontactforcesusingfootloadsduringcontinuouspassivemotions
AT junlongguo estimationoftibiofemoraljointcontactforcesusingfootloadsduringcontinuouspassivemotions
AT feiyu estimationoftibiofemoraljointcontactforcesusingfootloadsduringcontinuouspassivemotions
AT yufengyao estimationoftibiofemoraljointcontactforcesusingfootloadsduringcontinuouspassivemotions