Exam 2 Flashcards
Most frequent site of acute joint trauma
Knee
The knee joint is one with the longest bones attached. What does this mean?
Longest moment arms
Highest moment and forces
2 joints of the knee
Tibiofemoral
Patellofemoral
3 major planes
Sagittal
Transverse
Frontal
Sagittal motion of the knee (full degrees)
Full extension at 0˚
Full flexion at 140˚
What plane has the greatest movement in the knee
Sagittal
Sagittal motion of knee during walking
Max 75˚ flexion near midswing
Min 5˚ flexion surrounding loading response
Transverse motion of knee
Internal or external rotation
Influenced by flexion and extension in sagittal
Full extension and Transverse motion of knee
no rotation-femoral and tibial condyles interlock
Increases moment arm of limb and ankle weight
Forces of extension mechanism
Pull patella almost parallel to femur in extension
Pull patella into femur in flexion
Force output of quads as extension increases
Increases
Flexion and transverse motion of knee
Rotation max at 90˚
External 30-45˚
Internal 0-30˚
Frontal motion
Abduction or Adduction
Flexion and frontal motion in knee
passive ad/ab of up to 30˚ flex
Soft tissue resistance after 30˚flex
Screw home mechanism
Tibia pushed down and pulled up in extension - external rotation
Tibia pushed up and pulled down in flexion - Internal rotation
Advantage of multiaxial knee
More stable in any position than a hinge joint
Sliding
Femoral contact changes
tibial contact remains the same
impingement
Rolling
Femoral contact and tibial contact changes
dislocation
Sliding and rolling (Gliding)
Femur sliding and rolling relative to tibia
femoral and tibial contact changes
Rigid links in the knee
ACL
PCL
During regular activity the knee switches between
Load partitioning and equilibrium
Abnormal motion of the knee
Large, late jump near full extension
Bucket handle derangement
ACL stability
Restrains anterior displacement of tib
75% anterior force at extension
up to 90% anterior force in flexion
Two bundles of ACL and PCL
anteromedial
posterolateral
PCL Stability
Restrains posterior displacement of tib
85% posterior force at 30˚ flex
100% posterior force at 90˚ flex
Ligament behavior
biohomeostatic
anisotropic
Ligament recovery
not as quick as bones
12 months after ligament damage
less collagen
more proteoglycans
small diameter collagen fibrils
Positional insufficiency of patella
Less potential force due to joint position
0 to 15˚ greatest amount of potential force
Compressive stress distribution of patella
Increased area of contact between patellar tendon and femur = decreased pressure on both
How does the patella aid knee extension
anterior displacement of quad tendon through full range
Increased moment arm for quads
Sport technique analysis
basic model
analyze skill for initial understanding and further questions
Sport technique comparison
novice to pro
coaching or education for correction of technique
Sport skill optimization
computer model
how to perform a never before completed skill
Sport rehabilitation
Joint motions and angles versus normative data
Building backpack robot
Bioinstrumentation feed forward system
Control CPU, displacement signals and air valves
anthropomorphic
Bioinstrumentation feedback system measures
shear force
Tension force in backpack
kit straps
Pressure force in backpack
skin surface
transducible property
Specific coil in backpack
increases length when pulled
Sensors in backpack
Ink membrane load sensors
96 individual sensels
Load changes thickness of ink
Internal lumbar loading force
shear and compressive force trying to create motion
Kit stability
Electromagnetic motion analysis
Acceleration
Static equilibrium model
known and unknown external forces
Sum of forces in any direction must equal zero
Combined performance measures of backpack
Reduction and factor analysis of balance, load control and bulk then comparison