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Lower extremity joint reaction forces and plantar fascia strain responses due to incline and decline walking

Yamin Noor Arifah Azwani Abdul, Basaruddin Khairul Salleh, Bakar Shahriman Abu, Salleh Ahmad Faizal, Som Mohd Hanafi Mat, Bakar Asyraf Hakimi Abu

Acta of Bioengineering and Biomechanics

2022

Vol. 24, no. 1

67--74

The present study aims to investigate the effect of incline and decline walking on ground and joint reaction forces (JRF) of lower extremity and plantar fascia strain (PFS) under certain surface inclination angles. Methods: Twenty-three male subjects walked on a customized platform with four different surface inclinations (i.e., 0, 5, 7.5 and 10°) with inclined and declined directions. The motion of the ten reflective markers was captured using Qualysis motion capture system (Qualysis, Gothenburg, Sweden) and exported to a visual three-dimensional (3D) software (C-motion, Germantown, USA) in order to analyze the GRF, JRF and PFS. Results: The results found that the peak vertical GRF is almost consistent for 0 and 5° inclination slope but started to decrease at 7.5° onwards during decline walking. The most affected JRF was found on knee at medial-lateral direction even as low as 5 to 10° inclination for both walking conditions. Furthermore, the findings also show that the JRF of lower extremity was more affected during declined walking compared to inclined walking based on the number of significant differences observed in each inclination angle. The PFS was found increased with the increase of surface inclination. Conclusions: The findings could provide a new insight on the relationship of joint reaction forces and strain parameter in response to the incline and decline walking. It would benefit in providing a better precaution that should be considered during hiking activity, especially in medial-lateral direction in order to prevent injury or fall risk.

The effect of leg length inequality on joint contact forces of lower limbs during walking

Othman Nurul Fazreena, Basaruddin Khairul Salleh, Som Mohd Hanafi Mat, Majid Mohd Shukry Abdul, Sulaiman Abdul Razak

Acta of Bioengineering and Biomechanics

2019

Vol. 21, no. 1

55--62

The aim of this study was to examine the joint contact forces (JCF) between each limb as the LLD magnitude increases during walking activity. Methods: Eighteen male healthy subjects volunteered to participate in the experiment. Walking gait analysis was conducted with eight different levels of insole to simulate the LLD, starting from 0 cm until 4.0 cm with 0.5 cm increment. Qualisys Track Manager System and C-motion Visual 3D biomechanical tools were used to analyse the results. Four joints (ankle, knee, hip, and pelvis) of lower limb of two legs were investigated. The increment of insoles was placed on the right leg to represent the long leg. Results: The results suggest that the mean contact forces for all joints in the short leg were increased as the increment level increased. On the contrary, the mean contact forces in the long leg decreased when the LLD level increased. Among these four joints, JCF in hip shows a positive increment based on the ASI value. Means that hip shows the most affected joint as the LLD level increase. Conclusions: The result obtained in this study might help clinicians treat patients with a structural LLD for treatment plan including surgical intervention.