Knee extensor moments during Sit-Stand-Sit cycle and its correlation with foot placement: Laboratory Report

Ahlam A. Zidan

doi:10.54361/ljmr.11.1.09

Authors

Ahlam A. Zidan Physiotherapy Department, College of Medical Technology, Az-Zawia University, Az-Zawia, Libya Author

DOI:

https://doi.org/10.54361/ljmr.11.1.09

Keywords:

Foot Position, Knee Moment, Sit To Stand

Abstract

Individuals with neurological impairments experience difficulties in achieving sit-stand-sit manoeuvre. Foot placement was found to result in alterations to knee moments throughout sit-stand-sit cycle. This study aimed to investigate the relation between foot position and knee extensor moments of both limbs during Sit-Stand-Sit cycle. Two healthy right-footed femalevolunteered to participate in this study, which was carried out in the human movement laboratory at the Nottingham City Hospital, Nottingham, United Kingdom. Muscle strength was assessed by isokinetic dynamometer and a three-dimensional motion analysis system was used to assess knee moment. Regarding muscle strength, torque values were higher in the dominant side, also both subjects had high symmetry in eccentric values, while for concentric values subject 2 had low symmetry. Higher knee extensor moment values were reported for dominant limb when feet were symmetrical and dominant foot was placed posteriorly. But when the non-dominant foot was behind, knee extensor moments were greater for the non-dominant side. In conclusion, placing the limb in the more anterior position during Sit-Stand-
Sit cycle result in an increase of the knee extensor moment of the contralateral side. Also a linear relationship revealed between muscle strength and knee moment symmetry. These results could be translated for neurological patients to increase knee moments, decrease moment asymmetry and avoid the learned nonuse syndrome.

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